Arthroscopy (keyhole joint surgery)

Category: Endoscopy & Camera Tests · All endoscopy & camera tests

Arthroscopy (keyhole joint surgery) — Endoscopy & Camera Tests

What it is

Arthroscopy is keyhole surgery on a joint: a pencil-thin camera and miniature instruments are inserted through small cuts to look inside the joint and treat problems such as torn cartilage or loose fragments. The knee is most common; shoulders, ankles, wrists, elbows and hips can also be treated.

Why it is done

It is used to diagnose unexplained joint problems and to treat torn meniscus or cartilage, remove loose bodies, repair some ligament and tendon problems and wash out infected joints.

How to prepare

You will have a pre-assessment and fast beforehand. Tell the team about blood thinners, allergies and any skin infection near the joint. Plan for crutches and help at home for a day or two for lower-limb joints.

What happens during the procedure

Usually under general anaesthetic (sometimes spinal for the knee), the joint is filled with fluid, the camera inserted through a small cut, and instruments through one or two further cuts. You watch none of it; the surgeon works from the screen. It usually takes 30 to 60 minutes.

Afterwards — recovery & results

Most people go home the same day. The joint is often swollen for days to weeks; elevation, ice (as advised) and early movement or physiotherapy help. Time off work depends on the joint and what was done — often a few days to two weeks.

Risks & considerations

Risks include infection, bleeding into the joint, blood clots (leg surgery), nerve or cartilage injury, and stiffness. Serious complications are uncommon. Not every problem found can be fixed by arthroscopy, and arthritis itself is not cured by it.

Watch: Arthroscopy (keyhole joint surgery) videos

Real procedure videos from the MedicalVideos.com library. Some clinical footage is graphic — that is the nature of a medical video library.

Frequently asked questions

Will arthroscopy fix my arthritis?

No. It treats specific mechanical problems like torn cartilage or loose fragments; wear-and-tear arthritis pain often responds better to physiotherapy, weight and pain management, which your surgeon will discuss.

When can I drive?

Once you can bend the knee enough, bear weight comfortably and perform an emergency stop — often after a few days to two weeks for knee surgery. Follow your surgeon's advice.

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Please note: This page is educational information about a medical procedure or test. It does not replace the instructions of your own care team, who know your situation and whose preparation, fasting and medication advice you should follow if it differs from anything here. If you have symptoms that worry you, or an appointment you do not understand, contact your clinical team.