Ankle keyhole surgery, also known as ankle arthroscopy, is a minimally invasive surgical procedure used to diagnose and treat various ankle joint problems. This technique involves making small incisions (keyholes) through which a tiny camera (arthroscope) and specialized surgical instruments are inserted. Here’s an overview of the procedure and its benefits:
Procedure
Incisions: Small incisions, typically about 0.5 to 1 centimeter in length, are made around the ankle.
Arthroscope Insertion: An arthroscope, which is a thin, flexible tube with a camera and light at the end, is inserted into one of the incisions. This allows the surgeon to view the inside of the ankle joint on a monitor.
Instrument Insertion: Specialized surgical instruments are inserted through other small incisions to perform the necessary procedures, such as removing damaged tissue, repairing ligaments, or smoothing out bone surfaces.
Procedure Execution: The surgeon performs the necessary repairs or treatments while monitoring the joint through the arthroscope.
Closure: Once the procedure is completed, the instruments are removed, and the small incisions are closed with stitches or surgical tape.
Benefits
Minimally Invasive: Smaller incisions result in less tissue damage compared to traditional open surgery.
Reduced Pain: Patients often experience less postoperative pain and discomfort.
Faster Recovery: Shorter recovery times allow patients to return to normal activities more quickly.
Lower Risk of Complications: Reduced risk of infection and other complications due to the smaller incisions.
Improved Visualization: The arthroscope provides a clear and magnified view of the inside of the joint, allowing for precise diagnosis and treatment.
Common Indications
Ankle Impingement: Removal of inflamed tissue or bone spurs causing pain and restricted movement.
Ligament Repair: Repairing or reconstructing torn ligaments, such as in cases of chronic ankle instability.
Cartilage Repair: Treating cartilage damage, including procedures like microfracture to stimulate new cartilage growth.
Synovitis: Removing inflamed synovial tissue that lines the joint.
Loose Bodies: Removing loose fragments of bone or cartilage that may cause joint locking or pain.
Recovery
Initial Recovery: Patients are usually allowed to go home the same day. They need to keep the foot elevated and apply ice to reduce swelling.
Weight Bearing: Depending on the procedure, weight-bearing activities might be limited initially, with the use of crutches or a walking boot.
Physical Therapy: Rehabilitation exercises to restore strength, flexibility, and function are typically recommended.
Follow-Up: Regular follow-up appointments with the surgeon to monitor healing and progress.
Ankle keyhole surgery is a valuable option for treating a variety of ankle joint conditions with less invasive techniques, offering many benefits in terms of recovery and outcomes.