Discharge Instructions for Ankle Arthroscopy

You had ankle arthroscopy. During this procedure, a doctor makes small cuts (incisions) in your ankle. They then put a tiny camera and tools through the cuts to find, identify, and treat problems inside the ankle joint. These problems may include loose pieces of bone or cartilage, bone spurs, osteochondritis dissecans (OCD), and synovitis. Below are tips to help speed your recovery from surgery.

• Don't drive until your doctor says it's okay. Never drive while taking opioid pain medicine.
• Arrange your household to keep the items you need within reach.
• Remove electrical cords, throw rugs, and anything else that can cause you to fall.
• Use a cane, crutches, a walker, or handrails until your balance, flexibility, and strength improve, and you can put weight on your ankle. Remember to ask for help from others when you need it.
• Follow weight-bearing instructions given by your doctor.
• Use a backpack, fanny pack, apron, or pockets to carry things so you can keep your hands free.
• As instructed by your doctor, do the exercises taught to you.

• Take pain medicine as directed.
• Use an ice pack to reduce the swelling. Keep the foot raised. Apply the ice pack for 20 minutes then remove it for 20 minutes. Repeat as needed. To make an ice pack, put ice cubes in a plastic bag that seals at the top. Wrap the bag in a clean, thin towel or cloth. Never put ice or an ice pack directly on the skin.
• Move your legs and wiggle your toes often while resting. This is to improve blood flow.
• Don't soak your ankle in water until your incisions are completely closed and dried.
• Take special care when showering. Follow your doctor's instructions closely. Do the following, as advised:
  • If you are told to leave the bandage (dressing) on at all times, cover your dressing with plastic. Then tape it to your skin or use several rubber bands to keep it dry while you shower.
  • If you are told to remove the dressing to shower, carefully wash your incision with soap and water. Gently pat it dry. Don't rub the incision. Don't use creams or lotions on it.
• Sleep with 2 pillows under your knee and ankle. Keep your ankle raised above heart level whenever you can. This helps keep swelling down.

Make a follow-up appointment as advised by your doctor.

Call 911 right away if you have any of these:

• Chest pain
• Shortness of breath
• Painful calf that is warm to the touch and sore with pressure

Contact your doctor right away if you have any of these:

• An ankle splint, cast, or dressing that has gotten wet
• Fever above 100.4° F (38°C) or higher, or as advised by your doctor
• Shaking chills
• More redness, soreness, bleeding, or swelling of the incision
• Fluid leaking from or opening of the incision
• A foot or toes that are pale, blue, or cool to touch
• More pain with or without activity
• Swelling in the foot, ankle, or calf that is not eased by raising your feet