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Learn more about
Ankle Arthroscopy

Key-Hole Surgery

Written by Dr Mike Smith

What Conditions can we treat with this Key Hole technique?

Ankle Arthroscopy continues to evolve with more and more conditions now being managed via minimally invasive techniques that minimise scarring.
Many of the common ankle conditions are now able to be managed via keyhole ankle arthroscopy. These include:

 

  • Ankle Instability
  • Ankle Impingement
  • Removal of loose bodies within the ankle joint
  • Ankle cartilage damage
  • Ankle arthritis / Fusion
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What are the benefits of ‘Key Hole’ Surgery

There are many benefits to performing surgical procedures via keyhole techniques. These may include:

 

Minimal Scars

Rapid Rehabilitation

Minimal Soft Tissue Dissection

Early Recovery

Minimal Bleeding

Early Discharge Home

 

 

What does the procedure involve

Anterior Ankle Arthroscopy:

This is the more common form of ankle arthroscopy and is used to address the majority of conditions affecting the ankle joint.

The procedure involves making two tiny (4-5mm) incisions at the front of the ankle. One ‘portal’ is used to introduce the arthroscopic camera, and the other ‘portal’ is for the passage of tiny specialised instruments.  Once the condition has been address, the portals are closed and a bandage is applied. Depending on what condition was addressed, you can frequently commence walking the same day.

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Posterior Ankle Arthroscopy:

This procedure is typically reserved for patients with posterior ankle impingement. The lead up to the surgery, and instructions following the surgery are similar to what is outlined above in ‘Anterior Ankle Arthroscopy’. The two incisions that are used are both made at the back (posterior) aspect of the ankle joint alongside the achilles tendon (Heel cord).

LEARN MORE ABOUT ANKLE IMPINGEMENT
 

 

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What happens following the procedure

This largely depends on what condition you are having treated
The vast majority of ‘Key Hole’ Ankle Arthroscopies will be performed as a day procedure. Dr. Smith and his Anaesthetic team typically use a ‘nerve block’ to help numb the area for up to 24 hours.

Following discharge, and depending on which specific condition was addressed, you will be informed of whether you will require a supportive shoe/boot for a period of time. You will be seen in the rooms 2 weeks following the procedure and your bandage removed.

A dedicated physiotherapy program is often encouraged to help maximise your return to function in the coming weeks.

 

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