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Ankle Arthroscopy Print

ANKLE ARTHROSCOPY

 

Ankle arthroscopy is performed through two portals opened on the anterolateral and anteromedial part of ankle joint.  Prof.Dr.Şeref Aktaş, while performing ankle arthroscopy may open additional portals as needed. The size of a portal is about 1 cm. Ankle arthroscopy is performed under either general anesthesia or spinal / epidural anesthesia.

The talar osteochondral lesion (osteochondritis dissecans) can be seen and treated with arthroscopic surgery. Prof.Dr.Şeref Aktaş removes the damaged cartilage parts with arthroscopic tools called curette, shaver and artrocare. Then if the lesion is under 1 cm, the subchondral bone is drilled to promote bleeding and vascularisation so that a new cartilage can be formed. If the osteokondral lesion is bigger than 1.5 cm then a tube shaped ostechondral greft taken from knee joint is used to fill the osteochondral defect area. This procedure is called mosaicplasty. When the patient isnot suitable for mosaicplasty or the osteochondral lesion is way bigger, then autolog cartilage tissue transfer can be planned. In this procedure, a small sample of cartilage is taken from patiens own knee cartilage, and it is cultured using stem cell technology within 4-6 weeks and finally newly produced autologous cartilage tissue is transferred to the osteochondral defect area. This final procedure can be done by either arthroscopy or open surgery depending on the size of the cartilage tissue transferred.  This recent development in cartilage surgery have become popular and routine in our practise.So far, the only drawback lookk the cost of the whole procedure.

Ankle arthroscopy is also used in synovitis, antrarticular fractures, intraarticular loose bodies, arthrofibrosis, and ankle impingement diseases.

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Key Words: Talus, osteochondritis dissecans, ankle arthroscopy, ankle impingement disease, ankle arthrofibrosis, ankle impingement disease.

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