A minimally invasive surgery of the joint to relieve of major joint related pain. the technique uses 2.9 mm diameter scope to visualize the joint, creating a similar 2-3 mm incision can allow introduction of instruments to treat structures.
Advantages - minimally invasive
Post surgery - take it easy for two days, back to active sports in 1 month.
when the same technique is used to reconstruct structures like torn ligaments and repair of torn of meniscus, the post operative rest needed becomes longer with one month to recuperate which is esentially to allow the body to accept the implanted ligament or heal the repaired structures.
A 40 year old with sudden onset inner knee pain with no significant injury, the pain persisted inspite of rehab, medication and multiple doctor visits.
A simple day care procedure to visualise and treat the area could eradicate the problem with ability to walk the same day post procedure and back to routine life in a week and back to activities in a month.
20 year old footballer went for a sudden change in direction and felt a snap in the knee, his attempt to play again resulted in immediate instability. This made him realize that something is not right
This is an injury which is very subtle and one may not have any major symptoms. low demand and elderly does not need to consider intervention in these cases and can very well live and lead an active sporting lifestyle , example my 45 year cycling friend who recently did the everest base camp. In cases which do not compensate and experience pain and abnormal mobility need to consider a surgical intervention to reconstruct this ligament which is a surgery with rewarding results.
When the same minimally invasive surgery is applied to the shoulder, which is a ball-and-socket joint depending on cartilage and ligaments for stability, dislocation of the joint is very frequent and often becomes recurrent in the young.
A timely fix of the broken cartilage can reduce the magnitude of the procedure performed and give great results, ensuring return to sport
A very time-tested and elegant surgery done to repair the torn anterior cartilage, thereby preventing anterior dislocation. the MRI helps us evaluate the torn anterior cartilage and evaluate the scope of early repair.
In cases where the dislocation has impacted the bone significantly, altering its shape to the extent that this itself predisposes to redislocation. A soft tissue restraint is created by anchoring a part of the tendons around the joint into the bony defect to prevent the biomechanics leading to redislocation. A remplissage is sometimes added to a Bankart surgery on a case-by-case basis, based on several parameters.