Advantages and contra-indications
Advantages
Arthroscopy allows direct articular inspection and assessment of ligaments and synovial change. It can also be used to perform intraoperative stress testing.
DIAGNOSES WHICH CAN BE MADE USING ANKLE ARTHROSCOPY | |
| OCD | 23.5% |
| Impingement | 21.3% |
| Chondromalacia | 7.9% |
| Instability | 7.2% |
| DJD | 7.2% |
| Acute Fracture | 6.5% |
| Arthrofibrosis | 4.8% |
| Loose Bodies | |
| Osteophytes | |
| Synovitis | |
| Ossicles | |
| Torn ATFL | |
| Cryptogenic pain | |
| Cyst | |
| Chondral fracture | |
| Peroneal subluxation | |
| Torn peroneal tendon | |
PROCEDURES WHICH CAN BE PERFORMED USING ANKLE ARTHROSCOPY | |
| Debride lateral gutter | 21.8% |
| Excise/Drill OCD | 19.4% |
| Chondroplasty | 13.3% |
| Excise fibrous bands | 6.8% |
| Loose odies | 5.7% |
| Rx of fracture | |
| Diagnostic | |
| Synovectomy | |
| Osteophytes | |
| Ossicles | |
| Arthrodesis | |
| Stabilization | |
Contra-indications
-
Relative
- DJD
- Oedema
- Impaired vascularity
-
Absolute
- Soft tissue infection
- Advanced DJD