Ankle reconstruction surgery is a procedure designed to restore stability and function to an ankle that has been damaged by injury or chronic conditions. This surgery typically involves repairing or reconstructing ligaments that have been stretched or torn due to trauma, such as repeated ankle sprains.
At Precision Orthopaedic Specialties, we specialize in treating ankle issues, offering expertise in podiatry. Contact one of our offices in Northeast Ohio today to schedule an appointment!
Ankle reconstruction surgery is often necessary for individuals who suffer from chronic ankle instability, which is usually caused by repeated ankle sprains. These sprains can damage key ligaments, such as the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL), both of which help stabilize the ankle. Over time, without proper healing or treatment, these ligaments may not regain their full strength, leading to persistent instability.
When left untreated, chronic ankle instability can cause frequent injuries, limited mobility, and even chronic pain. Individuals who experience repeated ankle sprains might benefit from lateral ankle ligament reconstruction to restore stability and protect their ankle joints from further damage.
Those with arthritis in the ankle joint may also benefit from ankle reconstruction surgery. The surgeon may remove damaged cartilage and bone or fuse the joint, significantly reducing pain and improving mobility.
Severe ligament damage caused by a severe ankle sprain or overuse injury may also require ankle reconstruction surgery.
Preparing for ankle reconstruction surgery involves a few essential steps to ensure the best possible outcome. First, it’s important to follow your orthopedic foot surgeon’s instructions, which may include stopping certain medications, avoiding food and drink before the surgery, and arranging for someone to drive you home post-operation.
You should also prepare your home for a smooth recovery by setting up a comfortable space where you can keep your leg elevated and rest after surgery. If your surgeon recommends physical therapy post-surgery, make sure you understand what exercises you’ll need to do during your recovery.
Ankle reconstruction surgery typically involves several key steps to restore stability and function to the ankle joint. First, the patient will receive general anesthesia, ensuring they are asleep and pain-free throughout the procedure. Next, the surgeon makes an incision over the ankle, with the length and location depending on the specific surgery being performed.
Once the incision is made, the surgeon will repair or remove any damaged tissues, including ligaments, tendons, or cartilage. If necessary, the surgeon may use donor tissue or synthetic materials to replace damaged ligaments or tendons, helping to restore stability. If the bones in the ankle are misaligned or abnormally shaped, the surgeon will reshape them to improve the joint’s function and stability. This might involve cutting, repositioning, and securing the bones with screws, plates, or other devices.
In some cases, the surgeon may choose to fuse the bones in the ankle joint to prevent movement and reduce pain. This process involves removing cartilage and placing the bones together so they can fuse over time. After all repairs are made, the surgeon will close the incision with stitches or staples, completing the procedure.
After the surgery, the ankle is typically placed in a splint or cast to allow the ankle to heal. You will likely need to keep weight off the ankle for several weeks, using crutches or a knee scooter to get around. Pain and swelling are common initially, but these can be managed with prescribed medications and rest.
Physical therapy is a crucial part of the recovery process. Strengthening the ankle and leg muscles through targeted exercises helps regain full mobility and stability. Physical therapy sessions will be tailored to your specific condition and are essential for long-term success after ankle reconstruction.
As with any surgery, ankle reconstruction surgery carries some risks. These may include infection, nerve damage, blood clots, or complications from anesthesia. There is also the possibility that the ligaments won’t heal correctly, leading to continued ankle instability or pain. However, the majority of patients experience significant improvements in stability and function, especially when following post-surgical care instructions closely.
Recovery times depend on the surgery performed. Some procedures require up to a year of rehabilitation to fully recover.
The first few weeks will usually require rest and immobilization. This will be followed by gradual weight-bearing exercises under the supervision of your orthopedic team. Full recovery includes strengthening the CFL ankle ligaments and surrounding muscles to ensure lasting stability.
Regular follow-up appointments with your orthopedic foot surgeon will help monitor your healing progress, adjust your treatment plan, and ensure the best possible outcome.
Recovery also varies based on the severity of the initial injury and the patient’s commitment to rehabilitation.
If you’re struggling with chronic ankle instability or persistent pain from repeated ankle sprains, ankle reconstruction surgery may be the solution you need to regain stability and prevent future injury. Precision Orthopaedic Specialties, with convenient locations in Chardon, Chagrin Falls, and Middlefield, offers expert podiatry care for all types of ankle injuries. Contact us today to book your appointment!
Medically reviewed by Mark J. Mendeszoon, D.P.M.
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