Arthroscopy of the Foot and Ankle

BY DR. JOHN GOODNER

Foot and ankle injuries are very common in sports or in general activities of daily living. Many structures including bone, ligament, cartilage and joint lining may be injured. Injuries may occur from a single traumatic event or from overuse. Injuries may occur during the teenage years that may manifest themselves later on. These injuries may cause stiffness and pain in the foot or the ankle joints, especially after getting out of bed first thing in the morning to walk. This stiffness and pain will be present for a proportional period of time usually to the degree of joint injury. With weightbearing, the joint usually loosens and the person is able to ambulate. This stiffness and pain will redevelop if the person sits for a period of time and tries to get up and walk. As the day goes on, the foot or ankle may ache, especially with excessive activity. Swelling may be present over the area that is injured. Instability may develop if the ligaments have been injured causing the foot or ankle to constantly twist.

When these injuries are unresponsive to conservative treatment which may include orthotics, medication or rehabilitation, arthroscopic surgery may be necessary to remove the damaged tissue in the foot and ankle.

A miniature camera is placed into the injured joint allowing an image to be seen on a television screen. The joint is visualized, and small instruments are introduced into the joint to clean out and repair the damage. Fragments of bone and cartilage are often removed. Suctioning of debris and smoothing rough surfaces will often allow a joint to resume its normal gliding motion.

Arthroscopic surgery may be used to treat the following conditions: chronic join pain and swelling; arthritis and bone spurs; loose bone and cartilage fragments; stiff, scarred joints; and ankle fractures that have not completely recovered.

The advantages of arthroscopic surgery include: faster recovery; less pain and swelling; avoids large incisions; low risk of infection; outpatient procedure; and quicker return to activities.

Joints are designed to give our bodies freedom of movement. Wear and tear of a joint due to injury or due to aging may alter the lifestyle of an individual. When conservative treatments fail, arthroscopic surgery should be considered. The surgery is especially helpful for a fracture that has occurred to the ankle even after the ankle has been fixed surgically. The cartilage in the ankle joint may have been damaged during the injury causing chronic stiffness and pain that may be mild but never goes away completely. Patients often think that this is a very livable condition. However, once treated arthroscopically a full return to activity may be possible.

n Dr. John Goodner is a Board Qualified Reconstructive Foot and Ankle Surgeon with the Foot, Ankle and Leg Specialists of South Florida and specializes in sports medicine foot and ankle injuries, foot and ankle arthroscopy, lower extremity trauma, and lower extremity deformities in infants, children, teens and adults. The South Florida Institute of Sports Medicine in Plantation is located at 220 S.W. 84th Avenue, Suite 102, 954-720-1530. The practice website is www.SOUTHFLORIDASPORTSMEDICINE.com. Instagram @SouthFloridaSportsMedicine. Twitter @SFLSportsMed.

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SELF PAY RATES (Procedure cost is in addition to office visit.) Surgery Consult . . . . . . . . . . . $200 Injections . . . . . . . . . .$75 per shot Orthotics . . . . . . . . . . . . . . . . . $350 Ingrown Nail . . . . . . . . . . . . . .$125 Shockwave (3 sessions) . . . . $500 Laceration Repair . . . . . . . . . $250 (FOR CHRONIC HEEL PAIN & TENDONITIS) Casts . . . . . . . . . . . . . . . . . . . . .$175 X-Rays . . . . . . . . . . . . $50 per area Wound Care . . . . . . . . . . .$75-$125

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