The purpose of this chapter is to review the available literature and describe the technique when utilizing arthroscopy in the treatment of ankle fractures. The high incidence of acute cartilage injuries and the difficulty diagnosing syndesmotic instability in ankle fractures have led to the adjunctive use of arthroscopy in their treatment since the 1990s. Although this remains a controversial topic, multiple studies have demonstrated the potential of ankle arthroscopy to help confirm anatomic reduction, limit the surgical exposure and soft tissue trauma, and to diagnose and treat associated intra-articular pathology in displaced ankle fractures.
Level of Evidence: Diagnostic Level 4. See Instructions for Authors for a complete description of levels of evidence.