Knöchelarthroskopie

Ankle arthroscopy is keyhole surgery on the ankle joint. A camera about the width of a pencil is passed through small cuts at the front or back of the ankle so the surgeon can see and treat problems inside the joint.

It can remove bone spurs, loose fragments and inflamed lining, and treat cartilage damage on the talus. It cannot reverse advanced ankle arthritis, where fusion or ankle replacement is the more realistic option.

What Ankle Arthroscopy involves

You lie on your back and the ankle is gently pulled apart with a strap or traction device to open the narrow joint space. Two cuts of about 5 mm are made either side of the front tendons, taking care to avoid the superficial nerve that crosses there. Fluid is pumped in, the camera goes through one portal and fine shavers, burrs or graspers through the other. The surgeon inspects the cartilage, trims impinging bone or scar tissue, removes loose bodies and, if there is a cartilage defect, may drill small holes in the bone beneath it to stimulate a repair layer. The portals are closed with one stitch or paper strips and a padded bandage is applied.

Who is a good candidate for Ankle Arthroscopy?

It suits people whose ankle pain, catching or swelling has a mechanical cause shown on examination and MRI, and has not settled with physiotherapy.

• Front of ankle pain and blocked upward movement from bone spurs (footballer's ankle)
• A loose body or a cartilage defect of the talus seen on MRI
• Persistent pain and scar tissue after a bad sprain
• Ankle fusion being done by keyhole technique

Es ist normalerweise nicht die richtige Wahl, wenn:

• Severe arthritis with loss of joint space
• Active skin infection or poor circulation around the ankle
• Ankle instability alone, which needs ligament repair rather than a clean out
• Pain with a normal examination and normal scans

Technikoptionen

• Anterior arthroscopy: The usual approach, for spurs, synovitis and most cartilage lesions.
• Posterior arthroscopy: Done face down through two portals beside the Achilles tendon, for an os trigonum or posterior impingement, common in dancers.
• Microfracture: Small holes in the bone under a cartilage defect, used for lesions up to about 1.5 cm.
• Arthroscopic fusion: Removes the remaining cartilage and fixes the joint with screws in end stage arthritis.

Was passiert während Ihrer Behandlung

The operation takes 30 to 75 minutes under general or spinal anaesthetic, often with a nerve block that keeps the foot numb for 12 hours or more. Most people go home the same day or after one night. You wake with a bulky bandage and are asked to keep the foot raised.

Vorbereitung auf Ihre Reise

Planen Sie 5 bis 8 Tage in Istanbul. Ihr Chirurg überprüft Fotos und Ihre Krankengeschichte, bevor Sie buchen, und Sie treffen sich persönlich am Tag vor der Operation zur Untersuchung, Markierung und Zustimmung mit einem professionellen Dolmetscher.

• Stoppen Sie das Rauchen und Nikotin mindestens vier Wochen vor und nach der Operation; es ist die größte vermeidbare Ursache von Wundproblemen
• Erzählen Sie dem Team von allen Medikamenten und Ergänzungen, die Sie einnehmen; Blutverdünner, einige Kräuterprodukte und Hormonbehandlungen müssen möglicherweise auf Anraten Ihres Arztes unterbrochen werden
• Vereinbaren Sie, dass jemand mit Ihnen reist oder erreichbar ist, und halten Sie die ersten Tage zu Hause frei von Arbeit und Heben
• Buchen Sie einen veränderlichen Rückflug; Ihr Chirurg bestätigt, wenn Sie fit sind

Genesung und Ergebnisse

After a simple debridement you can put weight on the foot within a few days and wear normal shoes by 2 weeks. Stitches come out at 10 to 14 days. After microfracture you stay on crutches with limited weight for 4 to 6 weeks. Swelling commonly lasts 2 to 3 months. Running usually returns at 6 to 12 weeks, later after cartilage work.

• Back to everyday activity: 1 to 2 weeks for desk work
• When results show: Pain eases over 6 to 12 weeks
• How long they last: Depends on the state of the cartilage

Sicherheit, Risiken und Revisionspolitik

Complication rates are low, but the ankle has nerves running very close to the portals.

• Numbness or tingling over the top of the foot from irritation of the superficial peroneal nerve, usually temporary
• Portal wound infection or a slow healing, leaking portal
• Deep vein thrombosis, more relevant if you fly soon afterwards
• Persistent swelling and stiffness
• Incomplete pain relief when arthritis is more advanced than scans suggested
• Rarely, injury to a tendon or blood vessel

Jeder schriftliche Vorschlag wird durch Clinic-Y gibt an, was die Klinik abdeckt, wenn eine Korrektur erforderlich ist. Fragen Sie danach, bevor Sie buchen, nicht danach.

Cost of Ankle Arthroscopy in Türkiye

Clinic-Y does not publish a single price for Ankle Arthroscopy, because the honest figure depends on your case. What moves it:

• Whether it is a simple clean out or includes cartilage repair or fusion
• Implants such as screws or cartilage scaffolds
• Tagesfall versus Übernachtung
• MRI or CT needed beforehand

Senden Sie Ihre Fotos oder Berichte und Sie erhalten geschrieben, All-inclusive Vorschläge von geeigneten Teams, Seite an Seite. Die Überprüfung Ihres Falls ist kostenlos.

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