Arthroscopic lavage explained

Arthroscopic lavage is the washing out or cleaning out the contents (blood, fluid or loose debris) inside a joint space. Lavage is a general term referring to the therapeutic washing, cleaning or rinsing.[1]

Medical uses

Excessive growth of irritated synovial membrane causes it to increase its surface area by buckling into fronds, and the fronds may become inflamed and pour destructive enzymes into the joint space, causing joint swelling and joint surface destruction. Removing this excess material via lavage frequently resolves arthritic knee inflammation or pain.[2]

Arthroscopic lavage is one of many procedures available to help reverse the damage of early arthritis. There is, however, controversy about the value of simple lavage and debridement for the older patient with established osteoarthritis.[3]

Needle lavage should not be used in an attempt to treat persons seeking long-term relief for symptomatic osteoarthritis of the knee.[4] The use of this treatment in this case has not been shown to decrease pain, stiffness, tenderness, or swelling, or to increase 50-foot walking time or body function.[4]

External links

Notes and References

  1. Web site: Definition of LAVAGE. www.merriam-webster.com.
  2. Web site: Overview | Arthroscopic knee washout, with or without debridement, for the treatment of osteoarthritis | Guidance | NICE.
  3. Reichenbach. S. Rutjes. AW. Nüesch. E. Trelle. S. Jüni. P. Joint lavage for osteoarthritis of the knee.. The Cochrane Database of Systematic Reviews. 12 May 2010. 5. CD007320. 20464751. 10.1002/14651858.CD007320.pub2.
  4. , which cites
    • Jevsevar. DS . Brown, GA . Jones, DL . Matzkin, EG . Manner, PA . Mooar, P . Schousboe, JT . Stovitz, S . Sanders, JO . Bozic, KJ . Goldberg, MJ . Martin WR, 3rd . Cummins, DS . Donnelly, P . Woznica, A . Gross, L . American Academy of Orthopaedic, Surgeons. The American Academy of Orthopaedic Surgeons evidence-based guideline on: treatment of osteoarthritis of the knee, 2nd edition.. The Journal of Bone and Joint Surgery. American Volume. Oct 16, 2013. 95. 20. 1885–6. 24288804 . 10.2106/00004623-201310160-00010.
    • Richmond. J . Hunter, D . Irrgang, J . Jones, MH . Levy, B . Marx, R . Snyder-Mackler, L . Watters WC, 3rd . Haralson RH, 3rd . Turkelson, CM . Wies, JL . Boyer, KM . Anderson, S . St Andre, J . Sluka, P . McGowan, R . American Academy of Orthopaedic, Surgeons. Treatment of osteoarthritis of the knee (nonarthroplasty).. The Journal of the American Academy of Orthopaedic Surgeons. Sep 2009. 17. 9. 591–600. 19726743. 3170838 . 10.5435/00124635-200909000-00006.

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