Hyperlife Medical Centre

010 020 5050 | 80 Van Bergen St,
Brackenhurst, Alberton

Morningside Mediclinic

011 883 1719 | Rivonia Rd, Hill Rd,
Sandton, 2057

Ankle Arthroscopy


Ankle arthroscopy

What is it?

Ankle arthroscopy is a minimally invasive surgical technique whereby the ankle joint is visualised by means of a small camera and various surgical procedures are performed with micro instrumentation.

The benefits of a minimally invasive surgical technique are numerous with the most important being minimal soft tissue damage and as a result less post-operative surgical site infection and decreased recovery time.

It is important to note that not all procedures can be performed with this technique and a thorough examination and discussion with the patient will decide inclusion criteria.

Procedures that I can perform through this technique are:

General Recovery Facts

  1. You can expect mild to moderate pain for a few days.
  2. You are allowed to walk on the foot the one week after surgery.
  3. Many patients are however not able to walk on the foot because of pain.
  4. You may drive by about 14 days if it is your right foot, and 7 days if your left foot.
  5. A lot now depends on whether additional surgery is performed within the ankle.
  6. Often you will be placed in a below-knee cast for 4-8 weeks and converted to some form of splint.
  7. You may be able to get the foot wet once the cast is removed and the incision is healed.
  8. You will be able to wear a sneaker type shoe at about 4-6 weeks.
  9. The toes will remain puffy and swollen for 3-4 months.

Specific post-operative recovery

  • Foot wrapped in back slab/below-knee cast and surgical Shoe.
  • Ice, elevate, take pain medication.
  • Expect numbness in foot 12-24 hours then pain.
  • Blood drainage through bandage expected.
  • Do not change bandage.
  • Start heel walking in surgical shoe only.
  • Moderate pain – continue pain medication.
  • Ice, elevate as much as possible.
  • Protect pin site from impact.
  • May drive with caution in surgical shoe.
  • Do not change dressing unless instructed.
  • First follow-up in the office, X-rays possibly taken.
  • Dressing changed.
  • Dressing/cast changed as needed.
  • Moon boot/brace applied in office.
  • Full weight bearing without surgical shoe.
  • Massage of the ankle and toes important for one month.
  • Compression sock may be required.
  • Physical therapy may be commenced.