Arthroscopy

Arthroscopy is a method that allows an optical video system to be inserted into the joint through a special "puncture" and to examine it completely. Arthroscopy provides an accurate diagnosis, makes it possible to see damage to the meniscus and ligaments, and identify the true cause of pain. And this is often difficult to establish not only with a conventional, but also with magnetic resonance imaging.

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About the service

Advantages of joint arthroscopy:

  • Accurate diagnostics. The true cause of pain can be difficult to establish not only with a conventional, but also with magnetic resonance imaging. With arthroscopy, the diagnosis of joint pathology is close to 100%
  • Minimal invasiveness. Arthroscopy approaches make it possible to examine almost all parts of the joint and eliminate most intra-articular problems without violating its anatomical integrity
  • Early rehabilitation and rapid recovery. After surgery, you can walk without additional support in 1-3 days, the period of incapacity for work is reduced from 4-6 weeks to 2-3 weeks. Discharge from the hospital after joint arthroscopy is carried out already 1-3 days after surgery
About the service

Advantages of joint arthroscopy

Minimal invasiveness of the operation. For example, most often for arthroscopy of the knee joint, anterior internal and anterior external approaches are used on the sides of the patellar ligament with dimensions of 3-5 mm for optics and arthroscopic instruments. These approaches make it possible to examine almost all parts of the joint and eliminate most intra-articular problems. A complete diagnosis of knee joint pathology is approaching 100%.

Arthroscopy of the knee joint helps to examine almost all parts of the joint and assess the functional state of the joint without compromising its anatomical integrity. Joint arthroscopy does not require long-term rehabilitation. After the operation, early weight-bearing on the limb is possible, walking without additional support is possible after 1-3 days, the period of disability is reduced from 4-6 weeks to 2-3 weeks. Such results are especially important for young people and professional athletes, since it becomes possible to start training as soon as possible and compete in competitions in a very short period of time. Reducing hospital stay for arthroscopy of any large joint. Discharge from the hospital after joint arthroscopy occurs within 1-3 days after the operation.

Indications for knee arthroscopy

At Clinic+31, knee arthroscopy is prescribed in the following cases:

  • Damage to the menisci. The modern equipment of the orthopedics-traumatology department of Clinic+31 and the qualifications of our specialists allow us to perform not only resection of the damaged meniscus, but, if indicated, also its suture.
  • Injury to the cruciate ligaments of the knee
  • Inflammatory diseases of the synovial membrane
  • Habitual luxation of the patella
  • Inflammatory diseases of the synovial membrane
  • Damage and disease of articular cartilage
  • Deforming arthrosis of the knee joint
  • Rheumatoid arthritis
  • Hoff's disease: damage and disease of the fat body - chronic hyperplasia of the fat body
  • Unclear pathologies due to damage or disease of the joints, the causes of which have not been identified using clinical and instrumental research methods
  • Unclear complaints after previously performed surgical interventions

General information

Types of operations on the shoulder joint

Arthroscopy of the shoulder joint is performed for diagnostic and treatment purposes. Accurate diagnosis is important for young patients and is especially important in cases where other research methods do not allow a definitive diagnosis. Joint arthroscopy provides important information about the nature of damage to the biceps tendon and rotator cuff, and helps to establish the causes of the inability to move the arm in the shoulder joint.

Specialists at the Department of Traumatology and Orthopedics at K+31 perform the following types of operations on the shoulder joint:

  • Rotator seam
  • Decompression of the subacromial space with “impingement” syndrome
  • Fixation of the cartilaginous lip and capsular-ligamentary complex in case of joint instability.

It is often necessary to perform arthroscopic refixation of the labrum (in case of a Bankart injury or SLAP injury), or tenodesis. In this case, both for stitching and for fixing the torn section of the articular labrum to the edge of the glenoid cavity, special titanium or absorbable arthroscopic anchors are used.

Arthroscopy of joints for injuries of the rotator cuff

There are several tendons running around the head of the humerus that form the rotator cuff. It consists of the tendons of the supraspinatus, infraspinatus, teres minor and subscapularis muscles. These muscles are designed to stabilize the head of the humerus; they press it against the glenoid cavity when the arm is abducted (initial phase), and ensure inward and outward rotation of the shoulder. If one or more rotator cuff tendons are damaged, the biomechanics of the shoulder joint is impaired, mobility is limited, and pain appears when the arm is abducted.

The Department of Traumatology and Orthopedics at Clinic+31 diagnoses the rotator cuff based on characteristic symptoms and MRI data. In case of complete tendon rupture or the threat of their development, Clinic+31 specialists unconditionally recommend minimally invasive arthroscopic treatment.

Habitual dislocation of the shoulder, instability of the shoulder joint

In some cases, after an injury and a primary, so-called traumatic dislocation, instability of the shoulder joint or habitual dislocation of the shoulder appears. With minor trauma or even awkward movement, repeated displacements occur. Their causes are damage to the capsule and articular labrum (Bankart lesions), or defects in the articular surface of the scapula. Bone defects on the back of the humeral head (Hill-Sachs lesion) are also quite common.

Klinki+31 traumatology and orthopedics specialists use various surgical treatment methods for shoulder instability and habitual dislocation. The most effective is arthroscopic stabilization of the shoulder joint. In this case, the damaged part of the labrum is fixed to the glenoid using anchor clamps. To close the defect, the joint capsule is additionally tightened. The operation is done through skin punctures.

Impingment syndrome, subacromial bursitis, supraspinatus tendonitis

In the area of ​​the rotator cuff there is the so-called subacromial space, which plays an important role in the movement of the arm. The narrowing of this space causes compression of the anatomical formations when the arm is abducted. This, in turn, leads to pain and limited mobility.

The long-term practice of Clinic+31 specialists has proven that the most effective way to treat such pathological conditions is subacromial decompression. Using special arthroscopic devices (shaver, bur, ablator), altered soft tissues and bursa in the subacromial space are removed. If necessary, marginal resection of the lower surface of the acromion process or the edge of the clavicle is performed. As a result of the operation, the space becomes larger, and the cause of pain and limitations of function disappear once and for all.

Our doctors

Kneller
Lev Olegovich
Traumatologist-orthopedist
Borghut
Rami Jamalevich
Head of the department of traumatology and orthopedics
Zagorodny
Nikolay Vasilevich
Director of FSBI Nat. Honey. Research Center of Traumatology and Orthopedics of Names and N.N. Priorova
Aliev
Rasul Nikolaevich
Head of the Department of Traumatology-Orthopedics, Traumatologist-Orthopedist
Grishin
Vladimir Mikhailovich
Traumatologist-orthopedist, hand surgeon
Yarmak
Denis Olegovich
Traumatologist-orthopedist
Pecherskaya
Elena Borisovna
Traumatologist-orthopedist, pediatric
Lopatin
Kirill Alexandrovich
Traumatologist-orthopedist, pediatric
Kozak
Lev Ilyich
Traumatologist-orthopedist, chiropractor
Simonov
Roman Alexandrovich
Traumatologist-orthopedist, chiropractor
All specialists
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Our doctors are laureates of the ProDoctors Award
Our doctors are laureates of the ProDoctors Award

The ProDoctors portal collected 500 thousand reviews, compiled a rating of doctors based on them and awarded the best. We are proud that our doctors are among those awarded.

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Price

Reception
Price
Primary appointment with a traumatologist-orthopedist
from 4 950 ₽
Appointment with a traumatologist-orthopedist repeated
from 4 500 ₽
Appointment with a traumatologist-orthopedist based on the results of the examination
from 2 800 ₽

Reviews 4

6 11 2024 I had a knee replacement surgery. The surgery was performed by Audeh Fadi Selimovich and Romanov Dmitry Alekseevich. The surgery was successful thanks to professional doctors, anesthesiologists, and nurses. Thank you for your golden hands. A very good clinic, with all the necessary conditions in the ward, a shower, toilet, and top-notch food. Thank you for getting me back on my feet and giving me a new life.
10.11.2024
Ivanova Marina Evgenevna
A very good doctor, a DOCTOR with a capital letter who can sew your hand back on and more. I'm fine
07.11.2024
Solodovnikova Tatyana Valerievna
Bad luck. Last year I broke my shoulder. Consolidated fracture of the surgical neck and greater tubercle of the left humerus. It was recommended to do an operation with the installation of a metal plate (minimally invasive osteosynthesis). This is anesthesia, oh horror-horror! Having visited several popular clinics, receiving vague answers, I finally came to K+31. This time I was lucky - Seitalin Iskander Altynbekovich conducted an attentive, calm and polite appointment, after which there were no questions or doubts left in the choice of the operating doctor and his team. (For comparison, EMC offered to make a separate appointment and come to each specialist at different times and days before the operation) Here I did not have to go anywhere else, I was hospitalized on the same day, a separate ward, preoperative preparation like clockwork, including consultations with other specialists - surgery in the morning. It was not immediately possible to find the consequences of the impacted fracture on the control image after the operation. After discharge, the doctor was always in touch, consultations and recommendations, including the use of special plasters for scars, which, frankly, were cosmetic anyway. The work was done without exaggeration - with precision. I completely restored shoulder mobility. I am one of those patients who, if possible, do not leave metal in the body as a keepsake and after a few months decided to remove the titanium plate, although there were no indications for removal. Again, I contacted K + 31. Again, impeccable and well-coordinated work of the K + 31 team and, of course, the light hand of the doctor from God Iskander Altynbekovich and high professionalism in everything. The next day after the operation, I did not even take painkillers. With all my heart, I express endless gratitude to: Head of the Department of Traumatology and Orthopedics Borghut Rami Dzhamalevich, Operating doctor, traumatologist-orthopedist Seitalin Iskander Altynbekovich and the entire K + 31 team!
29.10.2024
Friedman Denis Borisovich
Huge greetings from Irkutsk!! I had left knee replacement surgery on 09.09.2024, the operation was performed by Audé Fadi Salemovich, the attending physician was Romanov Dmitry Alekseevich, many thanks to all the staff for their care and attitude. It was a stroke of luck to fall into the hands of such experienced professionals.
23.09.2024
Zemlyanov Sergey Vasilievich
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Why K+31?
К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.
К + 31 — are leading doctors and diagnostics using high-tech equipment from world manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch&Lomb, Technolas, Zeiss, Topcon).
К + 31 — is ethical. The staff of K+31 clinics maintain open relationships with patients and partners. An individual approach to each patient is the basis of our service standards.
К + 31 — is modernity. On call 24/7: call center operators will answer your questions at any time and book you an appointment with doctors. Contact us by phone, through the feedback form on the website and WhatsApp.

Our clinics

K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

+7 499 999-31-31

Subway
1
11
Prospect Vernadsky Station
By a car
Lobachevsky, we pass the first barrier (security post of the City Clinical Hospital No. 31), turn right at the second barrier (security post K+31)
Parking pass
Opening hours
Mon-Fri: 08:00 – 21:00
Saturday: 09:00 – 19:00
Sunday: 09:00 – 18:00
K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

74999993131

Subway
9
Tsvetnoy Bulvar
10
Trubnaya
By a car
Moving along Petrovsky Boulevard, turn onto st. Petrovka, right after - on the 1st Kolobovsky per. Municipal parking
Opening hours
Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 19:00
K+31 West

Orshanskaya, 16/2; Ak. Pavlova, 22

74999993131

Subway
3
Molodezhnaya
By a car
Moving along Orshanskaya street, we turn to the barrier with the guard post K+31. You do not need to order a pass, they will open it for you
Opening hours
Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 18:00
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