Ankle Ligament Repair

Ligament injuries, especially in the ankle, are common in both athletes and active individuals. These injuries can lead to chronic pain and instability if not treated properly. When conservative treatments do not improve symptoms, ankle ligament repair may be required.

The experts at Orthopedic Foot & Ankle Center in Greater Columbus are here to help if you are dealing with persistent ankle instability or recurring sprains. Contact us today to schedule an appointment!

Do I Need Surgery?

Visiting an orthopedic surgeon doesn’t mean that surgery is necessary. Our orthopedic doctors always prefer to use non-surgical procedures to treat injuries.

What Our Patients Say

“Sincerely takes interest in what’s going on and how he can resolve your problem. If it is something out of his scope of practice he knows exactly who to refer you to for help. He did surgery on my achilles and heel spur back in 2021 and did an awesome job. So what better place to start when you are having a feet issues!” — Kathy D.

What is Lateral Ankle Ligament Reconstruction Surgery?

Lateral ankle ligament reconstruction surgery (commonly referred to as the Broström procedure) is a specific type of ankle ligament repair.

The ligaments on the outside of your foot and ankle include the anterior talofibular ligament (ATFL) and the calcaneofibular ligament (CFL). These ligaments help stabilize your foot and ankle. These ligaments can stretch and get damaged during an ankle sprain. The goal of the procedure is to tighten or replace these ligaments to restore stability to the ankle joint, reducing the risk of future injuries and improving overall function.

A doctor is putting a brace on a woman recovering from ankle ligament repair in Columbus, Ohio.

Reasons for Ankle Ligament Repair

Ankle ligament repair, specifically lateral ankle ligament reconstruction, is typically recommended for individuals who have suffered repeated ankle sprains or those with chronic ankle instability. This instability often results from stretched or torn ligaments that fail to heal properly after an injury.

When non-surgical treatments such as physical therapy, bracing, or activity modification do not provide sufficient relief, surgery becomes a necessary option to correct the underlying problem.

How to Prepare for the Procedure

Preparation for ankle ligament repair surgery involves several important steps to ensure a successful outcome. Your surgeon will likely recommend:

  1. Pre-surgical Evaluation: A thorough examination, including imaging tests like X-rays or MRI scans, will help assess the extent of ligament damage.
  2. Medical Clearance: If you have any underlying health conditions, such as diabetes or heart disease, you may need clearance from your primary care physician or a specialist.
  3. Medications: Your doctor will advise you on any medications to avoid before surgery, particularly blood thinners, as they can increase the risk of bleeding.
  4. Fasting: You will likely need to fast for a certain period before surgery, typically starting the night before.
  5. Arranging Post-Surgical Support: Since you will be unable to bear weight on the affected ankle for some time, arranging for assistance at home and transportation is crucial.

The Ankle Ligament Repair Procedure

During lateral ankle ligament reconstruction surgery, you will be under general or regional anesthesia. The surgeon will make a small incision on the outside of your ankle to access the damaged ligaments. The procedure may involve:

  • Repairing the existing ankle ligaments by tightening them and securing them with sutures.
  • Strengthening the repaired ligaments by stitching other tissue over them.
  • Reconstructing the ankle ligaments using a graft, which may be taken from another part of your body, such as a hamstring tendon or a donor, if the ligaments are too damaged to be repaired.
 

In some cases, additional procedures, such as arthroscopy, may be performed to address other issues within the ankle joint, such as removing scar tissue or repairing cartilage.

Recovery

Recovery from ankle ligament repair surgery typically involves a period of immobilization, followed by a structured rehabilitation program. The general timeline includes:

  • First 2 Weeks: Your ankle will be in a cast or splint, and you will need to keep it elevated and avoid putting weight on it.
  • Weeks 3 to 6: You may transition to a walking boot and begin gentle range-of-motion exercises.
  • 6 to 12 Weeks: Physical therapy will focus on strengthening the ankle and restoring balance and proprioception.
  • 3 to 6 Months: You can gradually return to full activities, including sports, once your ankle has regained strength and stability.

Alternative Treatments and Surgery Options

Before opting for surgery, your doctor might explore alternative treatments such as:

  • Physical Therapy: A comprehensive program aimed at strengthening the muscles around the ankle and improving proprioception.
  • Bracing: Ankle braces can help stabilize the joint during activities and prevent further injury.
  • Injections: Corticosteroid injections may reduce inflammation and pain in some cases.

Benefits of Ankle Ligament Repair

The primary benefit of lateral ankle ligament reconstruction surgery is the restoration of ankle stability. You should no longer feel like your ankle is giving out or have pain associated with an unstable ankle.

You should be able to return to your normal activities without the fear of recurrent injuries. The procedure also helps prevent the long-term complications associated with chronic instability, such as arthritis.

Risks of Ankle Ligament Repair

Like any surgery, ankle ligament surgery carries some risks. Complications can include the following:

  • Infection
  • Nerve damage
  • Blood clots
  • Incomplete healing or continued instability
 

Your surgeon will discuss these risks with you and take steps to minimize them during and after the procedure.

Take the Next Step Toward Stability

If you’re struggling with ankle instability and are considering surgical options, our experienced team at Orthopedic Foot & Ankle Center is ready to help. Specializing in advanced sports medicine techniques, we provide comprehensive care tailored to your specific needs. Schedule a consultation today to take the first step towards a more active future!

Medically reviewed by Roberto A. Brandão, DPM

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