Ankle sprains, prevalent in sports, often result in stretched or torn ligaments on the outer ankle, leading to pain and instability. When non-surgical remedies fail to alleviate persistent symptoms, lateral ankle ligament reconstruction (ALR) may be necessary. This surgical intervention aims to restore stability, eliminate the sensation of ankle instability, and alleviate associated pain.
Diagnosis and Treatment
Surgical consideration arises when non-surgical interventions like bracing or physical therapy prove ineffective in addressing ankle instability. A thorough physical examination and possibly X-rays confirm the instability, while overall health status informs surgical suitability. Conditions such as nerve disorders or circulatory issues may impact candidacy. Ankle arthritis or single sprains typically warrant alternative treatments.
Surgical Procedure
ALR, often performed on an outpatient basis, entails various techniques tailored to individual needs. The modified Bröstrom procedure, a common approach, involves tightening existing ligaments using stitches or anchors, supplemented by tissue reinforcement. This procedure may also include ankle arthroscopy to help address synovitis or lateral ankle impingement which is common with ankle instability.
Recovery
Post-surgery, a CAM boot is usually applied for immobilization, with limited weight-bearing for up to two weeks. Gradual weight-bearing, facilitated by a removable walking boot, transitions to ankle strengthening exercises two to four weeks. Physical therapy aids recovery, enabling the resumption of activities like straight-line running and sport-specific exercises. Full recovery typically spans six to twelve months, with sports activities necessitating ankle brace usage for up to a year.
Risks and Complications
As with any surgery, potential complications include anesthesia-related risks, infection, and nerve or vascular damage. Decreased sensation around the incision and atop the foot is common, affecting up to 20% of patients. Delayed wound healing, infections, and blood clots are less frequent concerns. Recurrence of ankle instability or stiffness may arise post-surgery.
Understanding lateral ankle ligament reconstruction empowers individuals with insights into treatment options, facilitating informed decision-making and proactive rehabilitation strategies for enhanced ankle stability and function.
Make An Appointment
If you're experiencing any foot or ankle conditions, we’re here to help. Schedule an appointment today to get the care you need.