Arthroscopy is one of the most common orthopedic procedures performed today. This minimally invasive technique allows surgeons to see inside a joint using a small camera and specialized instruments, making it possible to diagnose and treat many conditions with less trauma than open surgery. But while knee, shoulder, and ankle arthroscopy offers important benefits, it also has limitations. At the practice of Steven C. Thomas, MD and Donald W Pennington, DO, our board-certified surgeons specialize in orthopedic procedures in the Las Vegas area.
What Is Arthroscopy?
Arthroscopy involves inserting a thin tube with a camera (arthroscope) into a joint through small incisions. Images from the camera are displayed on a screen, guiding the surgeon to repair damaged tissue, remove loose fragments, or smooth cartilage. Because incisions are small, recovery is usually quicker than with open procedures.
Knee Arthroscopy
The knee is the most common site for arthroscopy. Conditions treated include meniscus tears, cartilage damage, loose bodies, ligament injuries, and inflammation.
Benefits:
- Less invasive than open knee surgery
- Shorter recovery time for minor procedures
- Accurate diagnosis of joint issues
Limitations: - Not all knee conditions can be fixed arthroscopically (e.g., advanced arthritis)
- Recovery still requires physical therapy and rest
Shoulder Arthroscopy
Shoulder arthroscopy addresses rotator cuff tears, labral tears, impingement, instability, and bone spurs.
Benefits:
- Allows repair of delicate soft tissue with smaller incisions
- Less scarring and postoperative pain compared to open shoulder surgery
- Useful for both diagnosis and treatment in one procedure
Limitations: - Complex tears may still require open surgery
- Recovery from shoulder repairs can be lengthy, sometimes 6–12 months
Ankle Arthroscopy
Ankle arthroscopy is less common but valuable for conditions like loose bone fragments, cartilage damage, scar tissue, or chronic ankle pain.
Benefits:
- Minimally invasive access to a difficult-to-treat joint
- Effective for cleaning up scar tissue or cartilage fragments
- Shorter recovery compared to open ankle surgery
Limitations: - Not always effective for severe arthritis or deformities
- May require additional procedures for long-term relief
General Benefits of Arthroscopy
- Small incisions and minimal scarring
- Shorter hospital stays, often outpatient
- Faster return to activity compared to open procedures
- Lower risk of infection and complications
General Limitations of Arthroscopy
- Not all conditions can be treated arthroscopically
- Recovery may still take weeks or months, depending on the procedure
- Some patients may require follow-up surgery if arthroscopy is insufficient
- Pain relief may be temporary if underlying arthritis is advanced
What Patients Can Expect
Arthroscopy is typically an outpatient procedure. Patients can usually go home the same day and return to light activities within days to weeks, depending on the joint treated. Physical therapy is a key part of recovery, helping restore strength, flexibility, and mobility.
Arthroscopy is a valuable tool in orthopedic surgery, offering minimally invasive treatment for many joint problems of the knee, shoulder, and ankle. While it has clear benefits, it’s not a cure-all. The best outcomes occur when the right patient is matched with the right procedure.
Contact Surgeons Dr. Thomas and Dr. Pennington at the Knee and Shoulder Institute in Las Vegas, NV to Schedule an Appointment:
If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments,contact the office today click here.
Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada