easy outpatient procedure
I elected to have outpatient Osgood Schlatter disease surgery at a surgery center near my house. My brother dropped me off at 7:00 AM for check-in. He then returned to pick me up around noon, when the surgery was complete. I rested for another day and returned to work the day after.
Since knee surgery is performed on a limb, you have two options for anesthesia.
The first option is a general anesthetic. My anesthesiologist advised against this, for a multitude of reasons. The second option is a local. This is the option I chose.
They gave me the option to stay awake during the procedure and watch it on a big screen TV. I elected not to do this, and the surgery nurses said that is what most surgeons prefer anyway. I’m not certain what the analgesic was, but I’m pretty sure the amnesia drug was propofol.
I have memory of all of the events up until they gave me the amnesia drug on the operating table, just before the surgery. Then my memory is blank until they wheeled me into the recovery room.
Knee surgery for Osgood-Schlatter Disease is really two surgeries in one.
The first surgery is a scope of the knee for issues that are normally present with OSD. In my diagnosis, I had chondromalacia, so the surgeon worked to investigate and remediate those issues.
The second surgery is the excision of the bone ossicles in the patellar tendon. That is done by making a longitudinal incision down the patellar tendon, gently separating the fibers of the tendon, and removing the ossicles that are between the fibers.
Note that no attempt was made to shave the bone build up on the tibia. I have heard of this being done, but that was not recommended by my surgeon.
Furthermore, I as I discuss here, my patellar tendon is now completely pain free, so there is probably no medical need to shave down the tibia.
You can see in the photo below the incision and two of the three locations for arthroscopic tools. The other hole for the arthroscopic tool is just on the other side of the knee.
Depending on the diagnosis of your knee injury, the location of your arthroscopic holes may differ.