Arthroscopy · foot and ankle
Ankle arthroscopy
Allows certain problems inside the ankle joint to be assessed and treated through small incisions when the diagnosis is clear and matches the symptoms.
General guidance
When it may be considered
- anterior or posterior impingement
- loose bodies and synovitis
- intra-articular lesions associated with instability
Individual decision
How suitability is determined
Clinical findings are correlated with radiographs, MRI or CT; treatment targets the clinically relevant cause, not the scan alone.
An abnormal scan alone is not an indication for surgery. The symptoms, clinical examination, progression and the patient's goals must be considered together.
Surgical plan
Decisions that tailor the procedure
- whether the condition is located at the front or back of the ankle
- osteochondral lesions, loose bodies or associated synovitis
- ligament stability and alignment
- the precise arthroscopic procedure planned and its rehabilitation restrictions
Alternatives
What is discussed before surgery
Physiotherapy, load modification, bracing and treatment of the underlying biomechanical cause are the first-line options for many symptoms. Arthroscopy is appropriate for a well-defined intra-articular lesion, not for non-specific pain.
Before the procedure
Preparation and safety
- bring all investigation results, previous operative records and a complete list of medication;
- tell the medical team about diabetes, anticoagulant treatment, allergies, smoking and any active infection;
- do not stop or change long-term medication without instructions from the medical team;
- plan transport, help at home and any recommended assistive devices.
After the procedure
Rehabilitation
Weight-bearing and mobilisation depend on the procedure performed; rehabilitation is usually simpler after debridement than after repair of an associated lesion.
The exact protocol, permitted weight-bearing and follow-up schedule depend on the procedure performed and individual progress.
Informed consent
Risks and limitations
Risks include infection, stiffness, nerve injury, persistent pain and thromboembolism.
No procedure can guarantee complete pain relief or a return to a particular level of activity.
After surgery
Signs that require prompt medical assessment
- fever, discharge, spreading redness or worsening pain at the wound;
- sudden swelling of the calf, chest pain or difficulty breathing;
- uncontrolled pain, new numbness, or a change in the colour or temperature of the limb.
For severe symptoms or an emergency, call 112. The instructions given to you at discharge take priority over the general information on this page.
Editorial responsibility
Medically reviewed content
Dr. Răzvan Anițaș
Consultant orthopaedic and trauma surgeon; PhD in medical sciences
Last editorial update: 22 August 2026
Medical sources used for patient information
First step
Consultation, diagnosis and an individual treatment recommendation
This information does not replace a consultation. Surgery is recommended only after the individual benefits, alternatives and risks have been assessed.