Ankle Joint Arthroscopy Can be Performed as
- Diagnostic Procedure or
- Therapeutic Procedure
- Procedure Is Performed to Diagnose the Cause Of The Pain.
- Procedure Is Indicated If Pain Continues And Not Responding To Pain Medications.
- Procedure Is Indicated When X-Ray, MRI And Ultrasound Is Normal.
Ankle Arthroscopic Procedure
- Procedure Is Performed In Aseptic Environment Like Surgical Center.
- Surgery Is Performed In Hospital Operating Room Or Outpatient Surgery.
- Procedure Is Performed Under Local, Spinal Or General Anesthesia.
- Local Anesthetics Used Is Lidocaine 0.5% Or 1%.
- Amount Of Lidocaine Injected Is 5 To 15 Ccs.
- Lidocaine Injected To Numb Skin, Subcutaneous Tissue, Tendon, Muscles And Ligaments.
- Local Anesthetics Paste Is Applied Over Skin To Numb Skin Before Needle Puncture.
- Lidocaine Is Injected Through Very Tiny 25 G Needle.
- Patients Are Sedated If Necessary.
- Spinal Anesthesia Is Performed To Numb Both Or One Leg.
- Skin Between Lumbar Spines Of Lower Back Anesthetized Using Lidocaine 0.5% To 1%.
- Spinal Needle Is Inserted And Advanced To Subarachnoid Space Through Skin Between Lumbar Spine L2/L3, L3/L4 Or L4/L5.
- Short (Lidocaine) Or Long (Bupivacaine) Acting Local Anesthetics Injected In Subarachnoid Space.
- Subarachnoid Space Is A Space Outside Spinal Cord Filled With A Cerebrospinal Fluid.
- Local Anesthesia Is Injected Through A Small Needle Of Gauge 25 Or 27.
- Patient Is Sedated If Necessary.
Indications for General Anesthesia-
- Apprehensive patient
- Patient afraid of needle and
- Patient unable to lie quite
Monitoring During the Procedure
- Blood Pressure
- Oxygen saturation
- Pulse rate
- Diagnostic Arthroscopy is a procedure of insertion of arthroscope inside the ankle joint
- Examination of the joint and observing joint abnormalities or cause of pain
- Collection of tissue pieces for pathology and laboratory studies.