Doctor insights on:
Ankle Arthroscopy Debridement
Less than open: Ankle arthroscopy is done as a substitute for an open surgical procedure where appropriate. It requires 2-4 small incisions where a 2.9 -4.0mm camera is inserted. Other cuts are used to clean out the ankle or repair the cartilage. As such there is less pain than an open surgery. It can be done under local anesthesia with sedation or spinal/general. I instill Marcaine at end wake up without pain. ...Read more
Arthroscopic surgery involves looking inside of a joint with a very small camera. The joint is filled with water and the camera is placed into the joint, using small incisions. Most orthopaedic surgeons utilize arthroscopic surgery to treat a variety of conditions, including: meniscal and rotator cuff years, joint infections and inflammation, removal of loose ...Read more
Ankle scope: Depending on how involved the procedure is but usually you are immobilized in a splint for two weeks non weight bearing with crutches followed 4 weeks in a walking boot. During which you start light physical therapy. Once you r cleared your surgeon will increase the physical therapy. Typical recovery is 6-8 weeks before u can go back to activity. ...Read more
See below: It depends what condition it is being done for. In general there will be several small incisions made to except the instruments. One will be a camera the other will be able to remove tissue or bone and a third will fill the ankle joint with fluid to help expand the tissue for easier vision of the ankle joint. ...Read more
Not necessarily: It depends on what is being done with the arthroscopic procedure. It may be a long recovery if it is a fusion or ligament reconstruction, for example. But, it may be relatively a short recovery with a joint clean out. Ask your surgeon that question and they will guide you. Good luck! ...Read more
Depends on why surg: It depends on why you were having surgery in the first place. If it was a scope for impingement or to just look in the joint, then you may want to postpone. If there is an osteochondral lesion of the bone, or other significant finding on your studies (mri, ct) it may be best to proceed. In my experience, despite the pain being better, we often find something significant at surgery. ...Read more
Likely 6 to 12 wks: Depends on the problem to be addressed, and what you intend to do in the gym, activity involving the operated ankle may need to be limited anywhere between 6 to 12 weeks give or take a few on what exactly is being done. ...Read more
Variable: Some people who have an ankle arthroscopy only use crutches for about a day. Others use it for weeks. Everybody's different and everybody's pain tolerance is different. If you shoot for 1 day you'll be better off then if you plan to use them for 1 month. ...Read more
I'm about to have an ankle arthroscopy and want to know how long I am likely to be on crutches for?
Based on what will happen during your procedure will dictate the post op course. With soft tissue work only, 2 weeks of non weight bearing will do. If there was an OCD that was addressed with micro drilling, expect about 6 weeks of non weight bearing. Feel better! ...Read more
Ankle scopes requires two small 1cm portal incisions where cameras are used to evaluate the anke joint then to clean out synovitic tissue, loose bodies, or repair focal areas of cartilage damage. This would generally require a short boot or splint.
If you had a scope assisted ankle fusion or or boney/structural procedure needing post op stability then a cast may be necessary. ...Read more
In an ankle arthroscopy, does surgeon look around everywhere in the ankle for problems? Or only a certain area?
Would a podiatrist be trained to do an ankle arthroscopy or would they typically be limited to open surgery?
Depends: Many podiatrists do ankle arthroscopy. Either they were trained in their surgical residency, or they can take a course and become certified. It also depends on the hospital that they do surgeries with--certain hospitals will not let podiatrists do ankle scopes for whatever reason. I do them at a surgery center. It's a very useful procedure for many ankle pathologies. ...Read more
I'm having ankle arthroscopy surgery 29894/29897 & electrical bone stimulation next month 20974. Can this be done without putting me to sleep?
Yes: Increasing anesthesiologists are using spinal anesthesia over general ("putting to sleep"). Nerve blocks behind the knee also have ahad increasing use for ankle and foot procedures. I have also used sedation with localanesthesia for certain ankle arthroscopic procedures at the patient's request or due to medical condition that preclude general or even regional anesthesia. ...Read more
I'm having knee and ankle arthroscopy and removal of ankle hardware, is it poss to get nerve blocks for both? Can the whole leg be numbed w 1 inj?
Yes a 1 sided spinal: -can be done which would numb the whole leg. Ask your anesthesiologist about it. ...Read more
And ankle arthroscopy surgery today at about 6:45 am, looked down tonight, and noticed blood came thru plaster stitches gauze and an ace bandage help?
Consult Orthopedist: I would give your orthopedist an immediate call for bloody drainage in an amount significant enough to soak through gauze and a plaster splint. I also note you have symptoms of chills and headache that may or may not be related but raise concerns about local and systemic infection or postop fever. A wound dehiscence is the most serious concern as well as hospital acquired MRSA infection. ...Read more
Dvt in calf after ankle arthroscopy. Was on xarelto after surg and compression device used during surgery. Why did I still clot? Need to be concerned?
Yes: Significant DVT after an ankle arthroscopy is unusual but it happens. Trauma, immobilization and hematological considers are causes of clotting (virchow's triad). See a hematologist to make sure you do do have an underlying condition that makes you prone to clotting. ...Read more
I have FAI Right hip. Arthroscopic surgery is April 6. Today MRI discovered need Left Ankle scope debridement. Can both be done in 1 surgery 2 surgeon?
Probably not: Technically, yes it could be done, but it is probably not a good idea. If you had to have a right hip scope and left ankle scope that required non weight bearing after surgery, you would be pretty close to being bed ridden. Where as if you did one side at a time you could be up with crutches. ...Read more
Is there usually a period of non-weight bearing after ankle arthroscopy if bone spurs are removed from leg bones? No-microfracture of talus.
As comfort dictates: There is no specific reason that you can not put weight after arthroscopic spur removal. Weight bearing a tolerated usually is your status. Keep the ankle elevated higher than your heart for first few days to decrease swelling. It will hurt to walk on it initially so walkonit if you like to suffer, . As usual it is best to follow the protocol of your surgeon who did it, theyknow the situation best. ...Read more
Post op day 6 ankle arthroscopy having severe pain in calf shin and top of foot er ruled out blood clots heart rate in er was 130- 150 what's doing it?
Post op ankle pain: Post op day 6 ankle arthroscopy having severe pain in calf shin and top of foot er ruled out blood clots heart rate in er was 130- 150 what's doing it? ANS: I would go to the Dr team that did procedure and ask them to examine you and give you the answer. Can't tell from here. ...Read more
Had arthroscopic ankle debridement & modified brostrom 7 wks ago. Feel pain in ankle when full weight bearing. Is this normal? How long?
Yes: 7 weeks is not that far out for foot and ankle surgery. Since you had surgery on something that you walk and bear weight on, pain, soreness, and swelling can occur for several months...sometimes even 6 months. Soreness is definitely to be expected at this point. I would say that any remaining sharp pain should begin to improve during the next few weeks. Also, make sure to see your surgeon too. ...Read more
Partial weight bearing for few weeks on ankle that had arthroscopic debridement & modified brostrom. Now full weight, very painful. Normal? How long?
Call your surgeon.:
The fact that you have asked this twice here suggests that you really should call your doctor. It's part of their job.
(You may need to back off on your weight bearing either by using your crutches to increase weight bearing more slowly or resting more frequently during the day.) ...Read more
I had a knee arthroscopy. One of the post op diagnosis." tremendous synovial overgrowth". Synovial debridement carried out throughout entire knee. What does this mean?
Synovium=Lining: Essentially all joints have a sac with fluid in the middle to help them move more smoothly. The lining inside that sac is the synovium. It can get heaped up from growing (like skin callous) which is what tremendous overgrowth refers to and the surgeon thinned out the lining throughout the joint. ...Read more
Six months after bi-lateral knee arthroscopy including: debridement, lavage and partial lateral and medial menisectomies, still in pain walking/stairs?
I had hip arthroscopy & full debridement 3 weeks ago. In the last 24 hrs I've had inceased pain & dull ache in my calf muscle should I be concerned?
In september I had arthroscopic surgery on my left shoulder. I had labral and AC debridement, bursectomy and decompression. Why am I still in pain.?
The first thing to do is check with your surgeon.
Continued pain after a surgery can be from an improper diagnosis, not fully taking care of the problem during surgery, or recurrent tears at the shoulder.
Without knowing what you were going in for -- i.e. What was your diagnosis, it is difficult to tell if what was done to your shoulder was the correct thing.
Check with your surgeon. ...Read more
Arthroscopy is minimally invasive joint surgery, commonly used for the knee & shoulder, but also for the ankle, hip, wrist, elbow and other joints. A camera with a fiber optic cable is attached to a video screen placed thru a 1 cm incision and other instruments are introduced thru other small incisions to do the work required. The small incisions allow for quicker ...Read more