Knee Arthroscopy for a Ligament Tear
Ligaments are strong bands of tissue that help support the knee. A ligament tear can cause pain or swelling. It can also cause the knee to feel unstable. Knee arthroscopy is a procedure that can diagnose and treat a ligament tear. It is done with a device called an arthroscope (scope). The scope is a thin tube containing a light and camera. It allows the doctor to see and work inside the knee joint. This sheet tells you more about the procedure and what to expect.
Preparing for surgery
Prepare as you have been told. Tell your doctor about all medicines you take. This includes over-the-counter drugs. It also includes herbs and other supplements. You may need to stop taking some or all of them before surgery. Also, follow any directions you’re given for not eating or drinking before surgery.
The day of surgery
The surgery takes about
Before the surgery begins:
An IV line is put into a vein in your arm or hand. This line supplies fluids and medicines.
You will be given medicine to keep you free of pain during the surgery. This is called anesthesia. Depending on what type of anesthesia is used, you may be awake, drowsy, or asleep during the surgery. You will also be given medicine in the area of your leg that will be worked on.
The knee to be worked on is marked.
During the surgery:
Two or 3 small incisions (portals) are made in the knee. In some cases, a slightly larger incision may also be needed.
The scope is inserted through one of the portals. It sends pictures from inside the knee to a video screen. Sterile fluid is sent through the scope to expand the knee joint. The fluid makes it easier to see the knee joint. The doctor looks closely at the tear and determines how best to treat it.
Surgical tools are inserted through the other portals.
The scope and tools are used to reconstruct a torn ligament. Damaged tissue is replaced with a piece of healthy tissue (a graft). The graft tissue may come from your own body or from a tissue donor.
When the procedure is done, the sterile fluid is drained from the knee. The scope and other tools are removed.
Incisions are closed with stitches (sutures). The knee is then bandaged.
After the surgery
You’ll be taken to a recovery room. Medicines and cold packs are used to manage pain and swelling. Your leg is also raised to reduce swelling. You may be given a special brace to wear. This brace helps support the knee while it heals. When it’s time to go home, have an adult friend or family member drive you.
Recovering at home
Once home, follow any instructions you are given. These include:
Take pain medicine and any other medicine as directed.
Care for your incisions as instructed. This includes keeping the incisions dry when bathing or showering.
Elevate your leg to reduce pain and swelling. This means keeping your knee at a level higher than your heart.
Apply an ice pack wrapped in a thin towel to your knee to reduce swelling a few times a day. Do this for
20minutes at a time. Or use a continuous icing system if recommended by your doctor. Icing helps reduce swelling.
Expect some numbness in the leg for
24 to 28hours after surgery.
Perform exercises to help with healing as instructed. You may be told to walk a few times daily.
Use any aids, such as a brace, splint, or crutches, as instructed.
Limit sports or activities as directed.
Do not drive until your doctor says it’s OK.
Do physical therapy (PT) for your knee as prescribed. PT is a program of guided exercise that can help you regain movement and strength in your knee.
When to call your doctor
Call the doctor if you have any of the following:
Chest pain or trouble breathing
100.4° F( 38° C) or higher, or as directed by your healthcare provider
Pain that isn’t helped by medication and rest
Increased swelling not helped by elevation and cold packs
Signs of infection at any incision site such as increased redness or swelling, warmth, worsening pain, or foul-smelling drainage
Bleeding through the bandages
Worsening numbness in the leg that had surgery
Any other signs or symptoms indicated by your doctor
Keep all follow-up appointments with your doctor. Sutures will likely need to be removed about
Risks and complications
Stiffness or ongoing pain in the knee
Damage to the blood vessels, nerves, or skin around the knee
Damage to the cartilage, meniscus, or ligaments in the knee
Increased pressure in the leg due to swelling
Need for further surgery
Risks of anesthesia (the anesthesiologist will discuss these with you)