Ankle Arthroscopy is typically required where free moving objects exist in the joint, in cases of damage to the cartilage of the lower ankle bone (OCD), or in cases of severe tissue clustering inside the ankle joint after injury or open surgery.
According to the treatment philosophy of Dr. Suzanna Horovitz, who sees surgery as a final resort, ankle arthroscopy is only performed where more conservative treatment, which does not include surgery, failed.
Free Moving Objects in the Ankle
In cases where a free moving object occurs within the ankle joint, the foreign object is extracted from the ankle through a tiny incision in the skin, with special surgical equipment. A free moving object (cartilage or a bony object) might cause damage to the joint cartilage and obstruct the mechanical movements of the ankle, which may be accompanied by pain during motion.
Damage to the Ankle Cartilage
Damage to the cartilage of lower ankle bone (OCD) causes instability to the cartilage, which leads to pain, inflammation and difficulties moving the ankle. With ankle arthroscopy, the injured cartilage is removed, and the area of the bone, above the site of removal, is stimulated, in order to encourage the bone to grow a cover where the injured cartilage was removed.
The existence of an inflamed tissue, or clustering around the ankle, causes pain, a “pinching” sensation to the ankle, and limitation of ankle movement. During ankle arthroscopy the injured tissue is removed, and the patient is able to improve the ankle’s range of motion and to reduce pain.