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Ankle Stabilisation Surgery

 

Written by Dr Mike Smith

You continue to sprain your ankle and have ongoing pain and don’t ‘trust’ it.

Below is a guide to the surgical management of ankle instability

The majority of ankle sprain injuries occur following a twisting injury. Typically this is an ‘inversion’ type injury where the ankle turns inwards and the body ‘goes over’ the ankle joint. This pattern results in injury to the outer (lateral) sided ankle ligaments (ATFL / CFL).

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Chronic ankle symptoms following an ankle sprain often include pain, instability (the feeling that the ankle joint is going to ‘roll over’), and persistent swelling. When any of these symptoms are present, despite conservative management, surgery is considered.

 

 

 

 

Ankle Stabilisation Surgery

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Utilising modern techniques, ankle stabilisation surgery is frequently performed as a day procedure. There are usually two parts to this procedure.

Ligament Stabilisation

Key Hole Ankle Arthroscopy 

 

 

 

Ligament Stabilisation

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A small incision is made directly over the torn ligaments of the lateral (outer) ankle. These ‘stretched’/’torn’ ligaments are reflected off the lower end of the fibula, and repaired with appropriate tension to restore function.

 

Loose fragments of bone may be removed at the same time. The peroneal tendons (tendons behind the fibula) are inspected for any inflammation or tears which are addressed through the same incision.

With the use of modern surgical and anaesthetic techniques, this procedure is now performed as a day procedure.

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What have you injured when you sprain your ankle

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Rehabilitation is Essential

Following your procedure a structured strengthening and physiotherapy program will commence

Following hospital discharge you will be fitted with a specialised boot. You are able to weight bear immediately, however you may find that the use of crutches for 1-2 days will be beneficial. During the first week after surgery, keeping your leg elevated where possible will reduce postoperative swelling.

For the first 4 weeks, a dedicated program is commenced to focus on ankle and hindfoot range of motion, with calf strengthening and peroneal muscle strengthening.

Further strengthening and proprioceptive training is conducted from 4-8 weeks.Following this, the commencement of training and sport specific exercises may commence in conjunction with physiotherapy supervision.

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Orthopaedics 360

Orthopaedics 360

P: (08) 7099 0188

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Orthopaedics 360

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Orthopaedics 360

A: 94-96 Fullarton Road, Norwood 5067

P: (08) 7099 0188

F: (08) 7099 0171

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