Arthroscopy uses small keyhole cuts and a camera to fix joint problems from inside. Open surgery cuts wider to expose the joint directly, which means a tougher recovery and bigger scar. Both still have a place in orthopaedics. But for most knee and shoulder work today, arthroscopy is the default. Open surgery comes in when the damage is too big, too complex, or in spots a scope can’t reach.

“Most ligament, meniscus, and cuff problems we see now get fixed arthroscopically. Same surgical result, less pain, faster return to work. Open surgery isn’t gone, just used less.” — Dr. Arpit C Dave, Arthroscopic Surgeon in Dahisar, Mumbai

Arthroscopy goes in through two or three portals, each barely a centimetre wide. A camera does the seeing, instruments do the work. Open surgery is the older approach, a bigger cut, direct view, hands inside the joint. The technique you walk in with shapes nearly everything afterwards, hospital stay, pain, time off work, scar.

For knee ligament work, including ACL Tear Surgery in Dahisar, Mumbai, arthroscopy is now the standard.

There’s no universal answer here. The choice depends on what’s torn, how badly, and what you do with your knee or shoulder day to day. MRI plus a clinical exam usually settles it. A young footballer and a 70-year-old patient with arthritis won’t get the same plan, even for similar-looking injuries.

• Arthroscopy fits best. ACL reconstruction, meniscus repair, rotator cuff repair, Bankart, capsular release, most cartilage work.
• Open surgery still wins. Major fracture fixation, joint replacements, complex revisions, severe deformity correction.
• Sometimes both. A few cases start arthroscopically, then open up if the surgeon needs more room.
• Patient factors matter. Age, activity, prior surgeries, all of it tilts the decision.

If you’re trying to figure out which knee injury you have first, our ACL Tear vs Sprain guide breaks that part down.

Dr. Arpit C Dave has spent over a decade focused on arthroscopic knee and shoulder work, with 6,000-plus surgeries behind him. His training spans Italy, Spain (with the FC Barcelona team), and France. The Dahisar, Mumbai clinic has in-house MRI and CT, and the rehab team works alongside the surgical plan from day one.

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