Ankle Arthroscopy

ANKLE ARTHROSCOPY

Ankle arthroscopy is a minimally invasive surgical procedure that orthopaedic surgeons use to treat problems in the ankle joint. Ankle arthroscopy uses a thin fiber-optic camera (arthroscope) that can magnify and transmit images of the ankle to a video screen. Ankle arthroscopies can reduce ankle pain and improve overall function.

Arthroscopy can be used to diagnose and treat different disorders of the ankle joint. The list of problems that can sometimes be treated with this technology is constantly evolving and includes:

● Ankle Fractures
● Ankle Instability
● Anterior Ankle Impingement
● Arthrofibrosis
● Infection
● Loose Bodies
● Osteochondral Defect (OCD)
● Posterior Ankle Impingement
● Synovitis
● Unexplained Ankle Symptoms

SURGERY
At least two small incisions are made in the front and/or back of the ankle. These portals become the entry sites into the ankle for the arthroscopic camera and instruments. Sterile fluid flows into the joint to expand it and allow for better visualization. The camera and instruments can be exchanged between portals to perform the surgery. Both motorized shavers and hand operated instruments are used. After the surgery is complete, sutures are placed to close the portals. A sterile dressing is placed over the sutures. A splint or boot is often used.

COMPLICATIONS
All surgeries come with possible complications, including the risks associated with anesthesia, infection, damage to nerves and blood vessels, and bleeding or blood clots.
Potential complications specific to ankle arthroscopy include injury to nerves and blood vessels around the ankle. Numbness or tingling at the top of the foot can occur approximately 10 percent of the time. This typically resolves over time.

FREQUENTLY ASKED QUESTIONS
  • When can I safely return to driving?

    You will likely be cleared for driving when you are able to bear weight without limitation and are no longer taking narcotic pain medication. 

  • When can I expect to return to work and sports?

    You may be able to return work several days after surgery if you can safely complete your job duties. Most patients can expect to be out of work for at least 1-2 weeks. It is possible to return to high-level sports following ankle arthroscopy, but expect at least 4-6 weeks of recovery before getting back to such activities.

  • What are the outcomes of ankle arthroscopy?

    Seventy to 90 percent of patients undergoing ankle arthroscopy for the most common problems achieve good or excellent results.

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Information provided by American Orthopedic Foot and Ankle Society (AOFAS) via FootCareMD.com
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