Ankle Arthroscopy

Ankle joint is a complex weight bearing joint. The most common mode of injury is a twisting force on the ankle. Recurrent ankle instability due to non-treatment of primary pathology leads to Arthroscopy of ankle usually is less common in-patient procedure. Usually the doctor will counsel you for this procedure only in recalcitrant cases. The benefits of the procedure depends mainly on your diagnosis and post-operative expectations.

The cases with symptomatic involvement of a region of ankle joint or a focussed lesion benefit the most. Generalised ankle arthritis or post-traumatic arthritis patients may only do transiently well and may become symptomatic of similar grade soon after surgery.

Ankle Joint arthritis is a common condition. Arthroscopic debridement is a painless procedure.

The main indications for ankle arthroscopy are :

  • Osseous impingement
  • Osteochondral defect
  • Loose body removal
  • Arthrolysis and debridement
  • Synovectomy and biopsy
MRI image showing a posterior impingement
Skiagram showing posterior impingement

Arthroscopic debridement of posterior lesion

Courtesy: Comparative analysis of arthroscopic debridement in osseous versus soft tissue anterior ankle impingement. J Clin Orthop Trauma. 2016 Jul-Sep; 7(3): 200–206.Published online 2016 Apr 20. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4949408/

The procedure is performed under spinal anaesthesia and the patient is allowed to walk not weight bearing after 24 hours. Weight bearing will start as per the standard protocol after surgical procedure. The treatment is essentially both diagnostic and therapeutic with faster recovery & excellent results!

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