Ankle Ligament Reconstruction

ANKLE LIGAMENT RECONSTRUCTION

If you’ve suffered an ankle sprain and torn a ligament completely, you might need ankle ligament reconstruction which is typically implemented only when conservative treatment has failed. Ankle ligament reconstruction surgery is done to reconnect the ankle ligament(s) and recreate the stretch and support that ankle ligaments are designed for. Otherwise, you are apt to experience ankle weakness that can lead to recurring ankle sprains and subsequent ankle arthritis.

TYPES OF ANKLE LIGAMENT RECONSTRUCTION SURGERY

There are two main types of ankle ligament reconstruction surgery. One is called the Modified Brostrum procedure and involves a cut on the ankle after which your ankle surgeon reattaches and tightens the ligaments. The second type of ankle ligament reconstruction surgery requires use of a partial portion of one of the lateral (outside) tendons surrounding the ankle or a ligament from the ligament bank.

RECOVERY AFTER ANKLE LIGAMENT RECONSTRUCTION

After ankle ligament reconstruction surgery, you will typically be on crutches for about 4-6 weeks. Then, you will likely progress to a removable surgical boot that will keep your ankle stable. You will remain in the boot for approximately 4-6 weeks and then transfer to a regular shoe with a stirrup ankle brace to continue to provide support as your ankle ligament heals.

ANKLE LIGAMENT RECONSTRUCTION REHABILITATION

Ankle ligament reconstruction rehabilitation via physical therapy is crucial after surgery. In many cases, your doctor will recommend some combination of the following beginning at around Week 4 and progressing through Week 18 after the ankle reconstruction surgery:

  • Gentle isometric exercise
  • Passive and active range of motion exercise
  • Progressive resistance exercises of the hip
  • Joint mobilization as indicated
  • Soft tissue mobilization
  • Gait training
  • Bilateral heel raises and squats
  • Hydrotherapy
  • Balance board work
  • Elastic tubing resistance