You have torn the ankle ligaments and a repair of the ligaments is necessary to tighten up the ankle and prevent further episodes of twisting.
There are two main ligaments which will be repaired and tightened.
There are two methods that I use to reconstruct the ankle ligaments. The one operation is called the modified Brostrum procedure, and is made with a cut on the ankle and the two ligaments are re-attached and tightened using a tiny metallic anchor to which the stitches are attached onto the bone (the fibula). The second type of ankle ligament reconstruction uses a tendon taken from the tissue bank, and is inserted through a “mini-incision” technique. This is called the “percutaneous mini-incision ankle reconstruction” and serves to add support to the already repaired ligament in cases where increased stability is required
Following surgery, you will need to use crutches for about ten days to two weeks.
The cast is worn for 4 weeks, and then you are able to wear a shoe with an ankle stirrup brace which is worn for 4 more weeks.
You can start excercising at 6 weeks after surgery with the ankle brace on at all times under the guidance of a physiotherapist.
Physical therapy is an important part of your recovery.
Running, cutting, ball and racket sports are not permitted for 3-4 months after the surgery unless rehab is complete biomechanical ratios are restored.
An orthotic arch support MAY be helpful but not NECESSARY to your recovery and will be made for you with a computer gait analysis of your walking should the need arise.
You may experience a variety of sensations whilst in the cast consisting of sharp shooting, dull aches, electric shocks, throbbing, sensation of itching and these are all normal and you should not panic.
You will also be placed on DVT prophylaxis as there is a risk of blood clots shooting to the lungs with this procedure for a period of 6 weeks.