Ankle problems that may need surgery include: Surgeries can range from minimally invasive arthroscopy to ankle replacement surgery. The nerve block was clearly doing its thing as there was no pain at all. To watch an ultrasound-guided ankle injection please clinic on the video below. The ligaments can be sewn back together, and theyll reattach, stronger than new apparently. Foot Ankle. endobj 14,22 The lateral ligament complex includes the anterior talofibular ligament (ATFL), calcaneofibular ligament (CFL), and posterior talofibular ligament. Stiffness of the ankle joint or recurrent instability are both possible complications from stabilization surgery. 2. PS im a former elite level competitive bike race and psycho cross racer. Then your surgeon tightens one or more of the ligaments on the outside of your foot. 5 days post-surgery, things are looking better. Lateral ankle sprains (LASs) are the most common ankle injuries that account for approximately 85% of ankle injuries and contribute to a considerable health care cost. Cookies are stored in your browser and perform functions such as recognising when you return to our website and helping our team to understand which sections of the website you find most interesting and useful. Last reviewed by a Cleveland Clinic medical professional on 02/11/2020. % Able to perform 3 and 6 month Sport Tests. I refitted the car with a left-foot accelerator made out of soldered copper pipe. They kicked me out of the hospital soon after, and I rode home to enjoy two weeks under house arrest. endobj Hello Everyone, There has been scarce literature to guide athletes as to their predicted time to return to training and to competitive sport. Progression to the next phase is based on Clinical Criteria and/or Time Frames as Appropriate. Pain medicines may help to relieve your pain. The anterior talofibular ligament is tightened. If this happens, your ankle may become unstable. The names of each ligament refer to the bones they attach to. J Transl Med. Ferran NA, Maffulli N. Epidemiology of sprains of the lateral ankle ligament complex. He also has a small talus fracture. These help keep your ankle and foot steady when you walk. This means that every time you visit this website you will need to enable or disable cookies again. By morning I could move my toes, and the pain level was probably at no more than a 2. The damaged ligaments on the outside of the ankle are then tightened up and anatomically reattached onto the bone. Initiate stationary cycling, no clip ins, light to no resistance, and slow cadence. Ive been told that elite athletes are rehabd different to the general population. It is important to stick to nonsurgical treatments to deal with chronic pain. Certain mechanical problems with your foot can make you more likely to develop an unstable ankle, such as: You may have already been treated with physical therapy and special foot inserts. Now you might think this a crazy idea, and everyone warned me against it, but in reality it wasnt much different than driving on the left side of the road. Its much harder to use the drugs to overcome the pain once it arrives. Progress to full weight bearing in walking boot. The nerve is usually identified and is not normally cut but retracted away from harm. The goal is to repair the loose lateral ligaments. Ramdass B, Koka PS. Are there any other elite athletes whove had this experience and did you get back to what you love and how long did it take? Im able to walk to the store, and every week the limp seems to be less. The most common type of ankle sprain is an inversion injury, or lateral ankle sprain. No big deal. The Foot and Ankle. 3 0 obj The MRI on the right is after precise ultrasound-guided injections of bone marrow concentrate. PHASE I: IMMEDIATE POST-OP (0-2 WEEKS AFTER SURGERY) PHASE II: INTERMEDIATE POST-OP (3-6 WEEKS AFTER SURGERY) PHASE III: LATE POST-OP (7-8 WEEKS AFTER SURGERY) PHASE IV: TRANSITIONAL (9-12 WEEKS AFTER SURGERY) Rehabilitation Goals Maintain full ankle ROM Progress ankle and lower extremity strengthening Avoid post exercise pain/swelling Ankle and foot rehabilitation protocols Brostrom procedure rehab protocol Download PDF Time frames mentioned in this article should be considered approximate with actual progression based upon clinical presentation. How serious is a ligament tear? After surgery, I was put in an aircast and sent home. Begin plyometric training and initiate return to run program with lace up brace. An ankle-ligament reconstruction weaves a harvested tendon graft, most commonly the peroneus brevis, to augment the lateral ligaments of the ankle. 2 week post op (day 14) Ive removed my stitching and is out of the walking boot and is on stirrup brace. They may not take you as a good candidate for surgery if you have nerve or collagen disease. Back when I was in boy scouts, our scout troop leader had a limp. Appointments 216.444.2606 Appointments & Locations Request an Appointment Procedure Details Bunion surgery (including Tailors bunion), Comprehensive arthroscopic management (CAM), Open reduction and internal fixation (ORIF), Foot and ankle, limb reconstruction & bone infection, What to expect after ankle ligament reconstruction surgery, Bruising, pain and swelling are typical, but it may still be possible to put a certain amount of weight on your foot, A feeling that your ankle is catching or locking, Lack of stability in your ankle causing the ankle to give way frequently, Possible ankle dislocation or osteochondral injury (defect in the cartilage at the tip of the bones). Careful observation and ongoing assessments will dictate progress. A novel nonsurgical treatment option is now available for the treatment of partial and full-thickness ankle ligament tears. When you wake up, you will likely find your ankle in a splint. The ankle is susceptible to injury including strains and tears. Finally saw a surgeon who advised that Brostrom is the best way to go ahead! Most people recover in a few months after an ankle arthroscopy. If you have had repeated ankle sprains or if you have certain foot deformities, your ligaments can start to get weak and loose. In the repair and healing process, this nerve can become scarred, leading to either decreased sensation over the top of the foot or in some cases, a painful burning sensation in this region. Because we find that our patients are careful during the recovery time, we allow our patients to put full weight on their heels after their first post-op visit. Often, lateral ankle ligament reconstruction is an outpatient procedure. Careful observation and ongoing assessments will dictate progress. Isometrics in multiple planes and progress to active exercises in protected ranges. 2 0 obj The ankle ligaments most commonly injured are those on the outside. You do need to be very cautious as you get started, and you do want to keep that right foot out of the way. Leg shaved, colored pens to mark which ankle they were going to operate on, IV drip hooked up, sedatives infused, ultrasound to find the leg nerves and a nerve block applied, and then I was wheeled into the OR, strapped in and a couple short breaths later. Dr. Schultz has extensive experience with same day as well as culture expanded bone marrow concentrate and sees patients at the CSC Broomfield, Colorado Clinic, as well the Regenexx Clinic in Grand Cayman. Call our friendly team today on 020 3195 2442 Online payment Refer a patient Contact Information A-Z of all conditions and treatments Health Professionals For the first few weeks after surgery, you will be instructed to use crutches or a wheelchair and avoid bearing any weight on the reconstructed ankle joint. I was able to get around. In one study the complication rate was 29% and involved wound healing, nerve injuries, blood clots, complex regional pain syndrome (3). The yellow circle identifies the complete healing of the ATF ligament after the PAL treatment. Friends came to visit, and I took them to Yosemite. Eventually, I stopped running; it wasnt worth the risk. %PDF-1.5 Patients are sometimes are allowed to place the ankle through a gentle range of motion in order to limit the stiffness. Important note Take plenty of rest soon after your surgery and keep your leg elevated to help blood flow back from your ankle. Thanks again James. If your surgery is minimally invasive, your surgeon will cut a small incision. 5. You may need to plan some changes to your home and activities before surgery. What pain medication did you receive? I am older, 71, but an active outdoor enthusiast who does a lot of hiking, biking, paddling. Patients are generally able to walk normally twelve weeks after their surgery, and are also able to resume high impact sports activities. They sent me home with prescriptions for lots of ibuprofen and opioids (oxycodone). The layers of skin and muscle around your ankle will be surgically closed. His name is Dr Ocel. Orthoped Traumatol Surg Res. The short answer is yes as the damaged ligaments are removed, holes are drilled into the bones and tendons are harvested from different body sites. Surgical complications include bleeding, infection, nerve damage, and surgical failure. You can buy a pair for $40. This is done while you are under general anesthesia. [f[$TLV|]KaM{vm.LLd_IH$]Mgr1S2GsCp(8#qQaj_u~Zd=H"$"jawcV8kd422O}[:Y1e|dmCiwgFW`V. Pain was at it peak on day 2 prolly cause i spaced the time of medication a tat bit too long apart. These ligaments are instrumental in keeping your ankle and foot strong, stable and steady when you . So, with insurance in hand, I went to get some long overdue physical therapy. Mainly hypersensitivity around the scar. Raven Press, Ltd. New York, 1994. No passive or active inversion or eversion for 6 weeks. That feels right. Foot Ankle Int. Shakked RJ, Karnovsky S, Drakos MC. The tendons serve as the new ligaments. I only run once a week or so as part of a a varied exercise routine, so perhaps I should push it more and see if it sorts itself out. Not a lot, but I can comfortably trot out four or five miles now, which is all Im after really. I get a pain then a snap my foot goes kinda loose then I get swelling and more pain? My physical therapist was not amused. Milder fractures, when the ankle is stable and the broken bone isnt out of place, may not need to be surgically repaired. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Ankle Arthroscopy Ankle arthroscopies are used to address a wide range of ankle issues. The ankle is a complex joint and consists of three different joints called the subtalar joint, the tibiotalar joint, and the distal tibiofibular joint. The purpose of the Brostrom-Gould procedure is to stabilize the ankle ligaments, improve the ankle's mechanics and restore full function. Continue with soft tissue mobilization, mobilization of ankle/foot as needed for range of motion. But the boot came off, and it was soon time for physical therapy! If revision of a Brostrom repair is required many surgeons will choose to perform a, Did you know our resouces can be found in. In a few weeks, your healthcare provider will likely replace this cast with a removable brace. Walking after brostrom procedure takes a long time. Very odd Mine was two weeks in a cast, then two weeks in boot (none weight bearing, at four weeks 50% weight bearing for two weeks then full weight bearing at 6 weeks in the boot. The incision is opened up down to the ankle joint. Surgery for an ankle fracture is done if the bones in the ankle are unstable and need more support to heal. First, you have to see a pre-admission nurse to confirm you are a good candidate for surgery. Lets dig in. The surgery is performed under a general anesthetic or spinal block and takes 1-2 hours. Chronic ankle instability from multiple sprains or other causes. You'll spend less time in a cast, start physical therapy sooner, and return to sports much earlier than you would with a . Only the strength of my muscles kept me upright. The ankle started to ache not badly, but noticeable. Believe me, forearm crutches are the single best piece of advice I can give. It is important to use crutches for the first three weeks or so after your ankle ligament surgery. Make sure to tell your surgeon right away if you have high fever, chills, or increasing pain from your ankle. You will need local (below the waist) anesthesia or general anesthesia, so you sleep through the procedure. I've had my cast off Monday and put into a boot. I have suffered from a lifetime of ankle sprains due to ligament laxity and have seen many ortho docs and been in boots, on crutches many times, the whole deal. New masking guidelines are in effect starting April 24. to me it happened yesterday. This will help make sure that your surgery will be a success. One day, I found I was able to stand. The first couple weeks on crutches is hard. The area around your incision may feel numb this usually happens in 20% of cases and some patients experience complete loss of sensation. After another hiking ankle injury I ended up with the right doctor who said he could fix this. Take pain medications if your doctor has prescribed some. You will have some pain for a while after your surgery, especially for the first few days. The years passed by, the sprains kept coming. So theres a shopping list of things you need to prepare for. Sometimes, an injury can cause these ligaments to tear and that is when you have to consider undergoing ankle ligament surgery. endobj What are the risks of this Brostrom procedure? Return to training was prolonged to an average of 12 weeks and return to sports 15 weeks when an additional injury was present. By this point the physio laughed at me, and said there was nothing she could really do. But over the years the trips and sprains added up. I was doing quite a far bit of weightlifting prior to the surgery, so that makes the muscles atrophy very significantly when i compare my left and right leg. The procedure is called a Percutaneous Ankle Ligamentoplasty (PAL). 2017 Jun;25(6):1908-1915. doi: 10.1007/s00167-016-4207-x. barn wedding venues in texas; Books. Avoid plantar flexion greater than resting position for 4 weeks. DOI: 10.3113/FAI.2009.0213. Its almost exactly one year post op but nobody can really figure out whats wrong with it so Ive been doing pt. I stopped hiking; it also wasnt worth the risk. But I think I will use forearm crutches for all hiking in the future. High-impact activities such as running and jumping can damage an artificial ankle joint. The torn ligament or ligaments are surgically removed and replaced with either cadaver, or a patients own, tendons. While undoubtedly there are countless exercise and Becky Worley from Good Morning America came to The Dr. Stone recently shared his expertise in the Myths and Facts About Stem Cell Therapies, Paste Grafting and Stem Cell Cartilage Repair in 2023, ACL Revision Surgery - The Keys To Getting it Right (Video Blog), Knee Replacement Rehab - What to Expect After Your Surgery, Muscle For Life Podcast: Kevin Stone, MD on How to Stay Fit, Injury-Free, and Perform Your Best As You Age, Turning Back Time with Neil deGrasse Tyson and Kevin Stone, MD, Good Morning America asks Dr. Stone How to Run Without Pain, "Sailing with Arthritis, BioKnees, Novel Resurfacing" - Dr. Stone's talk to the St. Francis Yacht Club, Robotic Joint Center | Partial & Total Knee Replacement, Physical Therapy and Rehabilitation Videos, Book a Physical Therapy Appointment (Online Available in U.S. Only). If, like many of our patients, you don't live in the Bay Area, we offer a complimentaryphone consultation service. The ACL is identified by the dashed yellow lines. Foot and ankle ligament repair is a procedure typically done to treat serious sprains or instability in the ankle. My mother cautioned me to look after my ankle. Lateral Ligament Reconstruction With Tendon Graft. Ask if you should stop taking any medicines ahead of time, like blood thinners. You will probably receive general anesthesia to make you sleep through the procedure or regional anesthesia to numb the involved leg. San Francisco, CA 94123, United States. Other complications include infection and slow wound healing. I managed to walk the Vernal Falls circuit partially weight bearing with the underarm crutches, up slippy rocks, and through snow. What is Brostrom ankle surgery? Your recovery time may change due to many different factors and your unique circumstances. Surgery on an ankle may be needed to treat fracture (broken bone), arthritis, tendonitis and problems that cant be resolved with therapy and medications. Injury to the superficial peroneal nerve:This nerve is often in the wound. But I was young then and I figured I had nothing to worry about. DOI: 10.1177/107110078700700614. It was left foot or nothing, and the left foot rose to the challenge. Posterior splint immobilizer for 3 weeks. Talk with your healthcare provider about how to prepare for your surgery. Keeping this cookie enabled helps us to improve our website. For many people, ankle surgery lets you use the ankle again. The drugs did their job and I felt fine and only slightly loopy. References: Brigham and Women's Hospital: Modified Brostrom-Gould Repair; University of Wisconsin Sports Medicine: Rehabilitation Guidelines for Lateral Ankle Reconstruction; Journal of Orthopaedic Surgery and Research: Treatment of chronic lateral ankle instability: a modified brostrom technique suing three suture anchors; Sports Physical Following a Brostrom repair, the following post-operative changes are considered "normal" and are frequently observed: Loss of inversion ROM up to 15 degrees Ankle eversion strength deficit of 10% or greater Decreased balance, with increased postural sway Decreased proprioception Disclaimer Im due the Brostrom procedure in 3 weeks time and feel like Im going into it a bit neive as I am also one that overdose it and I also dont like asking for help(.. The ankle is also made up of numerous tendons that work to attach muscles of the lower leg to the ankle and foot. Progress from aircast to ASO lace-up ankle brace. Foot Ankle Clin. Stretching out of the repair:This is another potential risk of this surgery. Ankle Ligaments. I swung mine over to the passenger seat, so that muscle memory would know it had no role in hitting the brake should a surprise arise. At the Centeno -Schultz Clinic we pioneered the treatment of Anterior Cruciate Ligaments (ACL) tears with bone marrow concentrate. Lateral ankle ligament reconstruction is a surgery to tighten and firm up one or more ankle ligaments on the outside of your ankle. Its most often done as an outpatient surgery, so you can go home the same day. 1987;7(6):362-8. Office hours: 7am 5pm. 3 weeks cast An orthopedic foot surgeon will perform your surgery. I just lay there on the trail for hours until some friends and the park ranger hiked in with my old crutches. You can find out more about which cookies we are using or switch them off in settings. If you disable this cookie, we will not be able to save your preferences. 4-6 months full activity. I had the Brostrom Gould repair done 11/28/22 and have been doing really well post op. Turns out he has completely torn his ATL and Deltoid ligament and ruptured the CFL. Carefully follow all instructions about medicines and wound care. time, was adapted from the protocol used at the Hospital for Special Surgery (HSS), where the modified Brostrom-Gould procedure is the preferred anatomical surgical procedure for the . Pain stopped being severe, Im off opioids and can sleep. It seems only America is stuck in the mid-1800s with its preference for underarm crutches. However, opioids come with significant risks of addiction and abuse, as well as potential side effects like constipation and nausea. The biggest improvement is that my ankle now feels much, much, more stable. This included over-the-counter medicines like aspirin. American Academy of Orthopaedic Surgeons. Immediate Post Surgical Instructions and Home Exercise Program: Weeks 0 to 6: Goals: 2. endobj i have been bouldering 3 times a week for the last year and was very happy with my progress, now sooner or alter shit tends to happen. Tendons taken from other locations in the body or cadaveric are used to create the new ankle ligaments. So I had a right ankle brostrom procedure done July last year in Chester, UK. The nurse will check and confirm if you have an unstable ankle that requires surgery. The total expected recovery time is 6-12 months. Jonathan Cluett, MD, is board-certified in orthopedic surgery. And thanks for this post and all the comments! Recovery is definitely plateau-ing. American Orthopaedic Foot & Ankle Society. I took a long walk down by the canal in the morning drizzle before I went in, and then I resigned myself to the professionals. Recovery from ankle ligament surgery requires wearing a cast or splint for a minimum of two weeks, and in this initial period it is crucial to rest your ankle as much as you can. A modification to the Brostrm procedure may be added by identifying the strong extensor retinaculum and incorporating this into the repair. There's a very low risk of complications, and you'll be able to go home the same day as your surgery. This website uses Google Analytics to collect anonymous information such as the number of visitors to the site, and the most popular pages. We are so concerned that his soccer aspirations may be over (well they are for the season but concerned for long term). No fins in pool until 12 weeks. I rolled my left ankle and broke it walking to the car. If Id bought the boot without insurance it might have only been $700. For example, AT ligament is the ligament that connects the fibula bone to the talus bone. Reoperation rates following ankle ligament procedures performed with and without concomitant arthroscopic procedures. How Long Does a Sprained Ankle Stay Swollen? My ankle is much more stable, and I am comfortably getting around on it, but it still aches and it doesnt feel good to run on it. My arms grew strong. There is plenty of medical information online, but I couldn't find many first-hand experiences of the problem. endobj If you have ongoing ankle pain, contact your provider for an exam. Id take the crutches for longer walks. As a result, up to 40% of patients with lateral ankle sprains suffer from chronic ankle instability (CAI). There are a few problems as a result of the surgery but nothing horrendous. But when ankles are badly broken, deformed, unstable or cause constant pain, surgery may be the only answer. The total recovery time for a Lateral Ankle Ligament Reconstruction is anywhere between six to twelve months. Hey! Phase I: Weeks 1-2 Goals Rest and recovery from surgery Control swelling and pain Increase ADL (Activities of daily living) Guidelines FWB (full weight bearing) in cast. You will not need a brace after six months. The goal is to repair the loose lateral ligaments. Ive just passed the nine-week mark of my post-op. Hi all. After surgery, most people return to their normal activities within six to eight weeks. Seeing is believing. The pain that originates from other sources such as the ankle joint itself will not necessarily be addressed with this procedure. 1 0 obj Every day is better though and Im back on my bicycle, and back to swimming. On the outer side of your foot, you have several ligaments. You wont be able to walk on your foot normally for a while. Your ankle is a hinge joint that allows motion up and down, and from side to side. It is common for patients to take 4-6 months to be able to return to high-level activities. I am a person that overdoes quite easily and do not want to do it this time and mess up the surgery. Artificial ankle joints are generally recommended for healthy people over the age of 60 who have less-active lifestyles. Described by Dr. Stone as a "gift to his patients," this short, weekly blog focuses on sports, performance, & orthopaedic care. This evidence-based guideline is criterion-based; time The surgery has definitely helped with my ankle giving way following a dislocation a year before the surgery. A damning indictment on the state of over-charging in American healthcare. You may require different surgeries if you have ankle joint arthritis. Patients undergoing this type of surgery typically need a 6-week period where the ligaments are allowed to heal. I have been searching the web for what to expect as to length of time and how to proceed with recovery. Download your copy today! 2017;10(1):113-21..doi: 10.1007/s12178-017-9391-x. Nothing that a little ibuprofen and a bit of ice doesnt take care of. At approximately 6 weeks physical therapy is usually started. 1 0 obj Currently in San Francisco, CA | 1.415.342.1350 |, NHS (Royal Berkshire) Guide to Brostrom Repair, NHS (Guys & Thomas) Guide to Brostrom Repair. Progress back into athletics based upon functional status. Progress from posterior splint to pneumatic walking boot. Im back to running short distances down the beach! Find a dr who is good with athletes! This may also be performed on the calcaneofibular ligament if this ligament is also loose. 1!G+l]MEh^LJf^Vu\X3bAso The MRI on the right is after treatment and now the ACL is tight and well organized. The nerve block lasts about 12-18 hours. After the two-week mark, you will be given a support boot, although you should continue to refrain from bearing weight on your foot until between four and six weeks post-surgery, depending on your individual case. Recovery time after arthroscopic debridement is generally short. I got a Brostrom, clean out of my ankle area and bones spurs and a micro fracture to regrow cartilage. Damn Im happy to find this. For more details about recovering from ankle ligament reconstruction surgery, read our downloadable patient information leaflet. During lateral ankle ligament reconstruction, the surgeon makes a small cut on the outside of your ankle. Lateral ankle ligament reconstruction is a surgery to tighten and firm up one or more ankle ligaments on the outside of your ankle. 1.Guillo S, Bauer T, Lee JW, Takao M, Kong SW, Stone JW, Pearce CJ. % However, it is not as strong as the original ligament and further ankle sprains will potentially stretch out this ligament. During this procedure, the ligament There are three important ankle ligaments on the outside of the ankle that provide stabilize the joint. You have a doctor's appointment 10 to 14 days after your surgery. I am very glad to find this site and I want to thank James for his recounting of his journey. (Ligaments are bands of fibrous tissue that connect bone to bone; see illustration.) Modifications to this guideline may be necessary dependent on physician specific instruction, degree of the tear, specific tissue healing timeline, chronicity of injury and other contributing impairments that need to be addressed. Forefoot surgery has the advantage that most patients can walk on their heels. Knee Surg Sports Traumatol Arthrosc. Many patients can return to work five to six weeks after their operation, even in cases where their job involves manual work or walking. Moreover, you should not be going for surgery for single ankle sprain. What are ankle ligaments? There is some numbness on the skin and still get a bit of pain in my ankle too. is a national expert and specialist in Interventional Orthopedics and the clinical use of bone marrow concentrate for orthopedic injuries. Then I could walk across the kitchen unaided. almost 2 months post op I rolled it and it never truly recovered. J Pain Res. There are three important ankle ligaments on the outside of the ankle that provide stabilize the joint. Many patients are also able to wear heeled shoes, but must be aware that wearing higher heels for long periods can cause damage to the feet. Keep 2 inch no touch zone around portals x 4 weeks. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://orthoinfo.aaos.org/en/diseases--conditions/ankle-fractures-broken-ankle/), (https://www.footcaremd.org/conditions-treatments/ankle/ankle-fracture-surgery), (https://www.arthritis.org/health-wellness/treatment/joint-surgery/preplanning/surgery-options-for-ankle-arthritis). These patients can likely avoid ankle ligament surgery. Your surgeon may then reattach these ligaments to your fibula by using small new holes drilled into your bone. This ligament is also often scratched out. Chronic ankle instability puts the joint at risk for significant injuries which include arthritis, tendon and ligament tears and ruptures. This surgery is often referred to as a Brostrom ligament operation. So I signed myself up for the basic dose before I went to sleep and braced myself for the pain to come. You may benefit from physical therapy as well. Goals of surgery are to reestablish ankle stability and function without compromising motion and without complications. This ligament is typically stretched out. The surgery was simple and straight-forward. So, at this point, Im really happy. I live in Boulder Co, a town full of athletes, professional and amateur. Tell them if you have hypertension and are taking medication. San Francisco CA 94123, tendon reconstruction of the lateral ligaments, Continued Symptoms / Failure to resolve all of the symptoms. 2015;10(1):84-8.https://www.ncbi.nlm.nih.gov/pubmed/25274564. Its also known as the Brostrom procedure. On the left, the red circle identifies the anterior talofibular ligament (ATF) which is loose and is bowing in nature. Patients will typically have a history of recurrentankle sprains. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Chronic lateral ankle instability may be present in as many as 10% to 30% of people suffering from acute lateral ankle ligament injuries. endobj . Brostrom ankle surgery is a reconstruction of one or more lateral ankle ligaments. Ask your healthcare provider about the details of your surgery.

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