Blog
 » 
Arthroscopy
 » 
What to Expect During and After Arthroscopic Surgery

What to Expect During and After Arthroscopic Surgery

Arthroscopy

X min read

Owners

Learn what to expect during and after arthroscopic surgery in dogs, from the procedure and recovery timeline to aftercare, risks, and long-term outcomes

By 

Sustainable Vet Group

Updated on

August 28, 2025

.

What to Expect During and After Arthroscopic Surgery

Arthroscopy is a minimally invasive surgery used to diagnose and treat joint problems in dogs. It involves using a small camera and instruments through tiny incisions, allowing precise care with less trauma than open surgery. Many owners want to know what their dog will go through during and after this procedure. Understanding the steps, recovery timeline, and safety helps set realistic expectations.

This guide explains what happens before, during, and after arthroscopy so you can feel confident about your dog’s treatment and healing process.

What Happens During Arthroscopic Surgery

Arthroscopic surgery is a carefully planned procedure performed under full anesthesia to ensure the dog is safe and pain-free. The technique uses small incisions and advanced instruments to diagnose and treat joint conditions with minimal trauma.

  • General anesthesia and preparation: Dogs are fully anesthetized to prevent movement, ensure pain control, and allow precise work inside delicate joint structures. The surgical area is shaved, cleaned, and prepared to maintain a sterile field.
  • Small incisions for scope and tools: The surgeon makes tiny cuts, usually 2–3 millimeters wide, to introduce the arthroscope and specialized surgical instruments.
  • Joint distension with sterile fluid: The joint is filled with sterile saline to widen the space, flush debris, and improve visualization for the surgeon.
  • Real-time imaging: The arthroscope projects magnified, angled images of cartilage, ligaments, and bone onto a monitor, giving the surgeon a clear and detailed view.
  • Specialized surgical tools: Graspers, shavers, scissors, and burrs are inserted through other small incisions to remove cartilage flaps, collect biopsies, or smooth rough bone surfaces.
  • Surgical duration: Depending on the condition and joint, the procedure usually takes 30–90 minutes.

This combination of magnified visualization and precision tools makes arthroscopy highly effective for both diagnosis and treatment, while minimizing damage to surrounding tissues.

Immediately After Surgery

After arthroscopy, the immediate focus is on safe anesthesia recovery, pain control, and wound protection. Dogs are monitored closely until they are stable enough to go home.

  • Anesthesia recovery: Most dogs wake up within an hour but may remain groggy, disoriented, or wobbly for several hours. Veterinary staff monitor breathing, heart rate, and body temperature throughout.
  • Post-surgical monitoring: Dogs remain in the hospital for observation to ensure no complications such as bleeding, swelling, or difficulty standing. Intravenous fluids may be used if needed.
  • Bandages and wound care: Small bandages are applied to cover the tiny incision sites, reducing the risk of contamination and supporting healing.
  • Pain management: Anti-inflammatories and analgesics are administered to keep the dog comfortable. Some dogs may also receive antibiotics depending on the condition treated.
  • Discharge timing: Most dogs are able to return home within 12–24 hours once they are alert, walking short distances, and have stable vital signs.

By the time of discharge, owners receive detailed instructions on medication, wound care, and activity restriction, which are crucial for smooth recovery.

Early Recovery: First Few Days

The first few days after arthroscopy are critical for healing, as the body adjusts to the procedure and begins repairing tissue. Dogs usually recover faster than with open surgery, but careful management is still needed.

  • Weight-bearing: Many dogs start placing weight on the affected limb within 3–5 days. Although they may limp slightly, this is expected and improves with time. Early weight-bearing helps prevent muscle wasting and stiffness.
  • Incision appearance: Mild swelling, bruising, or fluid accumulation around the incision sites is normal. These changes usually resolve within a week and are not signs of complications unless redness or discharge develops.
  • Keeping wounds clean: Owners must ensure the incisions remain clean and dry. Licking or chewing can cause infections, so the use of an Elizabethan collar is strongly recommended.
  • Restricted activity: Strict rest is necessary during the early phase. Only short leash walks for bathroom breaks should be allowed, avoiding stairs, running, or jumping.
  • Medication adherence: Pain relievers and, when prescribed, antibiotics must be given on schedule to reduce discomfort and prevent complications.

Close monitoring during this stage sets the foundation for smooth healing and prevents setbacks that could prolong recovery.

Recovery Timeline in Weeks

Recovery after arthroscopy follows clear phases, with gradual return to function over several weeks. While healing is faster than open surgery, structured management is key.

  • 2–3 weeks: Incisions usually heal by this stage, and sutures or staples are removed during a follow-up appointment. Dogs can begin short, controlled leash walks beyond bathroom breaks.
  • 3–4 weeks: Depending on the condition treated, physiotherapy or hydrotherapy may be introduced. These exercises strengthen muscles, restore range of motion, and support joint stability.
  • 4–6 weeks: Activity is gradually increased. Dogs may tolerate longer walks and mild play, though off-leash exercise is still restricted.
  • 8–12 weeks: Most dogs regain full mobility and return to their normal lifestyle. Sporting or working dogs may require a tailored rehabilitation plan to resume high activity levels.

This timeline may vary depending on the joint treated and the extent of disease. Following veterinary guidance ensures safe, long-term improvement.

Risks and Safety Considerations

Arthroscopy is considered very safe, but as with all surgeries, potential risks should be understood. Fortunately, complications are uncommon and typically mild.

  • Low infection rate: Small incisions reduce exposure, making joint infections rare compared to open surgery. When infections occur, they are usually superficial and treatable with antibiotics.
  • Fluid leakage: Sterile saline used to distend the joint can sometimes leak into nearby tissue, causing temporary swelling. This resolves naturally without long-term issues.
  • Conversion to open surgery: In some cases, if damage is extensive or visualization is limited, surgeons may switch to open surgery for effective treatment.
  • Anesthesia risks: Though rare with modern monitoring, anesthesia can pose risks, especially in senior dogs or those with heart, lung, or kidney conditions. Pre-operative screening minimizes these dangers.
  • Post-operative discomfort: Mild pain, bruising, or swelling are normal but manageable with prescribed medications.

When performed by experienced surgeons in a specialty setting, arthroscopy has an excellent safety record and is well tolerated by most dogs.

What Owners Should Do at Home

Owner participation is essential to ensure healing and prevent complications. Diligent care at home directly affects long-term outcomes.

  • Strict exercise control: Limit activity to short, leash-only walks until cleared by your veterinarian. Unrestricted play can delay healing or damage the joint.
  • Incision monitoring: Check daily for redness, swelling, discharge, or separation of sutures. Contact the vet immediately if signs of infection appear.
  • Keep incisions dry: No bathing, swimming, or grooming should be done until the vet confirms complete healing of the surgical sites.
  • Medication compliance: Give all prescribed pain medications and anti-inflammatories on schedule. Missing doses can lead to unnecessary pain or delayed recovery.
  • Follow-up visits: Attend every scheduled check-up for wound assessment, suture removal, and rehabilitation advice.

Consistent, careful home care ensures the benefits of arthroscopy are fully realized and reduces the chance of setbacks.

Long-Term Expectations

Arthroscopy often provides excellent long-term results, especially when performed early in the disease process. Dogs usually recover fully and return to active, comfortable lives.

  • Quick return to activity: Most dogs regain mobility within 8–12 weeks, with many showing significant improvement earlier.
  • Slowing arthritis progression: By removing fragments, smoothing cartilage, or addressing early joint lesions, arthroscopy delays degenerative changes and prolongs joint function.
  • Improved quality of life: Pain relief and restored mobility allow dogs to return to playing, exercising, and working without chronic discomfort.
  • Supportive therapies: Physiotherapy, hydrotherapy, weight management, and joint supplements can further improve outcomes and extend joint health.
  • Limitations in advanced disease: In severe arthritis cases, arthroscopy provides pain relief but may not stop progression entirely. Long-term management strategies may still be needed.

Overall, most dogs achieve lasting improvements in comfort, activity, and quality of life after arthroscopy.

Conclusion

Arthroscopy is one of the safest and most effective ways to diagnose and treat joint conditions in dogs. Unlike open surgery, it requires only small incisions, causes less trauma, and provides a magnified view of the joint for precise treatment. Most dogs recover comfortably within weeks, especially when owners follow strict aftercare instructions on rest, medication, and incision monitoring.

  • Safe and effective: Minimally invasive with low complication rates.
  • Faster recovery: Dogs regain mobility much sooner than with traditional surgery.
  • Specialist guidance: Consulting a veterinary orthopedic surgeon ensures accurate diagnosis, proper case selection, and the best treatment plan.

With timely intervention and professional care, arthroscopy restores mobility, reduces pain, and helps protect long-term joint health, giving dogs a better quality of life and allowing them to stay active for years.

FAQs

How long will my dog stay at the clinic after arthroscopy?

Most dogs go home the same day or within 24 hours after arthroscopy. They are monitored until they are awake, stable, and comfortable. Some may stay longer if the joint treated was complex or if extra observation is needed. Clear discharge instructions are always given to support safe recovery at home.

When can my dog walk normally again?

Many dogs begin walking with partial weight-bearing within 2–5 days after surgery. While some limping is expected, mobility improves quickly. Normal walking usually returns within 2–3 weeks, depending on the joint and condition treated. Controlled activity, like leash walking, is encouraged, but full unrestricted movement must wait until the vet approves it.

What signs after surgery should worry me?

Concerning signs include excessive redness, swelling, or discharge at the incision site, refusal to bear weight after several days, persistent pain despite medication, or signs of infection such as fever or lethargy. Any sudden worsening of lameness or chewing at the stitches should be reported to the veterinarian immediately for timely intervention.

Can my dog play or run after arthroscopy?

Not right away. Play and running must be restricted during the first 4–6 weeks to allow proper healing. Controlled leash walks are permitted early, but off-leash activity is only allowed once your veterinarian clears it, often after 8–12 weeks. Premature play or running risks damaging the joint and delaying recovery.

Is arthroscopy safer than open surgery?

Yes, arthroscopy is generally safer because it uses very small incisions, reducing infection risk, pain, and tissue trauma. Dogs recover faster and more comfortably compared to open joint surgery. However, both procedures are safe when performed by skilled surgeons, and the best choice depends on the dog’s condition, disease severity, and availability.

How long does full recovery take?

Most dogs achieve full recovery within 8–12 weeks after arthroscopy, although improvements are often seen much sooner. The timeline depends on the joint treated, the condition’s severity, and how well aftercare instructions are followed. Rehabilitation therapies, such as physiotherapy or hydrotherapy, can further speed healing and improve long-term mobility and comfort.

Get a Free Poster

Enhance your workspace with a high-quality radiographs reference poster, designed for veterinary professionals. This free physical poster will be shipped directly to you—just fill out the form to request your copy.

Related posts

Get a Free Poster for Your Clinic

Enhance your workspace with a high-quality radiographs reference poster, designed for veterinary professionals. This free physical poster will be shipped directly to you—just fill out the form to request your copy.

We'd love you to
Join Us!

Enter Your Details Below to Receive Your Information Pack

100% safe & secure. Your details are never shared or sold.

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Taking Great TPLO Radiographs

Click Below to Watch Live Video Demos

We'll send you a Free Wall Poster with all the steps

Now that you are a pro at TPLO rads

Let's take your infection control to the next level

Watch these videos!

Step #1

Getting Ready

Ensuring a clean surgical field starts with proper skin preparation. This video demonstrates the best practices for:

  • Shaving the patient – Achieving a close, even shave while minimizing skin irritation
  • The Dirty Scrub – The initial skin prep step to remove surface debris and reduce bacterial load before the sterile scrub.

Following these techniques helps reduce infection risk and improve surgical outcomes. Watch the video to see how it’s done effectively!

Step #2

Reduce Your Risks

Many surgeons are shocked to find out that their patients are not protected from biofilms and resistant bacteria when they use saline and post-op antibiotics.

That’s Where Simini Comes In.

Why leave these risks and unmanaged?  Just apply Simini Protect Lavage for one minute. Biofilms and resistant bacteria can be removed, and you can reduce two significant sources of infection.

Step #3

Take the Course

Preventing surgical infections is critical for patient safety and successful outcomes. This course covers:

  • Aseptic techniques – Best practices to maintain a sterile field.
  • ​Skin prep & draping – Proper methods to minimize contamination.
  • ​Antibiotic stewardship – When and how to use perioperative antibiotics effectively.

Stay up to date with the latest evidence-based protocols. Click the link to start learning and earn CE credits!

Get Your
Free Poster!

Enter your information below, and we’ll ship it to you at no cost.

Do you want to customize it?

How many would you like?

About you

Shipping information

100% safe & secure. Your details are never shared or sold.

We will work on your request shortly.
Oops! Something went wrong while submitting the form.
What’s your role in animal care?

Tell us who you are so we can guide you to the most relevant information.