Foot Care Library | Arthroscopy

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Foot And Ankle Arthroscopy

Arthroscopy has reduced the morbidity and period of hospitalisation associated with podiatric surgery and has increased the range of procedures that may be performed. Specialist instrumentation has allowed a wide variety of operations previously needing open surgery to be carried out arthroscopically. The repertoire of arthroscopic procedures will undoubtedly continue to expand, and controlled studies are required to validate their efficacy, particularly in the management of degenerative joint diseases.

Foot and Ankle arthroscopy involves the surgical evaluation and treatment of the foot and ankle for a variety of conditions.
Arthroscopy involves the use of fiberoptic cameras and very small surgical tools, which work through much smaller incisions than traditional surgery.

You may need ankle arthroscopy if you have debris in your ankle from torn cartilage or from a bone chip. Also, if there is ligament damage from a severely sprained ankle, a podiatric surgeon may choose to do an arthroscopy to evaluate the extent of damage and possibly to repair it.
For some people, arthroscopy means a speedier recovery, less scarring, and fewer complications than open surgery.




	Risks Arthroscopy is a relatively safe procedure with low complication rates. As with any procedure involving the introduction of instruments to a normally sterile area, infection is a risk. Bleeding from cut blood vessels may also occur. Some people may have local nerve damage from the procedure making the overlying skin numb. There are risks in using anesthesia, depending on the type that is chosen.


	Big Toe Arthroscopy Believe it or not, the arthroscope may be used to repair damaged cartilage on the surface of the great toe. While this procedure is not for every patient a patient with mild to moderate degenerative changes in the big toe joint is a perfect candidate for this minimally invasive procedure. There are very few centers across the country that offer this cutting edge technology. image 1 image 2 Image 1 is what the setup looks like in the operating room. The toe is held in place, and the arthroscope is inserted into the great toe joint (also inserted is a shaving instrument). Image 2 is the view from the arthroscope. The toe bone actually looks like it is in pretty good shape -- it's nice and smooth and shiny with no pock marks or loose bodies in there. The same list of complications as ankle arthroscopy applies for the big toe. However, very rarely do significant complications occur in the podiatric patient population.

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