Best Arthroscopic Surgery Mumbai
Arthroscopic Surgery By The Best Surgeon In Mumbai
Dr. Aditya Sai
MS, DNB (Orthopaedics)
Why Choose Dr. Aditya Sai?
Meet Our Doctor
Consultant Orthopedic Surgeon
Dr. Aditya Sai
MS, DNB (Orthopaedics)
Dr. Aditya Sai is a consultant in Orthopaedics specializing in Shoulder Surgery, Knee and Hip arthroscopy & Joint preservation Dr. Aditya has been trained in the best of the institutes in India as well as globally, with his MBBS from the Madras Medical College and MS in Orthopedics from Seth GS Medical College & KEM hospital, both amongst the top institutes in the country. He has undergone training in Hip arthroscopy and Joint preservation from the USA.
To Book Appointment Call
What Patients Say About Dr. Aditya Sai
Why Choose Us?
Dr. Aditya Sai is a renowned surgical orthopedic doctor practising in Mumbai. He has 15+ years of experience, with 10+ years of specialization in Shoulder Surgery, Knee & Hip Arthroscopy And Joint Preservation.
Types Of Treatments Offered By Dr. Aditya Sai
Dr. Aditya specializes in problems of shoulder, hip and knee. These are the following types of treatments that the doctor provides.
What is Arthroscopic Surgery?
Arthroscopic surgery is a minimally invasive surgery done for viewing, diagnosing, and treating joint problems.
An orthopedic surgeon makes a small incision in the joint area and then inserts a narrow tube having a fiber-optic video camera on one end, known as an arthroscope, through the incision to perform arthroscopy. The camera is connected to a video monitor, through which the surgeon can view the inside portion of the joint region.
Arthroscopy surgery eliminates the need of creating a large incision to view inside the joint region. Some types of joint injuries or damage can be repaired during arthroscopy by inserting thin instruments through other tiny incisions created by the surgeon in the joint region.
Arthroscopy Causes and Symptoms
Arthroscopy may be recommended by the doctor in the following cases:
Arthroscopy Performed for Finding the Cause of Joint Problems
An arthroscopy may be recommended by the doctor to find what may be causing symptoms associated with joint problems. These symptoms may include:
- Joint pain
- Joint stiffness and swelling
- Joint locking (when the joint moves out of its position or gives away)
This procedure is generally recommended by the doctor only when other types of tests, like X-rays, have not been able to identify the cause of the symptoms.
Arthroscopy Done to Check the Health of the Joints
The doctor may sometimes recommend an arthroscopy to check how well the joint is functioning. This could be helpful in the following cases:
- Joint damage due to sports injury
- Osteoarthritis or other conditions that could lead to joint damage over time
Arthroscopy for Repairing the Damage to the Joints
The following joint conditions can be treated using arthroscopy:
- Torn or damaged cartilage
- Loose bone fragments
- Joint lining inflammation
- Torn ligaments
- Scarring within the joints
Advantages of Arthroscopic Surgery
Arthroscopy surgery has many advantages compared to traditional open surgery, which includes the following:
- Outpatient surgery: Most patients can go home a few hours after an arthroscopic surgery.
- Smaller incisions: The doctor only needs to make a tiny incision to insert an arthroscope compared to an open surgery, which needs larger incisions. Therefore, arthroscopic surgery is considered to be a minimally-invasive procedure.
- Less traumatic to surrounding tissues: Arthroscopic surgery causes minimal or no damage to the surrounding healthy tissues compared to an open surgery, which may be more traumatic.
- Decreased blood loss: Arthroscopy surgery is associated with less blood loss compared to open surgery.
- Reduced pain after surgery: The pain following arthroscopic surgery is much lesser compared to an open surgery.
- Rapid healing time: Since arthroscopic surgery is a minimally-invasive procedure, the procedure has a quicker healing time compared to open surgery.
- Less scarring: Arthroscopic surgery results in less scar tissue formation compared to open surgery, due to the use of tiny incisions while performing arthroscopy.
- Reduced infection risk: Since arthroscopic surgery involves minimal exposure of the internal tissues, the risk of developing infections is reduced significantly in arthroscopic surgery.
Possible Types of Arthroscopy
Arthroscopy can be classified into different types depending on the location of the joint on which the procedure is being performed. The different types of arthroscopy surgeries include:
- Knee arthroscopy: This is the most common type of arthroscopy performed to view the region around the knee joints. The procedure helps in the diagnosis and treatment of conditions such as knee arthritis, meniscus tears, cartilage injuries, and ligament repair.
- Elbow arthroscopy: The doctor performs this type of arthroscopy is performed by the doctor to treat bone or cartilage instability, tendon damage, stress injuries, joint inflammation, and damage to the soft tissue around the elbow joint.
- Ankle arthroscopy: This arthroscopy may be performed for treating all the tissues in and around the ankle area, which may include damaged bones, ligaments, tendons, and cartilage of the ankle.
- Shoulder arthroscopy: The diagnosis and treatment of different shoulder diseases such as joint inflammation, shoulder instability, impingement syndrome, rotator cuff repair, and recurrent shoulder joint dislocations can be performed using this type of arthroscopy.
- Spine arthroscopy: Conditions like spinal injuries, spinal instability, and degenerative disc diseases can be diagnosed and treated using spine arthroscopy.
- Wrist arthroscopy: Wrist joint problems like wrist osteoarthritis, wrist bone fracture, stress injury, and ligament tear can be diagnosed and treated using this type of arthroscopy.
- Hip arthroscopy: The hip joint can be viewed clearly using this type of arthroscopy without the need to cut the ligaments or the muscles extensively. This type of procedure is normally recommended for treating femur (thigh bone) and acetabulum (the socket in the pelvic cavity) impingement, or any other conditions that could be associated with the hip joint.
- Temporomandibular joint arthroscopy: This arthroscopy may be performed to diagnose the damage to the temporomandibular joint surface and treat temporomandibular joint disorders.
Recovery Time Post-Arthroscopy Surgery
Complete recovery time after an arthroscopic surgery may vary from one week to several months for different patients.
The recovery time varies among different patients depending on different factors like the age of the patient, the overall health of the patient, the joint being treated, and the type of arthroscopic surgery being performed.
The recovery following arthroscopy surgery is as follows:
- The patient will experience some swelling, pain, and stiffness in the operated area for a couple of days after surgery. The patient needs to take sufficient rest during this period.
- Ice pack application on the operated area is recommended to reduce the swelling and inflammation after the surgery.
- The doctor will generally prescribe painkillers to relieve the discomfort after the surgery.
- The patient needs to use a walker, crutches, or other devices to aid in walking after arthroscopy in the knee, hip, or ankle region.
- Patients having a desk job can usually resume their work one week after surgery.
- Light forms of exercises like walking and stretching can be resumed one week after the surgery.
- The doctor may recommend wearing a joint cap or brace after the surgery.
- Physiotherapy sessions need to be started about two weeks after the surgery.
- Strenuous activities need to be avoided till the doctor permits the same.
- Most patients can resume their normal activities about four weeks after the surgery.
Arthroscopy Surgery Process in Mumbai
The arthroscopy surgery process in Mumbai involves diagnostic tests and preparation, the procedure using an arthroscope, and the post-surgical steps and instructions.
Arthroscopy Surgery Preparation
The doctor recommends certain diagnostic tests before an arthroscopy surgery to assess the physical health of the patient and check if the patient is physically fit to undergo surgery. The diagnostic tests recommended may include the following:
- Physical examination: The damaged joint’s function and mobility are physically examined by the doctor.
- X-rays: The condition of the joint and the bones surrounding it can be checked by the doctor using X-rays.
- Imaging tests: Imaging tests like ultrasounds, CT scans, and MRI scans help the doctor in obtaining clear pictures of the joint.
- Blood and urine tests: The presence of certain infections and medical diseases can be checked using these tests.
The patient will need to undergo the following preparation before an arthroscopy:
- The arthroscopy surgeon needs to be informed about any medications, herbs, or supplements that the patient may be taking.
- The doctor may tell the patient to stop the consumption of blood-thinning medications a couple of days before the procedure to avoid the risk of excessive bleeding.
- The patient should inform the doctor about any allergies or sensitivities that he/she may be having.
- The patient needs to quit smoking at least fifteen days before an arthroscopy surgery.
- The patient will need to fast six to eight hours before the procedure.
Procedure for Arthroscopy Surgery
Arthroscopy surgery is done as follows:
- The procedure could be done under local anesthesia, which works by numbing the area of treatment; spinal anesthesia, which works by numbing the body waist downwards; or general anesthesia, which works by making the patient unconscious before the procedure.
- The surgeon will first create two to three small incisions or cuts in the affected joint region.
- The surgeon will then insert the arthroscope and other small surgical instruments through the incisions made.
- There is a camera present at the end of the arthroscope. This camera transmits the images of the joint on a monitor.
- The images obtained will help the surgeon view the joint region, ligaments, tendons, and cartilage, and detect or treat any issues with the joint.
- The arthroscope and surgical instruments will then be removed by the surgeon.
- The incisions created are then closed using sutures and bandages.
- The arthroscopy procedure may take 60 to 90 minutes to complete.
Recovery following Arthroscopy Surgery
The recovery after an arthroscopy surgery involves the following steps:
- The patient can usually go home on the same or the next day following an arthroscopy surgery.
- It is important to take adequate rest immediately after surgery.
- The patient will have some pain and swelling after the surgery.
- The doctor recommends certain painkillers to relieve the discomfort after the procedure.
- The doctor recommends the application of ice packs on the surgical area to reduce the swelling and bruising after the surgery.
- It is important to avoid putting any weight on the treatment area while recovering.
- If the procedure has been performed on a joint in the leg region, the patient needs to use crutches or another walking device for a few weeks after surgery.
- The patient needs to take physiotherapy sessions to improve the mobility and function of the joint.
- Most patients can resume normal daily activities within a few days after surgery. Strenuous activities should, however, be avoided for eight to twelve weeks after arthroscopy surgery.
Risks Associated with Arthroscopic Surgery
Arthroscopic surgery is considered to be a safe procedure and is generally not associated with any risks. Although uncommon, the following complications may be associated with arthroscopic surgery:
- Damage to the artery
- Hemorrhage or excessive bleeding
- Nerve damage
- Damage to the ligaments, cartilage, tendons, or menisus
- Blood clot formation
- Allergy to the anesthetic agent used
- Numbness at the site of incision
- Persistent pain, stiffness, and swelling
- Heart and kidney problems
- Death (extremely rare)
How to Prepare for Arthroscopic Surgery?
The orthopedic surgeon recommends undergoing the following preparation before an arthroscopic surgery:
- The patient should speak with the doctor about any medicines or supplements that he or she may be taking.
- The patient needs to inform the doctor about any allergies that he or she may have.
- The area that needs to be operated on needs to be kept clean and free from sunburn, infection, or injury.
- Depending on the type of anesthesia being used, the patient may be asked to not eat or drink anything eight hours before the arthroscopic surgery.
- The doctor may instruct the patient to avoid taking certain medications or dietary supplements that may increase the risk of bleeding for a few days before surgery.
- The patient should wear loose, comfortable clothing over the area that will be operated on.
- The patient needs to arrange for someone to take him or her home after the surgery.
The patient is taken to the recovery room after arthroscopic surgery, where the patient will rest for an hour or more. Most patients can go home on the same day after surgery. The recovery after arthroscopic surgery is as follows:
- The doctor may recommend painkillers to relieve the discomfort after the procedure.
- Ice pack application or cold therapy is recommended for the first 24 hours after the procedure to reduce the swelling.
- Elevation of the operated joint can also help in reducing swelling and pain.
- The patient needs to avoid alcohol consumption and smoking for a few days after the procedure.
- The patient may need to use a splint, a sling, or crutches for support as he or she recovers.
- The patient can remove the surgical bandages on the incision site and replace the bandages using small strips of dressing the day after the surgery.
- If the patient is given non-dissolvable stitches, the doctor will remove them one or two weeks after the surgery. The dissolvable stitches, as the name suggests, will dissolve on their own over some time.
- During the wound healing period, the patient needs to keep the incision site as dry as possible. The site can be covered using a plastic bag while taking a bath.
- Most patients can resume going to work a few days after arthroscopic surgery. However, strenuous activities have to be avoided as complete recovery may take a couple of weeks or even months.
- Physiotherapy exercises and rehabilitation are recommended to improve the function and mobility of the operated joint, as well as strengthen the muscles.
Arthroscopy Surgery Cost in Mumbai
The cost of arthroscopy surgery in Mumbai varies between INR 30,000 to INR 2,00,000. The cost may differ depending on different factors like:
- The joint being treated: Arthroscopy surgery can be done on different joints like the knee, ankle, shoulder, hip, wrist, or elbow joint. The cost of arthroscopy surgery will differ based on the joint being treated.
- Severity of damage: The cost of arthroscopy surgery increases in case of severe joint damage or injury requiring an extensive form of treatment.
- Surgeon’s expertise: An experienced surgeon will charge higher consultation and treatment fees compared to an inexperienced surgeon.
- Gender, age, and health of the patient: The gender, age, and health of the patient are important parameters that determine the type of treatment done, the treatment results, and the risk of developing complications after the surgery due to the presence of certain medical conditions. The cost of arthroscopy surgery will vary depending on these factors.
- Choice of the hospital: A private, multi-specialty hospital in a posh locality will have higher treatment charges than a government hospital in an average location.
- Length of hospital stay: A longer hospital stay will increase the total cost of arthroscopy surgery.
- Preparatory diagnostic tests: The doctor recommends undergoing certain diagnostic tests before the procedure to assess the health of the patient undergoing the surgery. The cost of the diagnostic tests is added to the total cost of arthroscopy surgery.
- Anesthesia cost: The cost of the anesthesia and anesthesiologist will be added to the total cost of arthroscopy surgery.
- Medicines cost: The doctor may recommend taking certain medications before and after the surgery. The cost of the medicines will be added to the total cost of arthroscopy surgery.
- Follow-up appointments: The cost of the follow-up appointments with the doctor after the surgery is added to the total cost of arthroscopy surgery.
- Physiotherapy sessions: The cost of the physiotherapy sessions recommended post-surgery is added to the total cost of arthroscopy.
How to Choose the Best Clinic for Arthroscopy Surgery in Mumbai?
The choice of the right clinic for undergoing arthroscopy surgery can help in achieving successful results and also ensure a rapid recovery. The following factors need to be considered to choose the best clinic for arthroscopy surgery in Mumbai:
- Research about the clinic: It is important to choose a clinic or hospital which is well-equipped and has good healthcare facilities to ensure successful treatment outcomes, a better survival rate, and a lesser risk of developing complications after the surgery.
- Inquire about the credentials of the surgeon: The patient needs to choose a clinic with a board-certified, experienced orthopedic surgeon who has no history of malpractice claims to ensure a smooth treatment and good pre and post-operative care.
- Referrals: The patient can inquire about the clinic from his/her family physician, friends, family, or acquaintances who have undergone treatment in the same clinic earlier.
- Read patient testimonials and reviews: The patient can check for the reviews and testimonials of patients who have undergone treatment in the same clinic to know about their treatment experience in the clinic.
- Schedule a consultation: The patient can book a consultation appointment in the clinic with the orthopedic surgeon. The consultation visit will give a fair idea about the protocols and hygiene of the clinic, as well as allow the patient to communicate personally with the surgeon and the healthcare team to ensure a good comfort level during the procedure.
- Insurance coverage: The choice of the clinic should be made only after ensuring that the patient can claim the treatment charges from his/her insurance company on being treated from that particular clinic.
The Shoulder and Knee Clinic in Mumbai is considered to be one of the best clinics to undergo arthroscopic surgery under the expert guidance of Dr. Aditya Sai, who is one of the best orthopedic surgeons in the city.
Frequently Asked Questions
To Book Appointment Call