Ankle arthroscopy (keyhole surgery)

For a variety of reasons, the ankle joint may need to be explored with arthroscopy (keyhole surgery). This includes: ligament damage, damage to the cartilage, fractures or removal of bony spurs as well as in conjunction with other procedures; such as fracture fixation or ligament reconstruction

This is typically done under a keyhole procedure with two small incisions over the front of the ankle to access the joint and address the problem within the joint. In some patients a posterior arthroscopy from the back is indicated, where the keyholes are made on the back of the ankle.

This procedure can be combined with various other ankle procedures. Such as ligament reconstruction, fracture fixation, cartilage repair.

Video: Testing the distal tibiofibular syndesmosis during ankle arthroscopy - this syndesmosis is unstable (positive drive through sign)

Video: Testing the distal tibiofibular syndesmosis during ankle arthroscopy - this syndesmosis is stable (negative drive through sign)

Success rates for ankle arthroscopy depend on the pathology to be addressed.

Post-operative plan:

  • Surgery is typically a day case or overnight stay

  • Local anaesthetic or a nerve block is administered to help with pain

  • 0-2 weeks: elevation at home, but weight bearing in a CAMboot is allowed

  • 2-6 weeks: full weight bearing and weaning out of the CAMboot, ongoing physiotherapy required.

  • 6 weeks onwards: continued rehabilitation, symptoms can sometimes take up to 6 months or longer to resolve fully.

Download post-operative care guide

 

Risks of surgery

  • Swelling, stiffness

  • Infection

  • Wound healing problems

  • Scar sensitivity

  • Ongoing pain

  • Further procedures

 

Further information can be found at:

https://www.healthdirect.gov.au/surgery/arthroscopy-of-the-ankle