Ankle Arthroscopy

+/- Debridement of bone or soft tissue impingement +/- Treatment of OCD
Post-operative Guide

Surgery for Impingement; Osteochondral lesion; Loose Body; Scar tissue


If bandages only

May remove outer bandages after 72 hours. Leave underlying dressings on until wound review in office at 2 weeks. These are waterproof so you may shower, but do not soak in the bath/hot tub.

Plaster backslab

If plaster backslab

This is applied in the OR. To be left intact – do not remove. Keep clean and dry at all times.



As much as possible



At least 3 times per day 20 mins on, 20 mins off. Ice should not be directly contacting skin, or dampen the plaster.


Please keep the wounds with any dressings applied at the time of surgery clean and dry and intact.

The dressings will be changed at the time of first review in the office, 10-14 days post surgery.

Signs Of Infection

Increased redness, swelling, malodorous discharge or persistent wound ooze, feeling unwell, fever.

If these occur please contact the office straight away.

Weight Bearing Status

Full/Partial weight/Non weight bearing with crutches/knee scooter and limit time on foot.

Pain Medication

Strong pain medication may be prescribed on discharge from hospital. In general this will not be required for >1 week. It is important to take pain relief as required to stay comfortable post surgery.

Many patients will have a regional nerve block in addition to general anaesthetic. It is important to take pain medication before this has completely worn off to remain in control of your postoperative pain.

Change to simple pain medication when the pain has reduced e.g. panadol/panadeine.

No alcohol or driving whilst taking strong pain medication. Please note that narcotics such as Endone are not prescribed in the office.

DVT (Deep Venous Thrombosis or blood clots) prophylaxis:
100mg aspirin daily whilst NWB 2-6 weeks OR other anticoagulation as prescribed


  • Gentle ankle ROM as directed
  • Toe stretches
  • Upper body and core work

  • Casts and boots and strong pain medications can interfere with your ability to drive
  • You must be able to safely operate the vehicle including the accelerator, brake and clutch pedals at all times and respond appropriately in the event of an emergency
  • When safely weight bearing without crutches
  • When off strong pain medications
  • Minimum 3-6 weeks if the driving foot was operated on

  • Expected to decrease when elevated
  • May have persistent or intermittent swelling for up to 2 years post surgery

Please discuss any travel plans prior to your surgery.

It is usually safe to travel short distances on a plane or car 1 week after surgery. You may experience increased swelling therefore try and keep the limb elevated

It is more difficult to get around the airport and plane. You will need assistance. If there is any concern regarding DVT then air travel or long car travel is not advised. In general long haul flights should be avoided for at least 3 months post surgery.

Please take usual precautions for healthy travel such as elevation of the limb, regular movements of the limb and moving around the cabin, stay well hydrated and avoiding alcohol. Additional DVT prophylaxis may be required.

Return to Sports

  • Determined by injury/surgery/recovery
  • Return to most activities by 3 months
  • May be longer depending on the surgery
Follow Up

  • 2 weeks
    • wound review
    • removal of sutures +/- CAM Boot
    • determine ongoing WB status
  • 6 weeks
    • may require repeat X-rays
    • determine ongoing WB status
  • 12 weeks
    • review +/- X-rays or additional imaging

For all appointments and enquiries, please phone 07 5645 6913 or email

9 Kinloch Avenue
Benowa QLD 4217


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