Arthroscopy of the ankle

Ankle arthroscopy is a minimally invasive surgery that allows the doctor to examine the internal structures and perform the necessary treatment through several small punctures. To do this, use a special optical system - an arthroscope, which transmits the image in magnification to the monitor.

‍

The method is used to eliminate the consequences of injuries, pain, blockage of movements or inflammation. Due to the accuracy and minimal trauma, recovery after the procedure is quick, and the risk of complications remains lower compared to classical operations.

The essence of ankle arthroscopy: when and to whom it is needed

The procedure is indicated for patients with pain, swelling or movement restriction when conservative treatment is ineffective. Arthroscopy allows you to diagnose and at the same time eliminate pathology. During the intervention, the doctor evaluates the condition of the cartilage tissue, ligaments, synovial membrane and detects damage that needs clarification after MRI or X-ray.

Indications for surgery

1. Post-traumatic instability of the joint.
2. Impingement — compression of soft tissues.
3. Osteochondral defects of the supraclavicular bone.
4. Chronic synovitis.
5. Dissecting osteochondrosis.
6. Free bodies in the joint cavity.
7. Chronic pain that does not disappear after treatment.

Contraindications to arthroscopy of the ankle joint

Interventions are not carried out or postponed in the case of:

‍

• acute infections or inflammation in the area of surgery;
• severe somatic or cardiopulmonary disorders;
• ankylosis or gross deformation of the joint;
• active skin lesions in the ankle area;
• blood clotting disorders;
• pregnancy;
• intolerance to anesthesia.

The final decision on the procedure is made individually after examination and consultation with an orthopedic traumatologist.

Advantages of using arthroscopy in the treatment of ankle

1. Minimal invasiveness. The intervention is performed through punctures without large incisions.
2. High accuracy. The camera in magnification shows even minor tissue damage.
3. Fast recovery. Mobility is restored faster than with large-scale interventions.
4. Low risk of complications. Subject to sterility standards, safety is as high as possible.
5. Effectiveness. The natural mobility and stability of the joint is preserved.

How is arthroscopy of the ankle joint performed

The therapeutic procedure is performed using an arthroscope. Instruments are introduced through small punctures. General or regional anesthesia is used. After that, a sterile solution is fed into the joint cavity, which creates an optical environment and allows the synovial membrane, cartilage surface and ligaments to be examined.

‍

If necessary, the surgeon performs the removal of debris, the grinding of defects, the reconstruction of cartilage or the removal of inflamed areas. After completion of the intervention, several small stitches are applied. Most patients can move the next day.

Preparation for the operation

The preparatory stage is important for the safety and effectiveness of the intervention. The patient undergoes a clinical examination, consultations and receives clear instructions on behavior before the procedure.

‍

Mandatory steps of preparation for arthroscopy:

• general tests of blood, urine, coagulogram;
• examination of the ankle joint (MRI or X-ray);
• consultation with an anesthesiologist regarding the type of anesthesia;
• cancellation of anticoagulants or other drugs (if prescribed by a doctor);
• abstinence from food and fluids 6-8 hours before surgery.

It is recommended to discuss concomitant diagnoses and allergies with your doctor in advance.

What complications can arise?

Arthroscopy of the ankle joint is a safe technique with a low percentage of complications. But certain risks remain, as after any surgical intervention.

‍

Most often they fix:

• swelling and temporary restriction of movement in the joint;
• local pain, tightness or discomfort in the puncture area;
• hematoma formation;
• allergic reaction to anesthesia.

Complications rarely occur— mild in 4% of cases, serious in less than 0.2% of operations. With the observance of sterility protocols and proper medical supervision, the risk is minimized.

Rehabilitation and recovery after arthroscopy of the ankle

Postoperative recovery takes place in several successive stages. They depend on the amount of intervention, the age of the patient and concomitant factors.

‍

Typical rehabilitation program after arthroscopy:

• 1—2 days. Calm, raised limb position, cold compresses. If necessary — painkillers.
• 3—7 day. Beginning of mobilization and development of movements. Partial support with crutches or orthosis (according to indications).
• 1-2 weeks. The beginning of rehabilitation under the supervision of a physiotherapist.
• 3-4 weeks. Return to full walking. Active exercise therapy under the supervision of a specialist.
• 5-6 weeks. Completion of the basic recovery program. In most cases, it is a return to the usual load.

Rehabilitation lasts longer with cartilage defects or combined intervention. It is important to follow the doctor's recommendations, to appear regularly for examinations and not to miss the prescribed physical activity. You should also consult with a specialist before returning to sports.

‍

Price for ankle arthroscopy procedure in Lviv

The cost of the operation depends on the type of procedure (diagnostic or therapeutic), on the nature of the pathology and the extent of the joint damage. You can check prices by signing up for a consultation at Mashtaler Ortho&Trauma Clinic in Lviv.

‍