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
Experience 12 years
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Kneller
Lev Olegovich
Traumatologist-orthopedist
Tuktarov Raphael Rifatovich
Experience 29 years
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Tuktarov
Raphael Rifatovich
Orthopedic Traumatologist
Borghut Rami Jamalevich
Experience 13 years
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Borghut
Rami Jamalevich
Head of the department of traumatology and orthopedics
Zagorodny Nikolay Vasilevich
Experience 45 years
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Zagorodny
Nikolay Vasilevich
Director of FSBI Nat. Honey. Research Center of Traumatology and Orthopedics of Names and N.N. Priorova
Zakharyan Norayr Grairovich
Experience 17 years
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Zakharyan
Norayr Grairovich
Traumatologist-orthopedist
Sergeev Kirill Alexandrovich
Experience 17 years
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Sergeev
Kirill Alexandrovich
Orthopedic Traumatologist
Shadyan Alan Vasilevich
Experience 12 years
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Shadyan
Alan Vasilevich
Orthopedic Traumatologist
Takiev Alexei Todorovich
Experience 29 years
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Takiev
Alexei Todorovich
Orthopedic Traumatologist
Seitalin Iskander Altynbekovich
Experience 10 years
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Seitalin
Iskander Altynbekovich
Traumatologist-orthopedist
Aliev Rasul Nikolaevich
Experience 17 years
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Aliev
Rasul Nikolaevich
Head of the Department of Traumatology-Orthopedics, Traumatologist-Orthopedist
Grishin Vladimir Mikhailovich
Experience 16 years
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Grishin
Vladimir Mikhailovich
Traumatologist-orthopedist, hand surgeon
Yarmak Denis Olegovich
Experience 14 years
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Yarmak
Denis Olegovich
Traumatologist-orthopedist
Mironov Andrey Nikolaevich
Experience 26 years
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Mironov
Andrey Nikolaevich
Traumatologist-orthopedist
Kotova Marina Nikolaevna
Experience 17 years
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Kotova
Marina Nikolaevna
Traumatologist-orthopedist
Pankov Andrey Nikolaevich
Experience 27 years
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Pankov
Andrey Nikolaevich
Traumatologist-orthopedist
Pecherskaya Elena Borisovna
Experience 31 year
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Pecherskaya
Elena Borisovna
Traumatologist-orthopedist, pediatric
Petrosyan Armenak Serezhaevich
Experience 21 year
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Petrosyan
Armenak Serezhaevich
Traumatologist-orthopedist
Lopatin Kirill Alexandrovich
Experience 15 years
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Lopatin
Kirill Alexandrovich
Traumatologist-orthopedist, pediatric
Polovnikova (Kroshkina) Valeria Alexandrovna
Experience 14 years
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Polovnikova (Kroshkina)
Valeria Alexandrovna
Traumatologist-orthopedist, pediatric
Naidanov Vadim Fedorovich
Experience 31 year
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Naidanov
Vadim Fedorovich
Traumatologist-orthopedist
Kozak Lev Ilyich
Experience 5 years
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Kozak
Lev Ilyich
Traumatologist-orthopedist, chiropractor
Simonov Roman Alexandrovich
Experience 11 years
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Simonov
Roman Alexandrovich
Traumatologist-orthopedist, chiropractor
Shishova Anastasia Alekseevna
Experience 7 years
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Shishova
Anastasia Alekseevna
Traumatologist-orthopedist
Perelygin Aleksandr Yurevich
Experience 7 years
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Perelygin
Aleksandr Yurevich
Traumatologist-orthopedist
Airapetov Georgii Alexandrovich
Experience 13 years
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Airapetov
Georgii Alexandrovich
Traumatologist-orthopedist
Bardyugov Petr Sergeevich
Experience 16 years
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Bardyugov
Petr Sergeevich
Traumatologist-orthopedist
Khentov Alexey Alexandrovich
Experience 7 years
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Khentov
Alexey Alexandrovich
Traumatologist-orthopedist
Naryshkin Ivan Mikhailovich
Experience 5 years
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Naryshkin
Ivan Mikhailovich
Traumatologist-orthopedist, pediatric
Seleznev Alexander Lvovich
Experience 21 year
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Seleznev
Alexander Lvovich
Traumatologist-orthopedist
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Our doctors are laureates of the ProDoctors Award
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Price

Reception
Price
Primary appointment with a traumatologist-orthopedist
from 5 200 ₽
Appointment with a traumatologist-orthopedist repeated
from 4 750 ₽
Appointment with a traumatologist-orthopedist based on the results of the examination
from 2 950 ₽

Reviews 7

Hello, today I had an appointment with orthopedic traumatologist Shadyan Alan Vasilyevich. I want to express my deep gratitude for the treatment of Baker's cyst of the left knee joint, they pumped out fluid from the cyst and administered medications, then the doctor gave all the recommendations, everything was done very quickly, kindly and painlessly. With respect, K. Natalia Vitalievna.
04.03.2025
K. Natalia Vitalievna
I am very grateful to Alan Vasilyevich for the help he provided me. When his colleagues decided to "cut", he approached the issue humanely. A couple of ointments and an orthosis solved the problem with a finger that would not straighten. Now I have come with fractures. I am very glad that I have doctors like Alan, who know what they are doing. Good health and smiles to you, Doc!
24.02.2025
Z. Iveta Kazbekovna
The hip replacement surgery was performed on February 4, 2025, using anterior direct access. The golden hands of Dr. Georgy Aleksandrovich Airapetov performed a real miracle. There is no more pain that has tormented me in recent years. On the second day after the surgery, I stood on a walker, on the third - on crutches, I was able to take several steps without any support at all. I am 70 years old, I feel great, I have a whole active life ahead of me, a dacha, mushroom picking, fishing, grandchildren, EVERYTHING I want! Health and all kinds of well-being to dear Georgy Aleksandrovich, professor, doctor of medical sciences, doctor of the highest category, charming, smart, handsome man with a great sense of humor and an attentive attitude towards patients. Thank you, doctor!
13.02.2025
Elena B.
For several years in a row, Alan Vasilyevich has been caringly and effectively helping me lead a normal, comfortable and active life, and cope with my ailments. My gratitude for his work and friendly attitude towards the patient is boundless.
08.02.2025
Natalia Yurievna D.
I would like to express HUGE gratitude to Dr. Shadyan Alan Vasilyevich for the brilliantly performed surgery to remove metal structures after a complex ankle fracture! Detailed and understandable consultations on working with trauma, calmness and friendliness, professionalism and attentiveness: Alan Vasilyevich, thank you! And the suture on the leg is so thin and almost invisible! I just want to say that from now on I will only go to you, but it is better to live without injuries, and I wish you further professional success and grateful patients! Thank you!
07.02.2025
Elena Mikhailovna G.
I express my sincere gratitude and appreciation to the head of the trauma department Borghut Rami Dzhamalevich, the attending physician Seitalin Iskander Altynbekovich and the entire operating team for the precision operation and friendly attitude. I was admitted with a complex diagnosis: Closed comminuted fracture of the radius with displacement of fragments. The next day I was operated on, and discharged after 2 days. At the moment, I do not feel any discomfort, only a small elegant suture on my arm reminds me. THANK YOU!!!
26.12.2024
Alla Ivanovna G.
I would like to express my deepest gratitude to Lev Olegovich for the ACL surgery and meniscus resection. The surgery was on 08.11.2024 - I can already walk without an orthosis and go to work. The bend is within the time limit. I am working with a rehabilitation specialist, the main thing is to do gymnastics at home, not to be lazy, so that there is progress and a quick recovery of the recovering leg. Health to everyone and most importantly, take care of yourself!
13.12.2024
Lisitsyna Svetlana Igorevna
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Почему К+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
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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)
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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
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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

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3
Molodezhnaya
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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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