Arthroscopy

Arthroscopy is a procedure used to diagnose and treat joint problems without the need for open surgery.

What is arthroscopy?

Arthroscopy is a surgical procedure that uses an arthroscope (a fibre-optic camera on a thin tube) to diagnose and treat joint problems. It can be used to treat a range of conditions that affect joints, including your shoulder, elbow, knee, ankle, hip, and wrist.

Welbeck’s orthopaedic surgeons in our Surgery Centre perform arthroscopy to look at your joint from the inside. They can also use arthroscopy to help repair your affected joint. This includes damaged or torn cartilage, tendons, ligaments, and joint linings. 

The procedure is minimally invasive and sometimes referred to as keyhole surgery. Only a small cut is needed to insert the arthroscope, whereas open surgery calls for larger cuts. Arthroscopy also causes less tissue damage than open surgery. This makes for a faster recovery time and an easier recovery process.

At Welbeck, arthroscopy is performed in our purpose-built Surgery Centre by our experienced orthopaedic specialists.

Paediatrics

We offer appointments to paediatric patients aged 12 to 18. For full information on our paediatrics service, please visit our main Paediatrics page.

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The arthroscopy process depends on which of your joints is involved. Your surgeon will talk you through exactly what to expect.

You may be given a general anaesthetic and put to sleep during the procedure. But it’s also possible to have the procedure under local anaesthetic. Your surgeon and anaesthetist will determine which approach is suitable for you. They’ll take your preference into account along with any existing medical conditions you have.

In general, most arthroscopies follow these steps:

  1. You’ll be asked to get into a position that’s comfortable and allows the surgeon access to the affected joint.

  2. If it’s a limb joint, your limb may be put into a device to keep it in place.

  3. A needle will be inserted into the joint. 

  4. A watery solution known as irrigation will be injected. This creates a space for your surgeon to work in.

  5. A small cut will be made in your skin and underlying soft tissue. This is so your surgeon can insert the arthroscope.

  6. Your surgeon will use the arthroscope to get a clearer picture of the affected joint.

  7. If your surgeon is also repairing the joint, they’ll make more small cuts to insert surgical tools to do the repairs. This may involve trimming and/or removing material from the joint. 

  8. The cuts will be closed with sterile adhesive tape or a few stitches. 

The procedure can take anywhere from 30 minutes to 2 hours, depending on which type you’re having. You’ll be able to return home after a few hours of monitoring in our outpatient clinic.

Arthroscopy is considered very safe. Complications are uncommon but can occur with any surgical procedure. They can include:

  • stiffness or swelling around the joint

  • infection

  • blood clots

  • tissue damage

  • nerve damage

Your surgeon will give you personalised preparation instructions, and you’ll have the opportunity to ask any questions. 

In general, you can expect to be asked to:

  • avoid eating or drinking for some time before the procedures 

  • stop smoking if you smoke, as it increases the risk of getting an infection

  • stop taking certain medications in the run-up to your procedure

You won’t be able to drive yourself home on the day (or for the next 1 to 4 weeks), so it’s best to arrange for someone to collect you. Your next recovery steps will depend on the type of procedure you had and which joint was involved. Your surgeon will give you detailed instructions on what to do in the weeks and months following your surgery.

Expect mild discomfort as you recover. You may be able to take over-the-counter or prescription painkillers to help manage any pain. Your surgeon will talk you through your tailored medication plan.

Rest will be a fundamental part of your recovery process. You won’t be able to move the affected joint for a while. You may be given a sling, splint, or crutches for your comfort and to help you protect your joint. You’ll also need to avoid strenuous exercise for some time after the procedure.

Most arthroscopies require you to undergo physiotherapy as you recover. It usually involves doing exercises that strengthen your muscles surrounding the joint and boost its range of motion.

Please contact our Orthopaedic centre for pricing information.

At Welbeck, our orthopaedic surgeons are experts in their field and are dedicated to providing world-class care to every patient.

With access to colleagues across other specialties, our consultants are also able to refer within the Welbeck ecosystem if required to ensure you receive the treatment you need as quickly as possible, all under one roof.  

All appointments, testing, treatment, and follow-up appointments take place within our state-of-the-art facilities, enabling us to deliver accurate diagnostics and advanced treatments.

To book an arthroscopy, you must be referred by either your GP or an orthopaedic surgeon following a consultation with them. Self-referrals are not accepted for this treatment.

If you would like to schedule a consultation with an orthopaedic surgeon, please get in touch to make an appointment. Your health is important to us, so we strive to offer same-day appointments whenever possible.

Our consultants are recognised by the major health insurance companies. If you have private health insurance, your treatment at Welbeck can begin once you have obtained authorisation. We also provide care to self-paying patients. Learn more about the different payment options at Welbeck.

Our locations

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London

1 Welbeck Street
Marylebone
London
W1G 0AR

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Frequently asked questions

It may be uncomfortable or painful to sleep in your usual sleeping position after having an arthroscopy. Your surgeon can give you instructions on the best position for you to sleep in. You may need to sleep on your back, or avoid sleeping on your back, depending on which joint was involved.

It depends on which joint is involved in the procedure. If you had a knee arthroscopy, you may be given crutches to help you walk for at least the first few days. Some people may need to use them for longer. Your surgeon will discuss your recovery plan with you.

Your surgeon only needs to make very small cuts to insert the arthroscope and any tools to repair your joint. The cuts may range from a few millimetres to 2cm.

Arthroscopes are very small devices. They vary in size, but usually the diameter is no larger than 4mm. They’re often about the same length and width as a drinking straw.

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