Minimally invasive ankle surgery at Beta Klinik is often performed arthroscopically. It is also commonly known as ankle arthroscopy, ankle endoscopy or keyhole surgery. Ankle arthroscopy has revolutionized the treatment of ankle injuries because it is gentle since less tissue is damaged, and it has a lower risk of infections in comparison to open surgery. In addition to that, it has shortened recovery periods and the duration of hospitalization, and it makes a quick return to work, sports and daily activities possible.
During ankle arthroscopy, an endoscope is inserted through small incisions of about 1 cm length (0.4 inches). Inside the endoscope is a camera that enables us to visualize the inner of the ankle as well as damaged structures enlarged at a monitor.
Due to these features, ankle arthroscopy is also an effective diagnostic procedure since damaged structures can be directly visualized in opposite to imaging procedures like MRI, CT or X-raying. This makes a direct evaluation of the extent of the injury possible.
(in comparison to other surgery methods, extent may vary subject to the surgery type)
After ankle arthroscopy and other minimally invasive procedures of ankle surgery, physiotherapy and rehabilitation measures follow. Aim of physiotherapy and rehabilitation is to improve the mobility, range of motion and strength of the ankle in order to make a quick return to normal life possible. Furthermore, it is recommended to improve the condition of the ankle also to prevent new ankle injuries.
After a short hospitalization of a few days, the inability of work amounts 2-6 weeks. Sitting work postures are possible much earlier than physical labor postures.
Return to sports after ligament or tendon reconstruction is possible after 3 months. Less complex arthroscopic surgeries enable resuming sports activities after 2-6 weeks.
In case of cartilage damage of the ankle joint, surgeons of the Beta Klinik perform ankle arthroscopy. Using small incisions of 1 cm (0.4 inches), they smoothen and stabilize the damaged cartilage and induce healing effects (microfracturing). Frequent causes of pain like clamped parts of mucosa or protruding bones/osteophytes can be removed.
In case of ankle sprain, a minimally invasive stabilization surgery is performed. During this surgery, the gracilis tendon is extracted from the back of the knee through a 2-3 cm (0.8-1.2 inches) long, cosmetically appealing incision and used as a transplant. The tendon is then anchored by using bioresorbable (self-dissolving) screws. The anatomic placement substitutes the destroyed parts of the tendons that prevent the ankle from twisting outwards. The advantage in comparison to classic techniques that tear the tendon at the foot and reconstruct ligaments less than 100 % is that the original biology is correctly imitated and the sensitive tendons of the feet preserved.