Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body
CPT4 code
Name of the Procedure:
Arthroscopy, Ankle (Tibiotalar and Fibulotalar Joints), Surgical; with Removal of Loose Body or Foreign Body.
Summary
Arthroscopy of the ankle is a minimally invasive surgical procedure used to diagnose and treat problems in the ankle joint. This particular procedure involves the removal of loose bodies or foreign materials that may be causing pain or restricted movement.
Purpose
This procedure addresses issues related to loose bodies (such as bone fragments or cartilage pieces) or foreign objects within the ankle joint. The primary goal is to relieve pain, improve joint function, and restore mobility.
Indications
- Persistent ankle pain unresponsive to conservative treatments
- Decreased ankle range of motion
- Obstructed joint movement due to loose bodies
- Swelling and inflammation of the ankle joint
- Previous injury to the ankle with lingering symptoms
Preparation
- Fasting for at least 6-8 hours before the procedure
- Stopping or adjusting certain medications as instructed by the doctor
- Pre-operative imaging studies such as X-rays or MRI scans
- Blood tests to ensure no contraindications for anesthesia
Procedure Description
- Anesthesia: The patient is given regional or general anesthesia.
- Incision: Small incisions are made near the ankle joint.
- Insertion of Scope: A tiny camera (arthroscope) is inserted to visualize the inside of the joint.
- Identification: The surgeon identifies loose bodies or foreign material.
- Removal: Specialized instruments are used to remove the loose bodies or foreign objects.
- Closure: The incisions are closed with sutures or surgical tape.
Duration
The procedure typically takes about 1-2 hours.
Setting
The procedure is performed in a hospital or outpatient surgical center.
Personnel
- Orthopedic surgeon
- Anesthesiologist
- Surgical nurse
- Surgical technician
Risks and Complications
- Infection
- Bleeding
- Nerve damage
- Blood clots
- Stiffness or reduced range of motion
- Adverse reaction to anesthesia
Benefits
- Relief from pain
- Improved ankle mobility and function
- Minimally invasive with smaller incisions and faster recovery
- Reduced risk of complications compared to open surgery
Recovery
- Post-procedure pain management with prescribed medications
- Keep the surgical area clean and dry
- Use of crutches or a walker for support as directed
- Physical therapy to regain strength and mobility
- Follow-up appointments to monitor healing
- Full recovery expected in a few weeks to a few months, depending on individual health and compliance with post-surgical care
Alternatives
- Physical therapy and rehabilitation
- Corticosteroid injections
- Oral medications for pain and inflammation
- Open surgical removal of loose bodies
- Pros and cons: Alternatives may be less invasive but might not provide the same level of symptom relief or may take longer to achieve desired outcomes.
Patient Experience
- Mild discomfort during the procedure due to the incisions and camera insertion
- Post-operative pain that can be managed with medications
- Swelling and minor soreness around the ankle
- Gradual improvement in symptoms and mobility with adherence to recovery protocols
- Supportive care measures such as ice packs and elevation of the ankle can enhance comfort.