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Arthroscopy vs Open Surgery: Guide for Dog Owners

Arthroscopy vs Open Surgery: Guide for Dog Owners

Arthroscopy

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Compare arthroscopy vs open surgery in dogs. Learn differences in recovery, cost, risks, and when vets recommend each option for joint problems

By 

Sustainable Vet Group

Updated on

August 28, 2025

.

Arthroscopy vs Open Surgery: Guide for Dog Owners

What Is Arthroscopy in Dogs?

Arthroscopy is a minimally invasive surgical technique that allows veterinarians to diagnose and treat joint problems using very small incisions. A tiny camera, called an arthroscope, is inserted into the joint, projecting magnified images onto a monitor. This gives the surgeon a clear, detailed view of cartilage, ligaments, and other joint structures without opening the entire joint.

  • Minimally invasive: Small cuts reduce pain, swelling, and recovery time.
  • Magnified visualization: The camera provides a detailed look at subtle injuries or cartilage damage.
  • Dual role: Arthroscopy can both diagnose conditions and treat them during the same procedure.

Because of its precision and reduced trauma, arthroscopy has become the preferred option for many joint conditions in dogs, particularly when early intervention can improve long-term mobility.

What Is Open Joint Surgery in Dogs?

Open joint surgery, also called arthrotomy, is the traditional approach to treating canine joint conditions. It requires a larger incision over the joint so the surgeon can directly see and manipulate the structures inside. Unlike arthroscopy, no camera is used—access is gained by manually opening the joint capsule.

  • Traditional method: In use for decades and still widely practiced.
  • Direct access: The surgeon can physically handle the joint tissues during surgery.
  • Availability: Most veterinarians are trained in this technique, making it more accessible than arthroscopy.

While effective, open surgery is more invasive, causing greater tissue disruption and a longer recovery. It is often used in cases of severe arthritis or when arthroscopy equipment is not available.

Key Differences Between Arthroscopy and Open Surgery

Both arthroscopy and open joint surgery are effective in treating canine joint disease, but they differ in approach, visualization, recovery, and availability. Understanding these differences helps owners make informed decisions about their dog’s care.

Visualization and Accuracy

Arthroscopy offers superior visualization compared to open surgery.

The arthroscope projects magnified and angled views of the joint onto a monitor, allowing surgeons to identify even small cartilage defects, meniscal tears, or early ligament damage. This precise imaging helps ensure that subtle lesions, which may cause long-term lameness, are not missed.

Open surgery, by contrast, relies on direct line-of-sight access. The surgeon’s view is limited and may not reveal hidden or minor injuries within the joint.

  • Arthroscopy: Clear, magnified images of cartilage, ligaments, and meniscus.
  • Open surgery: Limited visibility, especially for small or deep structures.

For conditions like meniscal tears or OCD, arthroscopy’s accuracy significantly improves diagnostic and treatment outcomes.

Size of Incisions and Pain Levels

The invasiveness of the procedure greatly influences pain levels and recovery.

Arthroscopy requires only tiny incisions, often just a few millimeters wide. Through these, both the scope and instruments are inserted. This causes minimal tissue disruption, resulting in reduced post-operative pain and less scarring.

Open joint surgery, on the other hand, involves a much larger incision to directly expose the joint capsule. While this allows hands-on access, it also creates greater trauma to surrounding muscles and tissues.

  • Arthroscopy: Small incisions, minimal scarring, lower pain.
  • Open surgery: Large incisions, higher discomfort, slower wound healing.

Because of this difference, arthroscopy is strongly preferred when pain management and faster recovery are priorities.

Recovery and Healing Time

Recovery time varies significantly between arthroscopy and open joint surgery.

Dogs undergoing arthroscopy often walk within one to two days, and full recovery can take four to six weeks. The smaller wounds heal quickly, and hospitalization is usually brief.

Open surgery, however, requires months of rehabilitation in many cases. Larger incisions need more time to heal, and there is increased risk of stiffness, swelling, and longer mobility restrictions.

  • Arthroscopy: Recovery within weeks, shorter hospitalization.
  • Open surgery: Months of healing, longer rehabilitation.

The faster recovery of arthroscopy is particularly valuable for active or working dogs that need to return to normal function as soon as possible.

Cost Comparison

Cost is often a factor when choosing between the two methods.

Arthroscopy generally costs more because of the specialized equipment and expertise required. However, the shorter recovery, reduced pain, and fewer complications may balance out the higher upfront price.

Open surgery, in contrast, is usually more affordable since most clinics can perform it without advanced equipment. Yet, the extended recovery period can add indirect costs, such as more medications, rehabilitation, and delayed return to activity.

  • Arthroscopy: Higher initial cost, but potentially fewer long-term expenses.
  • Open surgery: Lower upfront cost, longer recovery-related expenses.

Owners should consider both direct and indirect costs when deciding which approach best suits their dog’s needs.

Risks and Complications

Both procedures carry some risks, but arthroscopy is generally safer in terms of complications. Because of the small incisions, the chance of infection is much lower. There is also less risk of long-term stiffness or scar tissue formation.

Open surgery, with its larger wounds, has higher potential for infection, pain, swelling, and post-operative joint stiffness. However, both arthroscopy and open surgery carry the same anesthesia-related risks, which depend on the dog’s age and health status.

  • Arthroscopy: Low infection risk, fewer complications, better long-term function.
  • Open surgery: Higher chance of pain, stiffness, infection, and prolonged healing.

When possible, arthroscopy is preferred to minimize these complications, especially for younger or active dogs.

Availability and Expertise

The choice between arthroscopy and open surgery also depends on availability and expertise.

Arthroscopy requires advanced training, typically performed by board-certified orthopedic surgeons in specialty hospitals. The cost of equipment and skill required means it is not available in every veterinary practice.

Open joint surgery, however, is more widely available. Most general veterinarians are trained in open procedures, making it the more accessible option, especially in areas without specialty centers.

  • Arthroscopy: Requires specialist training and advanced equipment.
  • Open surgery: Commonly available, even in general practices.

For the best outcomes, consultation with an orthopedic specialist is recommended, particularly for complex joint conditions.

Conditions Treated with Arthroscopy vs Open Surgery

Both arthroscopy and open surgery are used to treat common orthopedic conditions in dogs. The choice depends on disease type, severity, and joint involvement.

  • Elbow dysplasia (FMCP, UAP): Arthroscopy preferred for fragment removal and cartilage evaluation; open surgery used for advanced changes.
  • Cruciate ligament and meniscal injuries: Arthroscopy helps diagnose and treat meniscal tears; open surgery often required for ligament stabilization.
  • Shoulder injuries: Arthroscopy treats bicipital tendon issues and instability; open surgery for severe instability or chronic damage.
  • OCD (osteochondritis dissecans): Arthroscopy removes cartilage flaps with minimal trauma; open surgery considered if lesions are extensive.
  • Arthritis and cartilage damage: Arthroscopy can reduce pain in mild cases; open surgery or joint replacement needed for advanced disease.

In general, arthroscopy is preferred for early to moderate disease, while open surgery is chosen for severe arthritis or when arthroscopy is not available.

When Vets Recommend Arthroscopy vs Open Surgery

The decision between arthroscopy and open joint surgery depends on the dog’s condition, disease stage, and overall health. Each method has clear situations where it is more effective.

  • Arthroscopy for early-stage disease: This is preferred when precision diagnosis and treatment are needed. It is highly effective for conditions like OCD, elbow dysplasia, or meniscal injuries where small lesions must be seen and treated early.
  • Open surgery for severe disease: In advanced cases where cartilage is severely damaged or arthritis is widespread, open surgery may be necessary. It is also chosen for joints that are too small or complex for arthroscopic tools.
  • Other influencing factors: Breed and size play a role, with larger breeds often benefitting more from arthroscopy. Cost and hospital availability also matter, since arthroscopy requires specialized equipment and training.

By carefully weighing these factors, veterinarians recommend the approach that provides the best chance of pain relief, mobility restoration, and long-term comfort for each dog.

Recovery Timeline for Dog Owners

Recovery after joint surgery varies depending on whether arthroscopy or open surgery is performed. Owners should be prepared for different timelines and care needs.

  • Arthroscopy recovery: Most dogs return to light activity within 2–4 weeks. Walking on a leash and gradual rehabilitation are possible much earlier because of the smaller incisions and reduced tissue trauma.
  • Open surgery recovery: Healing takes longer, often requiring 6–12 weeks of restricted activity. Larger wounds need time to heal, and rehabilitation is more intensive to prevent stiffness.
  • Pain management and physiotherapy: Regardless of the method, effective pain relief, wound monitoring, and physiotherapy are essential. Gentle exercises, hydrotherapy, or stretching may be recommended to support healing.

Owners play a vital role during recovery by following restrictions closely. With proper aftercare, most dogs regain comfortable mobility, but patience and consistency are key for the best outcome.

Long-Term Outcomes and Prognosis

Both arthroscopy and open joint surgery aim to improve mobility, reduce pain, and slow disease progression, but long-term results depend on timing and severity.

  • Arthroscopy outcomes: When performed early, arthroscopy can slow the development of arthritis by removing fragments and trimming damaged cartilage. Dogs with OCD or meniscal injuries often regain full activity with excellent long-term results.
  • Open surgery outcomes: This approach remains effective in advanced cases where arthroscopy is less suitable. It provides pain relief and improved function but may carry a higher risk of stiffness or longer-term arthritis progression.
  • Shared limitations: Despite surgical success, some dogs may still develop arthritis over time, especially if joint damage was severe before surgery.

Overall, both techniques significantly improve quality of life. The earlier the intervention, the better the prognosis, particularly with arthroscopy in young or active dogs.

How to Decide What’s Best for Your Dog

Choosing between arthroscopy and open surgery requires balancing multiple factors, with guidance from a veterinary orthopedic specialist.

  • Condition and severity: Early-stage diseases like OCD or meniscal tears are better treated with arthroscopy. Advanced arthritis or deformities may require open surgery.
  • Age and breed: Young dogs in large or active breeds often benefit more from arthroscopy, while older dogs with widespread arthritis may need open procedures.
  • Availability and cost: Arthroscopy requires specialized equipment and training, so it may not be available in all clinics. Open surgery is more accessible and often more affordable.
  • Expert consultation: A veterinary orthopedic surgeon can recommend the best approach after examining the dog and reviewing diagnostic tests.

Both methods are safe and effective when performed by skilled surgeons. Owners can feel reassured that, with proper treatment and aftercare, their dog has an excellent chance of living a more comfortable and active life.

Conclusion

Arthroscopy and open joint surgery both play important roles in treating canine joint disease.

Arthroscopy is less invasive, uses small incisions, and provides magnified visualization that allows early diagnosis and precise treatment. Dogs generally recover faster and with less pain, making it the preferred option for many conditions when available.

Open surgery, however, remains more accessible since most veterinarians are trained in this method and it does not require specialized equipment. It is also more affordable upfront, though recovery tends to be longer and more demanding.

  • Arthroscopy: Less invasive, quicker recovery, excellent for early-stage disease.
  • Open surgery: Widely available, more affordable, better for advanced cases.

The best choice ultimately depends on your dog’s condition, age, and overall health. Consultation with a veterinary orthopedic specialist ensures the right approach for restoring mobility and comfort.

FAQs

Is arthroscopy always better than open surgery in dogs?

Not always. Arthroscopy is less invasive, more precise, and offers faster recovery, making it ideal for early-stage joint disease. However, open surgery is better for advanced arthritis or when joints are too small for arthroscopic tools. The choice depends on disease severity, joint type, and availability of specialist equipment and training.

How much more does arthroscopy cost compared to open surgery?

Arthroscopy usually costs more because it requires advanced equipment and specialist training. On average, it may be $2,000–$4,000, while open surgery often costs less. However, the shorter recovery, reduced complications, and combined diagnostic and treatment ability can make arthroscopy more cost-effective in the long run, especially for early joint conditions.

Can all vets perform arthroscopy on dogs?

No, not all veterinarians perform arthroscopy. It requires specialized training and advanced equipment, typically available only in referral or specialty hospitals. Board-certified veterinary orthopedic surgeons most often carry out these procedures. Open surgery, by contrast, is more widely available in general practices since most vets are trained in traditional surgical methods.

Which surgery is less painful for dogs?

Arthroscopy is generally less painful because it involves very small incisions and minimal tissue disruption. Dogs recover faster and require fewer pain medications compared to open joint surgery. Open surgery, with larger cuts and more trauma, tends to cause greater discomfort and longer recovery times, although proper pain management reduces this.

How long does recovery take for each type of surgery?

Recovery after arthroscopy is usually quicker, with most dogs returning to light activity in 2–4 weeks. In contrast, open joint surgery often requires 6–12 weeks of restricted activity and more rehabilitation. While both methods restore mobility, arthroscopy’s minimally invasive approach leads to shorter hospital stays and faster overall healing.

Does arthroscopy prevent arthritis better than open surgery?

Arthroscopy cannot completely prevent arthritis but can slow its progression by treating early lesions and removing fragments before further damage occurs. Open surgery can also improve mobility but may involve more tissue trauma, which sometimes accelerates stiffness. For early-stage disease, arthroscopy is generally more effective in protecting long-term joint health.

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