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What Happens During a Knee Arthroscopy With Plica Removal

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Presentation: Knee Arthroscopy With Plica Removal
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Reviewed By: Arthur Schoenstadt, MD
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Now let's discuss your procedure.
After the anesthesia is given, a tourniquet or blood pressure cuff, is usually wrapped around your thigh to temporarily stop the flow of blood to your knee. This allows your doctor to see the surgical area clearly.
To help reduce the chance of infection, the area will be scrubbed with a special soap, and you will be covered with sterile sheets. The only area exposed will be the site where the procedure is being performed.
Your doctor will begin the surgery by making three small incisions about a quarter inch in length. One is located above the kneecap and the other two are below. Your knee is then filled with fluid to expand the joint so that your doctor can see better inside. Through one of the incisions, the arthroscope is then inserted. Once the arthroscope is in the correct position, your doctor will begin to examine the structures of your knee on a video monitor.
If your doctor finds that the folds, or plicae, in your synovium are swollen or inflamed, they will be removed. Through the third incision, your doctor will insert either a shaving device, scissors, or possibly even basket forceps to cut out the plicae, and relieve the swelling.
After your doctor has completed the work within your knee, all the instruments will be removed and the fluid will be drained. Your doctor may also inject your knee with pain medication to decrease your pain and discomfort after surgery. The small skin incisions may be closed with stitches or left open to heal themselves. Finally, a bandage will be applied.
It is possible that your doctor may find additional damaged areas while examining your knee joint. If this is the case, these areas will most likely be fixed during the arthroscopy. This can include repairing a meniscal tear, removing loose bodies, or removing inflamed synovial tissue.

Knee Arthroscopy With Plica Removal


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