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Arthroscopic Centre

The Arthroscopy Centre Beroun is an outpatient workplace providing so-called one-day care. It provides top quality care within the standard. Surgery is provided by an experienced team of doctors II. It is performed in the operating theatres equipped to meet all the requirements for modern surgery and anaesthesia. It has high quality inpatient facilities of the day care department. The Arthroscopy Centre Beroun provides a full spectrum of arthroscopic procedures - from diagnostic and preventive procedures for early prevention of arthrosis to complex reconstructive procedures.

Arthroscopic surgery

This is a minimally invasive surgery that is much more gentle for the patient compared to the classic open surgery.

  • Arthroscopy of the knee joint with treatment of meniscal damage /menisectomy, meniscus suture, extirpation of the joint capsule, resection of the tongue, debridement of degenerative damage, spongialisations of cartilaginous defects, diagnostic outpatient procedure (about 90% of patients are admitted on the day of the procedure and leave 4 to 6 hours after the procedure under short-term general anaesthesia, about 10% of patients are discharged the following day due to their general health and when the procedure is performed under spinal anaesthesia).
  • Knee arthroscopy with treatment of cartilage defects with mosaicplasty, after LCA replacement, LCP, synovectomy, patella suspension surgery, cartilage transplantation is discharged within 48 hours after the procedure.
  • Shoulder arthroscopy - diagnosis, SA decompression, stabilization/treatment of recurrent luxation, SLAP, rotator cuff repair, treatment of AC luxation, patient is discharged the day after the procedure.
  • Arthroscopy of other joints - elbow joint, hock joint, hip joint, carpal joint with 24 hours hospital stay in 90%, max 48 hours.

What you might be interested in

When to say arthroscopy

Arthroscopy is a procedure that can look inside the joint, at the state of its mucous membranes, its cartilage, ligaments, and in the case of the knee joint, at the menisci and other structures. No other examination method (X-ray, CT or MRI) allows such a view. It is a modern diagnostic and surgical method, allowing both accurate diagnosis and the performance of a number of procedures associated with treatment and reconstructive procedures for joint disorders.

What to do with the joint?

Arthroscopy is performed using an endoscopic device called an arthroscope. It consists of a thin, hollow metal tube about 20 cm long with an optical system and a light source. At the same time as the arthroscope, working tools in the form of probes, gripping forceps, scissors and others are introduced into the joint. The arthroscope includes an optical system or camera. The internal space of the joint is illuminated by a special endoscopic light fed through a light pipe. The image is captured by the imaging system and displayed and the result shown on a colour monitor.

Advantages of arthroscopy

A huge advantage of arthroscopy is that these procedures are carried out from minimal access into the body, really just centimeter-long incisions in the skin and subcutaneous tissue. It is therefore a minimally invasive operation, which means a much gentler tissue intervention for the patient compared to conventional open surgery. The gentleness of the procedure is then associated with less pain, much shorter healing time, no or minimal hospitalisation time and thus, of course, shorter rehabilitation and disability time, lower complication rates and a significantly faster return to normal life or even sport.

Instructions for the patient

Dear Clients, please report to the reception desk on the ground floor of Hall C on the appointed day as instructed by your physician to be seen prior to your scheduled procedure. Here you will find all further instructions. It is essential to be fasting, i.e. do not eat or drink anything from midnight onwards and do not smoke. Adjust your medication, if necessary, according to the instructions in the pre-operative examination.

You will be discharged home at the time specified by your doctor. Arrange the method of transport from the hospital with the admitting doctor (ambulance or your own transport).

Your discharge report will plan your follow-up with the surgeon and the next course of treatment.

We hope that you will be satisfied with the services of our Arthroscopy Center.

First week after knee surgery

First week after shoulder surgery

Walking with canes

Instructions for patients with lower limb surgery without bracing

Instructions for patients fitted with a knee brace

Instructions for patients with upper limb surgery fitted with an abduction brace

Instructions for patients with an upper limb fitted with a Gilchrist brace

Instructions for upper limb surgery patients fitted with a sling

as. MUDr. Zdeněk Kopečný

Highest education attained

2004 - Doctoral studies in experimental surgery
1996 - Attestation II in orthopaedics

Professional courses

1992 Course in plastic surgery, Department of Plastic Surgery, Vinohrady Hospital
1995 Sonography of the pediatric hip joint, Orthopedic Clinic of Bulovka Hospital
Artrex course focused on ASK surgery of shoulder and knee joint, Naple - USA
2005 Course on computer navigation of alloplasty of large joints, Hamburg, Germany

Study stays

1992 Hand Surgery Techniques, Hand Surgery Departmant of Sahlgrenska University Hospital, Göteborg - Sweden
1993 Hand Surgical Techniques, Department of Hand Plastic Surgery, Vysoké nad Jizerou
1998 Arthroscopic Surgical Techniques, City Kirurgen, Göteborg - Sweden

Practice

1987 - present Orthopaedic Clinic, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital
2000 - present 2nd Medical Faculty of Charles University in Prague

Work assignment

Assistant Professor at the Orthopaedic Clinic for Children and Adults, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital
Head doctor of the department
Head doctor of the arthroscopic group
Lead physician for computer-navigated knee joint TEP surgery
Head doctor of the Arthroscopy Centre of the Rehabilitation Hospital Beroun

Scientific organisations

ČLK, ČSOT, SSTA

Professional focus

Aloplasty of large joints
Computer-navigated knee joint replacement TEP
Revision alloplasty operations
Arthroscopic joint surgery including reconstructive procedures
Management of septic complications