With activities of daily life, exercise, participation in sports, and accidents, the knee components of bone, articular cartilage, meniscus, ACL, PCL, MCL, and LCL can sustain an injury that requires evaluation, modification, therapy, observation, rehabilitation, medication, or treatment.
When a intra-articular structure of the knee shows persistant dysfunction with no signs of healing after conservative treatment, modification of activity level or there is progression of dysfunction and symptomatology, then operative arthroscopy, a miniumally invasive microsurgical technique is required.
From the history, physical examination findings, duration of dysfunction, limitation of desired activity requiring modification, results of standing x-rays, findings of the high resolution MRI ,the patient should consider Operative Arthroscopy of the Knee.
Arthroscopy is a surgical procedure that requires general anesthesia, creation of the 3 arthroscopic portals, followed by evaluation of the intra-articular structures with either sewing (true repair), trimming, or smoothing depending upon blood supply to decrease the pain and improve functionof the knee.
The skin will heal in 12 days, meniscus will heal in 21 days, and immediately postoperatively you begin a rehabilitation program with frequency and intensity just like seen in amateur and professional athletes.
Physical therapy when performed numerous times per day as compared to participating in a single session of physical therapy per day has such better efficacy and rate of improvement for the knee.
Suggest starting immediately on flexibility, development of quadriceps musculature, maintaining flexibility of tight hamstrings, and icing of the knee.
Must use of crutches until the limping resolves and begin numerous sessions at home of instructed therapy every day to restore the quadriceps strength with single leg leg press, wide based half squats, stretching of the hamstrings, and icing of the knee.
Risk of surgery include anesthesia, infection, failure, DVTs, thrombophlebitis, and neurovascular injury.