Knee Arthroscopy

Knee arthroscopy is a minimally invasive procedure that allows an orthopedic surgeon to examine the inside of your knee through small incisions. A small camera provides a detailed view of the joint, while narrow instruments may be used to repair or remove damaged tissue.

Arthroscopy is not appropriate for every type of knee pain. A careful evaluation can help identify what is causing your symptoms, whether nonsurgical care should be tried first, and whether an arthroscopic procedure may help.

Orthopedic surgeon using a knee model to discuss treatment with a patient

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Review DOC’s instructions for preparing for surgery, caring for your incisions, weight-bearing, driving, and follow-up care.

View the knee arthroscopy recovery guide

What Knee Arthroscopy May Treat

The treatment recommended depends on the location and type of damage inside the knee.

Meniscus Tear

Meniscus Tears

A torn meniscus may be repaired, or the damaged portion may be trimmed, when the symptoms and characteristics of the tear support surgery.

Early Arthritis

Loose Cartilage or Bone

Loose fragments inside the knee may cause catching, locking, irritation, or difficulty moving the joint.

Progressive Joint Damage or Deformity

Cartilage Damage

Certain cartilage injuries may be evaluated or treated through small arthroscopic incisions.

Tendon Irritation

Inflamed Joint Tissue

Inflamed or damaged tissue inside the joint may contribute to persistent pain and swelling.

Ligament or Stability Problems

Ligament Injuries

Arthroscopy may be part of treating selected ligament injuries and related damage inside the joint.

knee treatment already tried

Persistent Joint Symptoms

In selected cases, arthroscopy may be considered when symptoms continue and the evaluation identifies a problem that may benefit from surgery.

When Knee Arthroscopy May Be Recommended

Your orthopedic surgeon may discuss arthroscopy when a specific problem inside the knee is causing ongoing pain, swelling, catching, locking, or loss of function.

The evaluation may include a physical examination, X-rays, MRI findings, your activity goals, and your response to nonsurgical treatments such as activity changes, medication, injections, or physical therapy.

When It May Not Be the Best Option

Arthroscopy does not reverse widespread arthritis. When pain is primarily caused by advanced joint wear, another treatment approach may be more appropriate.

The purpose of the evaluation is to identify the source of your symptoms and recommend care that fits the condition of your knee. Having knee pain does not automatically mean that arthroscopy or another surgery will be recommended.

What Happens During Knee Arthroscopy

1. The Joint Is Viewed

A small camera called an arthroscope is inserted through a small incision. The camera sends detailed images from inside the knee to a monitor.

2. The Damage Is Evaluated

The surgeon examines the meniscus, cartilage, ligaments, and other structures to confirm the condition and determine the appropriate treatment.

3. Treatment Is Performed

Small instruments may be inserted through additional incisions to repair damaged tissue, remove unstable fragments, or complete another planned procedure.

Meniscus Repair and Meniscus Trimming Have Different Recoveries

The procedure performed can affect weight-bearing, rehabilitation, and the time needed for healing.

Meniscus Repair

A meniscus repair uses sutures or another fixation method to hold the torn tissue together while it heals. Because the repaired tissue needs time to heal, activity and weight-bearing restrictions are generally more protective.

Partial Meniscectomy

When a tear cannot be repaired, the surgeon may trim the unstable, damaged portion while preserving as much healthy meniscus as possible. Recovery restrictions may differ from those required after a repair.

Follow Your Procedure-Specific Instructions

If surgery is scheduled, follow the directions provided by DOC. The recovery guide explains DOC’s current instructions for bandages, showering, driving, weight-bearing, and follow-up care.

View the knee arthroscopy recovery guide

Frequently Asked Questions

Is knee arthroscopy the same as knee replacement?

No. Knee arthroscopy uses a camera and small instruments to evaluate or treat selected problems inside the joint. Knee replacement removes damaged joint surfaces and replaces them with artificial components.

Does every meniscus tear require surgery?

No. Treatment depends on the type and location of the tear, your symptoms, the condition of your knee, and your activity goals. Some meniscus tears can be managed with nonsurgical care.

Will my meniscus be repaired or trimmed?

The decision depends on the tear pattern, location, tissue quality, blood supply, and other findings inside the knee. Your surgeon will explain the planned procedure and whether the final decision could depend on what is found during surgery.

How long does recovery take?

Recovery varies based on the procedure performed. A meniscus repair generally requires more protection and a longer healing period than trimming damaged tissue. Your surgeon will provide instructions based on your procedure and individual needs.

How do I know whether arthroscopy may help me?

An orthopedic evaluation can help identify the likely source of your symptoms, review any imaging, and determine whether nonsurgical treatment or arthroscopy may be appropriate.

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If knee pain is limiting your walking, exercise, work, or daily activities, an orthopedic evaluation can help you understand the cause and your treatment options. Scheduling a consultation does not mean surgery will be recommended.

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