Which of the following statement(s) is/are true concerning operative arthroscopy? (AIIMS May 2012)
|A||Arthroscopy is unquestionably the most effective method for diagnosis and treatment of knee ligament injuries|
|B||Arthroscopic repair allows almost immediate rehabilitation|
|C||Despite advances an anterior cruciate ligament tear will essentially end any high level sports activity|
|D||The presence of loose osteochondral fragments requires open arthrotomy|
Arthroscopy is unquestionably the most effective method for diagnosis and treatment of knee ligament injuries
B. Arthroscopic repair allows almost immediate rehabilitation
a. Arthroscopy the most effective method for the diagnosis and treatment of knee ligament injuries.
b. Complete tears of the anterior cruciate ligament of the knee are devastating injuries. The arthroscope allows immediate and certain diagnosis of an anterior cruciate ligament tear and is a valuable tool in operative reconstruction of function.
c. Using small external incisions, special drilling guides, and the arthroscope, strong bone-ligament-bone grafts may be placed in an anatomic location.
d. Considerable increased stability is often achieved, allowing patients to return to a high-level sports activity. The small size of the incision, the clear visualization of the interior of the joint, and the ability to perform definitive surgical corrections with minimal damage to other structures often allows immediate rehabilitation.
e. Muscular atrophy due to extensive immobilization and nonweight bearing is prevented. Loose fragments from minuscule injuries can easily be removed by the arthroscope.
f. If they are too large for removal using the standard small, delicate athroscopy instruments, a small direct arthrotomy can be performed and arthroscopically directed open loose body removal easily accomplished.
g. Similarly, loose bodies that have previously required open arthrotomy for removal are more easily treated with arthroscopic instrumentation.