Ankle Arthroscopy

Ankle arthroscopy is a minimally invasive surgical procedure used to diagnose and treat various conditions affecting the ankle joint. This method offers several advantages over traditional invasive surgeries, including smaller incisions, less pain, and faster recovery times.

At Orthopedic Foot & Ankle Center in Greater Columbus, we specialize in providing expert care for a wide range of foot and ankle conditions. Contact one of our offices today to schedule an appointment!

Do I Need Surgery?

Visiting an orthopedic surgeon doesn’t mean that surgery is necessary. Our orthopedic doctors always prefer to use non-surgical procedures to treat injuries.

What Our Patients Say

Very great doctor/surgeon. The office staff are always friendly and very helpful with all my questions. Recommend this group to everyone having foot or ankle problems. My left foot is doing great and hopefully my right foot surgery will go has smoothly.” — Deborah H.

What Conditions Does Ankle Arthroscopy Treat?

Ankle arthroscopy is an effective treatment option for several ankle conditions, particularly those that do not respond to non-surgical methods. Some of the conditions that can be addressed with ankle arthroscopy include:

  • Ankle Impingement: This occurs when soft tissues in the ankle become trapped between bones, leading to pain and limited motion. Arthroscopy can help remove the inflamed tissue and alleviate symptoms.
  • Ankle Instability: Often resulting from repeated ankle sprains, instability can cause the joint to give way during activities. Arthroscopy may be used to repair or tighten the torn ligaments.
  • Osteochondral Defects: These are cartilage injuries and damage to the underlying bone within the ankle joint. Arthroscopy allows surgeons to clean out damaged tissue and, if necessary, perform microfracture surgery to stimulate cartilage repair.
  • Synovitis: Inflammation of the synovial membrane, which lines the joint, can cause pain and swelling. Arthroscopy can be used to remove the inflamed tissue.
  • Loose Bodies: Small fragments of bone or cartilage can break off and float within the joint, causing pain and catching sensations. Arthroscopy can efficiently remove these loose bodies as well as scar tissue that can form in the joint after injury.
  • Arthritis: In some cases, arthroscopy can be used to treat arthritis by removing bone spurs.

Candidates for Ankle Arthroscopy

Not every patient with an ankle condition is a candidate for ankle surgery. Generally, this procedure is recommended for individuals who:

  • Have persistent ankle pain or instability that has not improved with conservative treatments such as physical therapy, medication, or injections.
  • Experience mechanical symptoms like catching, locking, or giving way of the ankle joint.
  • Have specific conditions, such as those mentioned above, that can be effectively treated with arthroscopy.
  • Are in overall good health and able to undergo surgery.
 

It is essential to undergo a thorough evaluation by an ankle surgeon to determine if ankle arthroscopy is the best treatment option for your specific condition.

A doctor examining a patient before ankle arthroscopy that will help relieve their pain in Columbus, Ohio.

Preparing for the Procedure

Preparing for ankle arthroscopy involves several important steps to ensure the procedure goes smoothly and reduces the risk of complications:

  • Medical Evaluation: Your surgeon will review your medical history, perform a physical examination, and may order imaging tests such as X-rays or an MRI to assess the extent of the damage within the ankle joint.
  • Medication Review: Discuss any medications you are currently taking with your surgeon. You may need to stop taking certain medications, such as blood thinners, before surgery.
  • Preoperative Instructions: You will receive specific instructions on how to prepare for surgery, including fasting before the procedure and arranging for someone to drive you home afterward.
  • Home Preparation: Set up your home for a comfortable recovery. This may include arranging a space to rest, having ice packs ready, and preparing meals in advance.

How is Ankle Arthroscopy Performed?

Ankle arthroscopy is typically performed under general or regional anesthesia. During the procedure:

  • Incisions: The surgeon will make two or three small incisions around the ankle joint.
  • Insertion of Arthroscope: The arthroscope, equipped with a camera, is inserted through one of the incisions, allowing the surgeon to view the inside of the joint.
  • Surgical Repairs: Specialized instruments are inserted through the other incisions to remove or repair damaged tissue, such as trimming cartilage, removing loose bodies, or repairing ligaments.
  • Closure: Once the necessary work is completed, the instruments are removed, and the incisions are closed with sutures or sterile strips.
 

The procedure typically takes about one to two hours, depending on the complexity of the condition being treated. You can usually go home the same day as it is an outpatient procedure.

Recovery

Recovery from ankle arthroscopy is generally quicker than recovery from open surgery, but it still requires careful attention:

  • Postoperative Care: You will need to keep the ankle elevated and apply ice to reduce swelling. Pain management will be guided by your surgeon’s recommendations.
  • Weight-Bearing: You may need to use crutches and avoid putting weight on the affected ankle for a few weeks, depending on the extent of the surgery.
  • Physical Therapy: A rehabilitation program will be tailored to your needs to restore strength, flexibility, and range of motion to the ankle.
  • Follow-Up: Regular follow-up appointments will ensure the ankle is healing properly and help monitor your progress.

Prognosis

The prognosis following ankle arthroscopy is generally very positive. Most patients experience significant pain relief, improved ankle function, and a return to normal activities within a few months. However, recovery time can vary depending on the specific condition treated and the individual’s overall health.

Take the Next Step

If you’re struggling with an ankle injury that’s causing pain or instability, ankle arthroscopy could be the solution you need. Our experienced team at Orthopedic Foot & Ankle Center is here to provide personalized care and guide you through every step of the process.

Learn more about our approach to reconstructive surgery and how we can help you get back on your feet. Contact us today to schedule a consultation and take the first step toward recovery!

Medically reviewed by Roberto A. Brandão, DPM

Our Ankle Arthroscopy Specialist​s​

GREGORY C. BERLET, MD

Board Certified Orthopedic Surgeon

TERRENCE M. PHILBIN, DO

Board Certified Orthopedic Surgeon

CHRISTOPHER F. HYER, DPM

Board Certified, Fellowship Trained Foot & Ankle Surgeon

PATRICK E. BULL, DO

Board Certified Orthopedic Surgeon

MARK A. PRISSEL, DPM

Board Certified, Fellowship Trained Foot & Ankle Surgeon

RANDALL C. THOMAS JR., DPM

Board Certified Foot & Ankle Surgeon

COREY J. GRIFFITH, DPM

Board Certified Foot & Ankle Surgeon

ROBERTO A. BRANDÃO, DPM

Board Certified, Fellowship Trained Foot & Ankle Surgeon
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