Sports Injury Surgery:
When it comes to sports injury surgery,
there are basically two different types of surgical approaches, either
arthroscopic or open. There are many different benefits and drawbacks
to both of these types of procedures.
what lies ahead for
both arthroscopic and open sports injury surgeries can help you prepare
you for your surgery.
Open surgical procedures involve an actual
that opens the joint in order for repair or reconstruction of the
injured structures. Open procedures are more invasive than arthroscopic
procedures because the joint is exposed. Advantages:
repairs (depending on the tissues)
- Requires less
return to sports
incisions and scars
- Greater chance for infection
most common open sports injury surgery procedures include
rotator cuff repairs, ulnar collateral ligament reconstructions, ankle
reconstructions, shoulder reconstructions, and fracture repairs.
Arthroscopy is a less invasive sports surgery
procedure, utilizing a camera and small tools to work inside of a
joint. It usually involves 3-4 small portal incisions into the joint,
rather than one large incision. The actual joint is not exposed to the
Utilizing the arthroscope and small
tools, your surgeon performs the procedure inside the joint while
looking through a camera or view screen. Arthroscopic procedures have
become very common, and are often done as an outpatient procedure. Advantages
- Smaller incisiions and
chance for infection
- less pain after surgery
repair (depending on the tissues)
- Requires greater
- Possible nerve damage due to use of tourniquet
most common arthroscopic sports injury surgery procedures
include meniscus repairs and meniscectomies
surgery, patella lateral release, labral repairs, and some rotator cuff
Whether your injury requires an open or
arthroscopic procedure is dependent upon:
- Amount of damage
of the injured
- Surgeons skill level
on the type of injury you have, clinical and diagnostic testing, and
your surgeons preference will determine if you require an open or
Some procedures cannot be
arthroscopically, such as ligament reconstructions and fracture
repairs. Other injuries can be treated with either arthroscopy or open
procedures, and will depend on your surgeon's preference and experience
as to which is used.
you are getting ready for an arthroscopic or open surgery, make sure
that you discuss all of the advantages and disadvantages of your
procedure with your orthopedic surgeon. They can answer all of your
questions and give you the reasons why one procedure is better than
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