Procedure

Ankle ligament reconstruction involves tightening the ligaments on the outside of the ankle. The torn ligaments are identified, shortened and repaired to their anatomical position on the fibula. The ligament is placed in a tightened position by using stitches and anchors through the bone itself.  Sometimes, a weakened ligament is reconstructed with a section of tendon derived from the foot and around the ankle; however this will be discussed with Dr du Sart before surgery.

Patients with other ankle joint problems such as joint surface damage (chondral or osteochondral lesions), synovitis, bone spurs or loose bodies in association with ankle instability may also require an ankle arthroscopy performed at the same time as the ligament repair.

Read more about Ankle Arthroscopy.

After Your Operation

Pain Management

Post operation the foot is elevated to reduce swelling and local anaesthetic will provide pain relief and make the foot and toes temporarily numb. During your inpatient stay you will be given pain relief and either medication or prescriptions to go home to keep pain within comfort. Usually patients will initially require regular pain relief consisting of paracetamol and anti-inflammatories if indicated. Stronger medications may be given and helpful in early stages however are phased out as comfort levels increase.

Mobility

It is important to keep the foot elevated as much as possible over the first two weeks to allow the wound to heal and minimise pain and swelling. Physiotherapy rehabilitation commences at two weeks post operation, it is important to follow this program to ensure optimal recovery. You are recommended not to weight bear, and mobilise with crutches or a knee scooter for the first two weeks. Following two weeks in a cast you will be fitted with a camboot and can partially weight bear until five weeks post op, where you will be fitted with an ankle brace to walk with.

Return to Work and Sport

Return to work will vary on the nature of your work and what was done at surgery. In general, you should plan to have at least two weeks off work to allow your wound adequate time to heal and elevate your leg. You may be able to return to light duties after two weeks, but if you are on your feet at work, it may take 6 to 8 weeks. If you are very physically active in your job, it may take 3 to 6 months. Dr du Sart will discuss this with you at your post-op check.

Returning to sport such as jogging may take 3 to 6 months however this is dependent on the type and level of activity. Full recovery is expected in 6 to 12 months.

Driving

Times to return to driving will vary. If you have an automatic car and your left ankle was operated on, your return to driving may be faster. However, in general, plan to avoid driving for two weeks after surgery. However if your right ankle has been operated on it is recommended to return to driving after 12 weeks. If you have concerns, you can discuss this with Dr du Sart.