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Related Experiment Video

Updated: Aug 8, 2025

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Complications following ankle arthroscopy.

Zaki Arshad1, Aiman Aslam2, Sofyan Al Shdefat3

  • 1University Hospitals of Leicester NHS Trust, Leicester, UK.

The Bone & Joint Journal
|February 28, 2023
PubMed
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Ankle arthroscopy is a safe procedure with a low 4.09% complication rate. Neurological injuries are the most common issue, but major complications are rare, occurring in only 0.2% of cases.

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Area of Science:

  • Orthopedic Surgery
  • Minimally Invasive Procedures
  • Patient Safety

Background:

  • Ankle arthroscopy is a common surgical technique for diagnosing and treating various foot and ankle conditions.
  • Understanding the full spectrum and frequency of potential complications is crucial for informed patient consent and surgical planning.
  • Existing literature presents a fragmented view of complication rates following ankle arthroscopy.

Approach:

  • A comprehensive systematic review was conducted, analyzing 150 studies encompassing 7,942 ankle arthroscopy cases.
  • Data on perioperative complications were extracted and pooled to determine overall and specific complication rates.
  • Study quality was assessed using the Oxford Centre for Evidence-Based Medicine levels of evidence.

Key Points:

  • The overall pooled complication rate for ankle arthroscopy was 4.09% (325/7,942).
  • Neurological injury was the most frequent complication (55.4% of all complications), with superficial peroneal nerve involvement being common.
  • Major complications, such as deep vein thrombosis, occurred in a low 0.2% of cases.

Conclusions:

  • Ankle arthroscopy demonstrates a favorable safety profile with a low overall complication incidence.
  • The majority of reported complications are minor, highlighting the procedure's general safety.
  • This review provides a robust evidence base for the safety and complication profile of ankle arthroscopy.