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Arthroscopic knee surgery—e.g., removal of a meniscus fragment, a synovial fold, or loose cartilage

During arthroscopic knee surgery, the orthopedic surgeon can examine the knee joint from the inside and, at the same time, treat specific conditions that cause pain, swelling, clicking, or locking. These may include, for example, a problematic piece of meniscus, a synovial fold, or a loose piece of cartilage.

Treatment is planned based on your symptoms, the examination of your knee, and any imaging tests. The goal is to treat the specific cause of your symptoms and help you regain as much function as possible.

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What is arthroscopic knee surgery?

Arthroscopic surgery, also known as knee arthroscopy, is a procedure in which the surgeon inserts a thin camera and small instruments into the knee joint through a few small incisions. The camera transmits images of the inside of the knee to a monitor, allowing the surgeon to examine, among other things, the menisci, articular cartilage, and other structures within the joint.

During the procedure, the knee joint is flushed with sterile saline so that the surgeon has a clear view and enough space to work. If a condition is found that matches your symptoms and can be treated with arthroscopy, the treatment can usually be performed during the same procedure.

These may include, among other things:

  • a damaged or loose piece of meniscus that gets pinched
  • a troublesome fold of mucous membrane in the knee joint
  • a loose piece of cartilage or another foreign body in the joint

When treating a meniscus injury, the goal is to preserve as much of the meniscus as possible. If a damaged piece of the meniscus must be removed, only the portion that needs to be treated is removed.

When might keyhole surgery be an option?

Arthroscopic surgery may be appropriate if the tests reveal a change in the knee that is believed to be the cause of persistent symptoms and is suitable for arthroscopic treatment.

Symptoms may include, for example, pain, recurring swelling, a clicking sensation, or a feeling that something is getting stuck in the knee. Meniscus injuries can also cause the knee to lock, preventing it from moving normally.

Not all meniscus or cartilage injuries require surgery. Many symptoms can be treated through measures such as adjusting activity levels and exercise. The need for surgery is therefore assessed on a case-by-case basis based on your symptoms, the findings in your knee, and any treatment you may have already tried.

Patient information

Contact your department

  • Capio Aalborg: 9839 2244
  • Capio Aarhus: 8612 1186
  • Capio Hellerup: 3977 7070
  • Capio Odense: 6548 7070
  • Capio Viborg: 8725 0899
Do you want us to call you?

Here's How the Treatment Works

Before

Before the surgery, you will be examined by an orthopedic surgeon, who will assess your symptoms and the findings in your knee. Depending on the specific problem, the evaluation may be supplemented with imaging tests, such as an MRI scan.

Before your surgery, you will receive information about preparation, anesthesia, and medication. It is important that you follow the fasting instructions you receive. If you are taking blood-thinning medication, you must follow the plan that has been established for your medication leading up to the surgery.

Contact Capio before your surgery if you become ill, develop a fever or an infection, or if you notice sores, cuts, pimples, or signs of inflammation around the area to be operated on.

It’s also a good idea to prepare for the first few days at home. You’ll need to arrange transportation home after the surgery and make sure an adult can stay with you for the first 24 hours. Practical help and meals for the first few days can make the post-surgery period easier.

Under

At Capio, arthroscopic surgery is performed under general anesthesia. The surgeon typically makes 2–3 small incisions around the knee through which the arthroscope and surgical instruments are inserted.

The surgeon examines the knee joint and treats the condition deemed appropriate. For example, a loose or damaged piece of meniscus may be removed, and a loose piece of cartilage may be removed if it is causing mechanical symptoms. The specific treatment performed depends on the specific findings in the knee.

After

After the surgery, you will be monitored until you are sufficiently awake. You will be given information about what the surgeon found and treated, as well as the precautions that apply specifically to you.

You can usually go home the same day. After general anesthesia, you must not drive yourself for the first 24 hours. You should not start driving again until you have full control of the operated leg and can operate the pedals safely. You must also not drive if you are taking strong pain medication that affects your ability to drive.

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Pain and swelling after surgery

It is normal for your knee to be tender and swollen after surgery, especially when you move. You will receive instructions on pain management before you are discharged.

The swelling can be relieved, among other things, by:

  • Cool the knee with an ice pack for about 20 minutes at a time, especially during the first few days
  • to have a cloth between your skin and the ice
  • Elevate your leg when you're resting
  • Do vein-pumping exercises by moving your foot and toes
  • Start moving according to the instructions you've been given

You may generally put your full weight on the operated leg, but you should adjust the amount of weight you put on it so that your knee does not hurt unnecessarily. If your surgery requires other restrictions, you will be notified separately. Some people need crutches for a while.

Wounds and Bandages

After the surgery, you will have a bandage over the small surgical incisions. The outer bandage can usually be removed the next day and replaced with waterproof band-aids. The band-aids should be changed if they come loose or become saturated.

The incisions may be closed with sutures or small butterfly bandages. If anything needs to be removed, you will be told how and when. This typically happens about 8–10 days after the surgery.

Rehabilitation and Physical Activity

It is important to start moving and doing exercises shortly after surgery. The exercises are designed to help you regain mobility in your knee and strength in the muscles around it.

At first, swelling may make it harder to bend your knee. As the swelling subsides, your range of motion will typically improve. It is especially important to work on being able to fully straighten your knee.

You’ll be given specific exercises and instructions to do at home. The need for further physical therapy is assessed on an individual basis.

Light daily activities and walks can be gradually resumed once you can move your knee without significant discomfort. For many people, this happens within the first few weeks, but the timeline depends on what was treated during the surgery.

When you can resume sports, work, and more strenuous activities also depends on the extent of the surgery, your symptoms, and the level of physical exertion involved. Your surgeon will provide you with personalized recommendations.

What can you expect?

The outcome depends on the cause of your symptoms and what the surgeon finds and treats in the knee. For example, in the case of a mechanically problematic meniscus fragment or a loose body, the goal is to remove the structure that is getting pinched and causing symptoms.

Healing and rehabilitation vary from person to person. If there are also signs of wear and tear or more extensive cartilage damage in the knee, pain may persist after surgery, and the recovery process may take longer.

Possible complications

The risk of complications following arthroscopic knee surgery is generally low, but as with any surgery, complications can occur.

These may include, among other things, an infection, a blood clot in the leg, bleeding in the knee, or a small area with altered sensation around the surgical incisions.

Contact Capio if, after surgery, you experience increasing pain, fever, noticeable redness, warmth, or swelling around the incisions, or if fluid is leaking from the incision. You should also contact us if you experience unusually severe swelling, redness, or warmth in your leg. In the event of severe or sudden symptoms that require immediate treatment, call 112.

Meet our orthopedic surgeons

Department category - All

Aleksandar Doychinov

Specialist orthopedic surgery, hand surgery
Aarhus

Allan Birk Jørgensen

Consultant, specialist in orthopedic surgery with subspecialty in arthroscopic surgery of knees and hips
Hellerup

Anders Diernæs

Consultant, specialist in orthopedic surgery, specializing in hip replacement surgery
Aalborg

Anders Tjønneland

Specialist in orthopedic surgery, hip replacement
Aalborg

Andreas Haubjerg Qvist

Specialist in orthopedic surgery, shoulder surgery
Aarhus

Andreas Kappel

Specialist in orthopedic surgery, knee surgery
Aalborg

Arne Svensson

Specialist in orthopedic surgery, hip replacement
Aarhus

Balint Vajta

Specialist in orthopedic surgery, hand surgery
Aarhus, Viborg

Bjarne Mygind-Klavsen

Consultant, specialist in orthopedic surgery, specializing in sports surgery
Aarhus

Carsten Holm

Specialist in orthopedic surgery
Aalborg

Carsten Moss

Specialist in orthopedic surgery, specializing in shoulder and elbow surgery
Aalborg, Viborg

Christian Hofbauer

Consultant, specialist in orthopedic surgery, specializing in hip replacement surgery
Odense

Christian Møller

Neurosurgeon, specialist in spine surgery
Hellerup

Claes Sjørslev Blom

Orthopedic surgeon, specialist in knee surgery
Aalborg

Frank Madsen

Consultant, specialist in orthopedic surgery, specializing in knee replacement surgery
Aarhus

Gang Chen

Specialist in orthopedic surgery, spine surgery
Aalborg

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Contact Capio

Aalborg: 9839 2244 / aalborg@secure.capio.dk

Aarhus: 8612 1186 / aarhus@secure.capio.dk

Aarhus MR: 8612 1200 / mr.aarhus@secure.capio.dk

Hellerup: 3977 7070 / hellerup@secure.capio.dk

Odense: 6548 7070 / odense@secure.capio.dk

Viborg: 8725 0899 / viborg@secure.capio.dk

Viborg MR: 8725 0890 / mr.viborg@secure.capio.dk

Press inquiries: presse@capio.dk

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