Ankle arthroscopy is not performed in many centres. However the particular requirements and specific injury patterns of military personnel mean that I have extensive experience of these procedures. Two small cuts are made on the front of the ankle and a camera inserted. Good views can be obtained of any cartilage damage or wear and tear – these can be trimmed or microfractured. Sometimes bits of joint lining (synovial tissue) can get stuck in the ankle and cause sharp stabbing pains – these may also be trimmed. Again I will take pictures (or a video if you wish) of everything I see and do in your ankle. At the end of the procedure, you will have two stitches in the ankle, the ankle will be filled with local anaesthetic and a bandage applied. You can go home that day. A few days off work is best to recover.
If your ankle is unstable and physiotherapy has not helped, an ankle ligament reconstruction may be performed.