Arthroscopic surgery is done using small incisions called 'portals' to access the joint. Two or more portals are typically used with a video camera inserted through one portal, and the surgical instruments inserted through additional portals. Many procedures can be done arthroscopically, but that doesn't always mean that this is the best choice each patient. There are many variables we consider when determining how to most effectively perform an operation. Certain aspects of an operation may be performed arthroscopically, followed by open incisions for the other portions of the procedure. Arthroscopy is used frequently in the ankle joint to remove inflamed scar tissue or to access damaged cartilage, commonly referred to as an osteochondral defect (OCD). Sometimes tendon and ligamentous work may also be addressed arthroscopically. Less commonly, arthroscopy may be used to address smaller joints in the foot, such as the subtalar joint, joints in the hindfoot, or the first metatarsophalangeal joint.
•Impinged Capsular Excision
•Inflammatory Cytokine Lavage
ARTHOSCOPIC VIEW OF HEALTHY ANKLE CARTILAGE.
AN OSTEOCHONDRAL LESION OF THE TALUS WITH A FULL THICKNESS CARTILAGE DEFECT DOWN TO BONE.
DAMAGED CARTILAGE WITH FRAYING.
Sometimes arthroscopy is used to evaluate and to aid in the repair of syndesmosis injuries. The term 'syndesmosis' is used to refer to the distal tibiofibular joint at the top of the ankle. Here the small fibula bone rests in a trough recessed into the larger tibia bone. The fibula and tibia are held together at the syndesmosis by multiple ligaments known as the distal tibiofibular ligaments or the syndesmotic ligaments. Injury to this area is commonly referred to as a 'high-ankle sprain'. It is very important to restore and maintain the relationship between the tibia and fibula at the syndesmosis, and this relationship is often disrupted with ankle sprains or ankle fractures.