ORTHOPAEDICS AND TRAUMATOLOGY CLINIC
The ankle connects shank bones (tibial and fibula) with a foot. It is one of the most complex parts of the human osteoarticular system. It is nothing unusual then that it is commonly injured.
Anatomically, we divide this joint into upper and lower ankle. Upper part of this joint is a junction of a tibial and fibula bones forming a concave area. A trochlea of a talus bone forms a convex part of a joint. Lower ankle consists of a talus, calcaneus and navicular bones.
Treating ankle injuries in its first stage is based on a conservative treatment, that is a usage of anti-inflammatory medicines and painkillers and proper rehabilitation. When conservative treatment gives no effect, surgery is recommended.
Example procedures performed in the Carolina Medical Center within the ankle:
- arthroscopy of the ankle / with reinsertion of a tendon/ stabilization
- arthroplasty of an ankle
- osteotomy within a foot and an ankle
- farther end of a tibial bone fracture – complicated
- endoscopy of the Achilles tendon bursitis – Haglund’s deformity
- tibiofibular syndesmosis stabilization Tight rope
- primary suture of the tendon, secondary suture of a tendon
- tendon release – tenolysis
- revision of partial damage of the Achilles tendon
- total suturing of the damaged Achilles tendon/medial head of the gastrocnemius muscle
- lateral malleolus fracture / with syndesmosis damage
- lateral and medial malleolus fracture/ with syndesmosis damage
A minimally invasive method of joint operation, used also in case of ankle injuries
Arthroscopy is not such a novelty – first arthroscopy was performed nearly 100 years ago in 1918! In those days it was treated mainly as a diagnostic method that allowed looking into a joint as if through a keyhole. Currently, it is performed mainly as a treatment method, that allows performance of many procedures within a joint, including ligaments reconstruction and cartilage correction.
Arthroscopy advantage over traditional operating methods is that there is no need for full joint opening. Usually few (2-3) small (0.5 cm) cuts is enough. Through those cuts a video camera and tools are introduced. Thanks to these actions, coming back to health can be much faster, scars fully invisible and joint surrounding tissue damage – minimal.
Description: Arthroscopy can reconstruct damaged ligament as well as replant detached part of a bone. In the picture there is na arthroscopic image of a reinsertion of a detached anterior talofibular ligament (after a sprained ankle)
Description: Standard arthroscopic video camera has a diameter of 4 mm. Within the ankle, smaller cameras are also used – with a diameter of 2.8 mm.
Substantially, arthroscopy of any joint can be performed, from the large ones, like a knee or a hip, through an ankle and the smallest ones like interphalangeal toe joints. An ankle is not even the smallest joint that can be treated this way.
doctor Urszula Zdanowicz