[New therapeutic possibilities for ankle injuries]

Area of Science:

• Orthopedic Surgery
• Minimally Invasive Procedures
• Foot and Ankle Anatomy

Context:

• Increasing patient demand for less invasive surgical options.
• Ankle and subtalar joint pathologies require effective treatment modalities.
• Arthroscopy presents an ideal solution for ankle joint issues.

Purpose:

• To outline the indications for ankle and subtalar joint arthroscopy.
• To highlight arthroscopically assisted arthrodesis as a novel application.
• To emphasize the importance of anatomical knowledge in preventing complications.

Summary:

• Ankle arthroscopy is indicated for soft tissue impingement, ligament instability, syndesmotic issues, osteochondral lesions, loose bodies, arthrosis, and os trigonum.
• Subtalar joint indications include ligament ruptures, loose bodies, and synovitis with impingement.
• Arthroscopically assisted arthrodesis of the talar and subtalar joints is a new indication.

Impact:

• Minimally invasive arthroscopy enhances patient comfort and recovery.
• Accurate anatomical understanding and non-invasive distraction techniques reduce neurovascular complication risks.
• Expanded indications broaden the utility of arthroscopy in foot and ankle surgery.