Knee Arthroscopy: A Minimally Invasive Procedure for Knee Problems

Recovery from knee arthroscopy varies based on the condition treated and the patient’s adherence to rehabilitation. Most people can walk with support on the same day, resume daily activities within a few weeks, and regain full knee function within three to six months. High-impact sports or strenuous activities may require a longer recovery period with a tailored physiotherapy programme.

Knee arthroscopy is considered minimally invasive surgery, not major surgery, because it involves small incisions, less tissue disruption, and a quicker recovery time compared to open knee procedures. However, the extent of surgery depends on the complexity of the knee condition being treated. While it is not classified as major surgery, it still requires proper post-operative care and rehabilitation.

Pain after knee arthroscopy is generally mild to moderate and varies from person to person. Most patients experience discomfort, swelling, and stiffness in the first few days, which can be managed with prescribed pain relief, ice therapy, and elevation. Pain levels typically decrease as the knee heals, and physiotherapy helps prevent long-term stiffness and discomfort.

Knee arthroscopy is beneficial for certain knee conditions, such as meniscal tears, ligament injuries, and cartilage damage, when conservative treatments have failed. It allows for targeted treatment with minimal disruption to surrounding tissues. However, its effectiveness depends on the severity of the condition and the patient's overall knee health, so consultation with a specialist is essential to determine if arthroscopy is the best option.

Arthroscopy is a minimally invasive procedure used to diagnose and treat knee injuries by inserting a small camera and instruments through tiny incisions. Arthroplasty, on the other hand, refers to joint replacement surgery, where damaged joint surfaces are replaced with artificial implants. Arthroscopy is generally used for minor to moderate knee injuries, whereas arthroplasty is performed for severe joint degeneration, such as in advanced osteoarthritis.

Yes, most patients can walk with the support of crutches or a knee brace on the same day after surgery. However, weight-bearing should be introduced gradually based on the surgeon’s recommendations and the specific procedure performed. Walking too soon without support may strain the knee and delay recovery.

Knee bending is usually encouraged gradually after surgery to prevent stiffness and restore range of motion. However, the extent to which you can bend your knee depends on the procedure performed and your surgeon’s instructions. Physiotherapy typically includes guided knee flexion exercises to improve movement safely.

Bilateral knee arthroscopy is minimally invasive surgery on both knees, done simultaneously or separately. It treats meniscal tears, cartilage damage, or other joint issues in both knees. Recovery may take longer than a single-knee procedure and requires a structured rehabilitation plan. If you are experiencing persistent issues in both knees, consult an orthopaedic specialist to determine if the procedure is suitable for your condition.

Knee arthroscopy may not be recommended for advanced osteoarthritis or severe joint degeneration, where the cartilage is extensively worn down. For some degenerative conditions, non-surgical treatments such as physiotherapy or knee replacement surgery may provide better long-term outcomes. A thorough evaluation by an orthopaedic specialist can help determine the most suitable treatment.

Climbing stairs is usually possible within a few weeks post-surgery, but it should be done cautiously. Initially, patients may need to use a railing, knee brace, or crutches to minimise knee strain. It is best to follow your surgeon’s or physiotherapist’s guidance to ensure a safe and gradual return to normal activities.

Persistent pain three months post-surgery may be due to factors such as incomplete healing, scar tissue formation, underlying joint degeneration, or inadequate rehabilitation. If pain persists, it is important to consult your orthopaedic specialist for further assessment, as additional physiotherapy or treatment may be needed.

The cost of knee arthroscopy in Singapore varies depending on the complexity of the procedure and the condition being treated. General knee arthroscopy costs between $10,000 – $20,000, while procedures like ACL reconstruction range from $20,000 – $30,000, and meniscus repair can cost $20,000 – $25,000. Patients can use MediSave and insurance to offset part of the cost.

While knee arthroscopy is minimally invasive, potential downsides include postoperative stiffness, swelling, and the risk of persistent pain if the underlying condition is not fully addressed. Additionally, not all knee conditions benefit from arthroscopy, particularly severe osteoarthritis or extensive cartilage loss. As with any surgery, risks such as infection and blood clots are possible, though rare.

Most patients need a few days of rest before gradually resuming light activities. Full weight-bearing is typically introduced within two to six weeks, depending on the specific procedure. High-impact activities should be avoided until cleared by the surgeon, which can take several months.

Arthroscopy is a minimally invasive procedure using small incisions and a camera to treat knee conditions. Arthrotomy is an open surgical approach where a larger incision is made to directly access the joint, usually for more complex repairs or joint replacements. Arthroscopy typically results in faster recovery compared to arthrotomy.

MRI is a non-invasive imaging tool that helps diagnose knee conditions, whereas arthroscopy allows direct visualisation and treatment of joint problems. Arthroscopy is superior in cases where MRI findings are inconclusive or when a repair procedure is needed. However, MRI is often used as the first step to assess knee injuries before considering surgery.

Knee arthroscopy is suitable for individuals with meniscal tears, ligament injuries, cartilage damage, or loose bone fragments causing pain and impaired function. Patients with mild to moderate knee issues unresponsive to conservative treatments may benefit. However, those with severe osteoarthritis or extensive joint degeneration may need alternative treatments. A specialist consultation can determine if the procedure is right for you.

Postoperative pain can persist due to inflammation, scar tissue formation, or unresolved knee pathology. If pain continues beyond the expected recovery period, further evaluation or physiotherapy may be needed to rule out complications or incomplete healing.

Severe pain is not typical after knee arthroscopy but can occur due to swelling, excessive joint stress, or complications such as infection or blood clots. If severe pain persists, immediate medical attention is recommended to identify the cause and provide appropriate treatment.

Showering is usually allowed after 24 to 48 hours, but the incisions must be kept dry until fully healed. Waterproof dressings can be used to protect the surgical site, and patients should follow their surgeon’s specific instructions on wound care.

Recovery exercises typically include gentle knee bending, quadriceps strengthening, straight leg raises, and ankle pumps to improve circulation and prevent stiffness. Following your prescribed physiotherapy programme is essential to restore function, strengthen the knee, and prevent long-term weakness.

Arthroscopy is not always recommended for osteoarthritis, especially in advanced cases with extensive cartilage damage. However, it may help remove loose cartilage or bone fragments that cause symptoms like locking or catching. Patients with severe osteoarthritis may benefit more from non-surgical treatments or knee replacement surgery. It is best to consult with an orthopaedic surgeon to determine the best treatment for your condition.