Arthroscopy (Keyhole Surgery)

What is ankle arthroscopy?

Ankle keyhole surgery, also known as ankle arthroscopy, involves the insertion of a tiny telescope and specialized tools through small incisions in the ankle joint. This procedure allows your consultant to both examine and treat any issues present in the joint. As a result, images of the interior of the joint are displayed on a monitor in the operating theatre.

By utilizing this minimally invasive technique, patients can experience a quicker recovery and reduced scarring compared to traditional open surgery. Furthermore, ankle arthroscopy has become an increasingly common and effective option for many ankle conditions.

Why might I need an ankle arthroscopy?

If you are experiencing ankle arthritis, osteochondral injuries, or require ankle fusion surgery due to an ankle fracture or sprain/instability, or if your surgeon needs to examine and repair tendons and ligaments, ankle arthroscopy may be the ideal minimally invasive procedure for you.

With this technique, a small telescope and specialized instruments are inserted through tiny incisions in the ankle joint, providing your consultant with clear images of the interior. This approach offers numerous benefits, such as a faster recovery time and reduced scarring, as well as the ability to accurately diagnose and treat a variety of ankle conditions. Therefore, ankle arthroscopy has become an increasingly popular option for individuals in need of ankle joint treatment.

What does ankle arthroscopy involve?

Ankle arthroscopy is a common day case procedure that can be utilized for a variety of treatments, including ankle fusion surgery, ligament or tendon repair, and the removal of bone or tissue causing pain or arthritis. One of the primary benefits of this minimally invasive technique is the reduced scarring and quicker healing time with a lower risk of infection. Additionally, patients typically spend less time in the hospital and have a faster rehabilitation period, resulting in better outcomes, especially for ankle fusion surgery.

Despite the benefits, it is important to recognize that surgery always carries some level of risk, such as potential blood vessel or nerve damage. However, the benefits generally outweigh the risks associated with this procedure.

Attending a pre-assessment screening can help maximize the benefits of your surgery. During this screening, a blood test will be conducted to assess your Vitamin D levels, swabs will be taken to check for any infection or underlying issues, and you’ll have a chance to discuss your medical history and highlight any potential anesthetic concerns.

It is also highly recommended that you stop smoking at least eight weeks before your surgery to improve your ability to heal and reduce the risk of complications such as pulmonary embolism or deep vein thrombosis. Taking proactive steps before your procedure can help ensure the best possible outcome.

How long does it take to recover?

Following your ankle arthroscopy, your ankle will be bandaged, and you’ll need to keep these bandages on for approximately two weeks. Your consultant will teach you how to walk with crutches and provide you with a special sandal to support your recovery. In most cases, patients are discharged on the same day as their surgery.

During the first week after your operation, it is essential to rest your foot as much as possible and keep it elevated above the level of your heart to minimize swelling. As the week progresses, your pain levels should decrease significantly, and you can begin walking short distances, such as to a car. Depending on your occupation, you may be able to return to work during the second week; however, if your job involves heavy manual labor, you may need to wait for a month after surgery to resume working.

Once your wound has completely healed, you can apply moisturizer to the scar and even go swimming to help reduce scarring. Typically, patients can resume low-impact exercises around three to four weeks after their surgery. It’s important to note that the recovery process may vary from person to person, and your consultant will provide you with personalized guidelines to ensure a successful recovery.

What is the long-term impact of ankle arthroscopy?

It is normal to experience some swelling in your foot and ankle after an ankle arthroscopy, but this should subside within three months of your surgery. As your healing progresses, you’ll gradually be able to increase your activity levels, and most patients are able to return to their normal sporting activities several months after their operation.

However, it’s important to listen to your body and not rush the recovery process. Your consultant will provide you with a rehabilitation plan that’s tailored to your individual needs and goals, which may include physical therapy or other exercises to help strengthen the ankle joint and improve mobility. It’s crucial to follow this plan and attend any follow-up appointments to ensure the best possible outcome.

Dr. Prasad Bhagunde

MS Ortho D Ortho DNB

Senior Orthopaedic Consultant and Sports Medicine Surgeon