Are you confused about arthroplasty vs arthroscopy? If your knee or shoulder hurts, you might hear these big words from doctors. But don’t worry, it is actually very simple. Imagine your joint is like a car tyre. If the tyre has a small puncture, you fix it that is like arthroscopy. But if the tyre is completely worn out and bald, you change the whole tyre that is like arthroplasty (joint replacement).
In this blog, we will learn the difference between arthroscopy and arthroplasty recovery time, the cost, and which one is best for you. Dr. Manu Bora, a leading ACL expert, always says: “Save your natural knee whenever possible.” Let’s dive in!
What is the Main Difference?
The biggest difference between arthroplasty vs arthroscopy is how much of your joint is touched.
- Arthroscopy (Repair): This is a “keyhole” surgery. The doctor makes 2-3 tiny holes (like a buttonhole). They put a camera inside and fix torn ligaments (like ACL) or repair damaged cartilage. You keep your natural bone.
- Arthroplasty (Replacement): This is a major surgery. The doctor cuts out your damaged bone and cartilage and puts in a metal or plastic part. This is done when the joint is fully destroyed.
If you are young or have a sports injury, you usually need arthroscopy. If you are older (above 60) and your bones are rubbing against each other, you might need arthroplasty.
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When Do You Need Arthroplasty (Joint Replacement)?
Dr. Manu Bora explains that arthroplasty (like Total Knee Replacement) should usually be the last option. According to his expert advice, you should only think about replacement if:
- Your Age is Above 60: Artificial joints last about 20-25 years. If you get it done at age 40, you might need another risky surgery when you are 60 or 65.
- Bone-on-Bone Contact: In a standing X-ray, if there is zero gap between your bones, it means the cushion (cartilage) is totally gone.
- Daily Pain: You cannot walk, climb stairs, or sleep without strong painkillers every day.
If you still have some gap in your joint, Dr. Bora suggests avoiding replacement. You can learn more about non-surgical options on our Dr. Manu Bora profile page.
When Do You Need Arthroscopy (Keyhole Surgery)?
Arthroscopy is the star of modern sports medicine. It is minimally invasive. Dr. Manu Bora uses advanced techniques to repair damage so you don’t need a metal knee later. This is perfect for:
- ACL or PCL Tears: Fixing ligaments so your knee is stable.
- Meniscus Tears: Stitching the cushion of your knee.
- Cartilage Damage: If you have a “pothole” in your cartilage, Dr. Bora can fill it using your own cells!
Advanced Cartilage Transplants: For young patients, Dr. Bora uses techniques like OATS (taking healthy bone from one side to fill a hole) or AutoCart (mixing your cartilage dust with glue to make new cartilage). This is far better than replacing the whole knee.Students who want to learn these advanced skills can check our Fellowship Details to master these life-saving surgeries.
Sometimes, you don’t even need surgery! PRP or biological treatments might help. Ask us how. 👉 Chat on WhatsApp Now
Arthroplasty vs Arthroscopy Recovery Time
Recovery is very different for both.
- Arthroscopy Recovery: It is fast. You might walk the same day or the next day. For complex repairs like cartilage transplant, you might need crutches for 1 month, but you can return to running and sports in 4-6 months with good rehab. We even offer a specialized Fellowship in Physiotherapy to train experts in this fast recovery.
- Arthroplasty Recovery: This takes longer. You will need physiotherapy for months to learn to walk with the new artificial joint. You generally cannot run or play heavy sports like football after a replacement.
Cost and Risks
When comparing arthroscopy vs arthroplasty cost in India, arthroscopy is generally more affordable and has fewer risks.
- Risks: Arthroplasty is a bigger surgery, so there is a higher risk of infection or blood clots compared to the tiny cuts of arthroscopy.
- Longevity: A repaired natural knee (Arthroscopy) is always better than a metal knee (Arthroplasty) because it is yours.
You can see success stories of patients who saved their knees in our Gallery.
Frequently Asked Questions (FAQs)
1. Can arthroscopy prevent knee replacement? Yes! By fixing torn ligaments (like ACL) or repairing cartilage early with arthroscopy, you stop the knee from rubbing. This prevents arthritis and saves you from needing a replacement later.
2. What is the recovery time for arthroscopy vs arthroplasty? Arthroscopy recovery is quick (weeks to a few months). Arthroplasty recovery is slow (several months) and limits your ability to play high-impact sports.
3. Is arthroscopy cheaper than arthroplasty? Generally, yes. Since the hospital stay is shorter (often just 1 day) and fewer materials are used, the cost is usually lower than a total joint replacement.
4. Can I play sports after arthroplasty? It is difficult. Doctors usually advise walking, swimming, or golf. High-impact sports like football or cricket are usually not allowed after replacement. But after arthroscopy, you can often go back to professional sports.
5. How do I know if I need surgery? Don’t guess. Look at your X-ray and MRI. If there is a gap between bones, try to save the knee. Visit Arthroscopy College for more resources or contact us directly.
Your joints deserve the best care. Don’t wait until it’s too late. 👉 Message Dr. Manu Bora on WhatsApp
