What is arthroscopy?
L'arthroscopy is a minimally invasive surgical technique that allows the exploration and treatment of the inside of a joint using a fine camera inserted through very small skin incisions. Connected to a screen, this camera provides real-time visualization, allowing the surgeon to intervene in a targeted and extremely precise manner, while limiting trauma to the surrounding tissues.
Dr. Coulin uses arthroscopy both to establish a precise diagnosis and to perform therapeutic procedures, such as meniscus regularization, treatment of damaged cartilage, ligament repair or even foreign body removal. This technique has become a benchmark in modern orthopedic surgery, because it combines efficiency, safety and rapid recovery.
In which cases is arthroscopy indicated?
L'arthroscopy is considered when pain persists despite medical treatment or when imaging tests (MRI, X-rays, CT scans) reveal an intra-articular lesion. It is particularly suitable for young, athletic or active patients who wish to regain optimal function while avoiding major surgery.
The most common indications include:
- Meniscal injuries : cracks, pinches or tears.
- Localized cartilage damage : areas of partial wear of the cartilage.
- Mechanical conflicts or joint blockages : persistent functional impairment.
- Joint lavage in cases of inflammatory osteoarthritis or infection.
- Post-traumatic assessment : exploration of a knee or hip after an accident.
- Ligament repair : particularly in certain lesions of the anterior cruciate ligament or the patella.
Each indication is made on a case-by-case basis, taking into account the symptoms, the patient's age, their activity, and the imaging results.
How does the procedure take place?
There arthroscopic surgery is performed on an outpatient basis in the majority of cases, under local or general anesthesia. Two or three small incisions of a few millimeters are sufficient to introduce the camera (arthroscope) and the miniaturized instruments.
Thanks to a direct and enlarged vision of the joint, Dr. Coulin can perform precise actions while preserving the surrounding tissues as much as possible:
- Resection or regularization of a damaged meniscus.
- Smoothing or micro-perforation of the cartilage.
- Removal of an intra-articular foreign body.
- Suture or repair of meniscal or ligament tissue.
The procedure lasts on average 30 to 60 minutes. The incisions are closed with simple stitches and covered with a discreet bandage.
What are the post-operative consequences ?
Since arthroscopy is a minimally invasive surgery, the after-effects are generally simple:
- Post-operative pain is moderate and well controlled with mild analgesics.
- Return home is the same day.
- Walking is possible the next day, sometimes with crutches depending on the procedure performed.
Rehabilitation begins quickly to avoid stiffness and optimize recovery. It includes:
- Gentle mobility exercises.
- Progressive muscle strengthening, particularly of the quadriceps and stabilizer muscles.
- Proprioception work to regain balance and confidence in the joint.
The resumption of sporting activities is gradual, generally between a few weeks and a few months, depending on the type of movement performed and the joint concerned.
What are the benefits of arthroscopy?
Arthroscopy has several major advantages:
- Discreet scars, thanks to micro-incisions.
- Faster recovery than in classic open surgery.
- Reduced post-operative pain.
- Limited risk of complications, especially in terms of infection or stiffness.
- Maximum preservation of healthy tissue.
Combined with targeted rehabilitation, arthroscopy allows you to quickly return to an active life, with lasting joint comfort and better long-term protection of the joint.
A benchmark technique in modern orthopedic surgery
Dr. Coulin practicesknee and hip arthroscopy with a high standard of safety and technical rigor. Each procedure is planned based on imaging (MRI, CT scan, X-rays), and adapted to the patient's functional needs. This tailored approach guarantees optimal recovery and a rapid return to activities.
Are you suffering from a painful knee or hip?
Dr. Coulin will see you for a consultation in Geneva to establish a precise diagnosis, analyze your imaging tests and suggest an appropriate therapeutic strategy. If necessary, a arthroscopy can be planned to treat the cause of your pain and restore your mobility.
