Anesthesia: Before the surgery, anaesthesia is administered to ensure the patient’s comfort. It can be either local anaesthesia or regional anaesthesia.
Incisions and arthroscope insertion: The surgeon makes small incisions around the knee joint and inserts an arthroscope, a small camera instrument. The arthroscope allows the surgeon to visualise the structures inside the knee on a monitor.
Evaluation and fat pad excision: The surgeon evaluates the fat pad and determines if it is causing symptoms or interfering with knee function. If the fat pad is excessively thickened, enlarged, or causing pain, the surgeon uses specialised surgical instruments to remove or trim the excess or inflamed fat pad tissue.
Closure and recovery: After completing the fat pad excision, the instruments and arthroscope are removed, and the incisions are closed with sutures or adhesive strips. Sterile dressings or bandages are applied to the incision sites. The patient is typically monitored for a short period before being discharged, and post-operative instructions for pain management, rehabilitation exercises, and recovery are provided.
Recovery following arthroscopic fat pad excision can vary depending on the individual and the extent of the procedure. Physical therapy exercises may be prescribed to aid in regaining strength, stability, and range of motion in the knee. Full recovery and return to normal activities can take several weeks, but this can vary.