ISSN 2398-2942      

Arthroscopy

icanis

Synonym(s): Endoscopic surgery, Rigid endoscopy


Introduction

Uses

  • Endoscopic examination of synovial cavity using rigid endoscope - to visualize internal structures, eg articular cartilage, menisci, ligaments, joint synovial membrane.
  • Arthroscopic treatment of joint disease.
  • Useful in experimental animals due to low morbidity even with repetitive examinations.

Advantages

  • Direct visualization of intra-articular structures without need for arthrotomy Hock: arthrotomy Joint lavage.
  • More thorough evaluation of intra-articular structures as compared to arthrotomy.
  • Minimally invasive, less morbidity - repeated examinations possible.
  • Useful for collecting synovial membrane biopsies from large joints.
  • Can operate on multiple joints and legs during the same surgical procedure
  • Well accepted by pet owners (arthroscopy is the technique of choice in human patients with joint disorders).
  • Shorter surgical time as proficiency is gained.
  • Ability to document lesions with photographs and videotapes before and after surgical treatment.

Disadvantages

  • Requires expensive equipment.
  • Learning curve is steep requiring time and experience to become proficient.
  • Requires considerable practice on cadavers to achieve satisfactory level of competence.
  • Initially surgical time is longer than arthrotomy.
  • Potential for iatrogenic trauma to the cartilage surface.
  • Requires sterilization techniques other than steam sterilization for some instruments.

Requirements

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Preparation

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Procedure

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Aftercare

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Outcomes

This article is available in full to registered subscribers

Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login

Prognosis

  • Good: minimally invasive technique, short surgical time, minimal morbidity, fewer complications, quicker recovery.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Bardet J F (2000) Arthroscopy of the elbow in clinically normal dogs using the caudal portals. Vet Comp Orthop Traum 13 (2), 87-91 VetMedResource.
  • Van Ryssen B & van Bree H (1997) Arthroscopic findings in 100 dogs with elbow lameness. Vet Rec 140 (14), 360-2 PubMed.
  • Van Ryssen B, van Bree H, Simoens P (1993) Elbow arthroscopy in clinically normal dogs. Am J Vet Res 54 (1), 191-8 PubMed.
  • Van Ryssen B & van Bree H V (1992) Arthroscopic evaluation of osteochondrosis lesions in the canine hock joint: A review of two cases. J Am Anim Hosp Assoc 28 (4), 295-9 VetMedResource.

Other sources of information

  • Beale B, Hulse D, Schulz K & Whitney W (2002)Small animal arthroscopy.Philadelphia: W B Saunders Co (in press).
  • McCarthy T C (2000)Arthroscopy. In:Veterinary Surgical Secrets. Ed: J Harari. Philadelphia: Hanley & Belfus pp 46-49.
  • Van Ryssen B & van Bree H J (1998)Diagnostic and surgical arthroscopy in osteochondral lesions.In:Vet Clin North America - Osteochondrosis.Ed: J Harari. Philadelphia: W B Saunders Co28 (1),161-189.

Related Images

Can’t find what you’re looking for?

We have an ever growing content library on Vetlexicon so if you ever find we haven't covered something that you need please fill in the form below and let us know!