In an ankle replacement surgery, your doctor removes the damaged ends of your ankle bones and attaches a prosthetic ankle in their place. Ankle replacement surgery is the replacement of a damaged ankle joint with an artificial implant. Also known as the Brostrmprocedure, a lateral ankle ligament reconstruction can help to stabilize and strengthen the ankle, especially after having recurring ankle sprains. Day after day, your ankles are hard at work supporting your weight and making it possible for you to use your feet. However, most patients have favorable results. Foot and Ankle Ligament Surgery Recovery. Brostrom ankle surgery is a reconstruction of one or more lateral ankle ligaments. This procedure is often done as an outpatient surgery. You can expect the following: Someone will watch you for a few No matter what you call it, the goal is the same - to help your foot or ankle function better and feel better. hours after your surgery. After around 6 weeks, you will probably be able to walk in the boot without crutches. your surgery will be a success. CHARCOT FOOT and ANKLE RECONSTRUCTION has become one of our greatest interests. The goal is to repair the loose lateral ligaments. Recent advancements in technology and techniques have made it the preferred option for treating patients with ankle arthritis. Ankle arthritis is a condition in which the cartilage of the ankle joint deteriorates, causing pain and restricting movement. . Your healthcare provider will give Dr. Miller treats various issues, including bunions, drop foot, foot and ankle injuries, and heel pain. Commonly, the ligament is repaired, but also reinforced by stitching other tissues over the repair. The modified Brostrom procedure is considered an anatomic reconstruction, because your surgeon attempts to restore the normal mechanics of your ankle by restoring the normal anatomy. Ankle replacement surgery relieves ankle pain and restores some normal movement and function when persistent ankle arthritis or a badly damaged ankle joint makes daily activities unbearable. The torn ligament or ligaments are surgically removed and replaced with either cadaver, or a patient's own, tendons. Before your procedure, you may need imaging tests, such as X-rays or an MRI. What to expect after ankle reconstruction surgery. When conservative therapiessuch as ankle braces, cushioned insoles, anti-inflammatory drugs, cortisone injections, and physical therapyfail to provide relief, surgery may . Schedule an appointment with one of our exceptional foot and ankle specialists by contacting our office in: Learn why you should choose Ocean County Foot & Ankle. Tell your healthcare provider about all the medicines you take. You may benefit from physical therapy as well. . Together, Duke's ankle replacement surgeons throughout the Triangle perform more ankle replacements than most . 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. You will probably be fitted with a splint or cast. Doctors perform Lateral Ankle Ligament Reconstruction under general anesthesia. Rotator Cuff Repair and Subacromial Decompression, A grade 1 sprain is when the ligament is mildly damaged it has been slightly stretched, but is still able to help keep the ankle joint stable, A grade 2 sprain is when the ligament is stretched to the point where it becomes loose this is often referred to as a partial tear of the ligament, A grade 3 sprain occurs when there is a complete tear of the ligament the ligament has been split into two pieces, and the ankle joint is unstable. Discover the latest information on breakthroughs in foot and ankle care. It's also known as the Brostrom procedure. Lateral ankle ligament reconstruction is a surgery to tighten and firm up one or more ankle ligaments on the outside of your ankle. The angiosomes of the foot and ankle include . Although the procedure can relieve your pain, you may be advised to avoid high-impact activities to prevent damaging the artificial joint. Patients are generally able to walk normally twelve weeks after their surgery, and are also able to resume high impact sports activities. Lateral Ankle Ligament Reconstruction has multiple approaches dependent on the patients injury and the treating foot and ankle surgeon. This procedure tightens the lateral ankle ligaments, usually by detaching the ligaments on the fibula and reattaching them in a tighter position on the bone. The damaged bones will then naturally fuse into one bone as they heal. Your ankle is a hinge joint that allows motion up and down, and from side to side. Your physiotherapist will continue to help you walk and prevent joint stiffness. Patients are typically discharged from the hospital on the day of surgery. We are your trusted New Jersey provider of podiatry care in Ocean and Burlington counties with six convenient locations to serve you. you specific instructions about how to strengthen your ankle and leg muscles as you To perform the ligament reconstruction, your surgeon will make a J or C shaped incision over the outer side of your ankle. Talk with your healthcare provider about how to prepare for your surgery. They may affect one's mental health . By 46 months you should be back to all your normal activities. If you have your own X-rays please bring them to the clinic with you Ankle Replacement Surgery (arthroplasty) The ankle joint is the joint at the bottom of your shin bones (tibia and fibula) Big Toe Joint Fusion Surgery. You can discuss the risks that most apply to you. Over time, the smooth cartilage on the surface of the bones wears . If your surgery is minimally invasive, your surgeon will cut a small incision. Potential tendons include your own hamstring or other ankle tendon. One downside of the procedure, which your surgeon will discuss with you, is that it reduces the ankles range of motion. The ankle is placed in a splint for the first 2 weeks. Lateral ankle ligament reconstruction is a surgery to tighten and firm up one or more ankle ligaments on the outside of your ankle. Ankle replacement surgery has been an option for many years. We do consider it one of our most difficult procedures and at the same time our most rewarding. You may need to plan some changes to your home and activities before surgery. Also, tell him or her about any changes in your overall health, like a recent fever. The surgery is performed under a general anesthetic or spinal block and takes 1-2 hours. Every surgery has risks. Your ankle is a hinge joint that allows motion up and down, and from side to side. You can expect some tenderness and pain for three to five days after surgery. This chapter focuses on the critical aspects of foot and ankle reconstruction, including anatomy, evaluation, diagnosis, and treatment with flap-based reconstructions. The surgical approach depends on any other diagnosiss made. Copyright var dToday = new Date(); document.write(dToday.getFullYear()); Cincinnati Foot & Ankle Care. We realize that this is a difficult time and information on the topic . ligaments to your fibula by using small holes drilled into your bone and special 5 Tips for Preventing Peroneal Tendonitis, The 8 Best Treatments For Tendonitis In The Foot. At first, an ankle sprain may stretch and partially tear your ankle ligaments. Its not common to need this surgery right after a first ankle sprain. Doctors typically try conservative treatment while treating stretched or partially torn sprained ankles, but resort to surgery in cases of complete or severe tears. Ask your healthcare provider about the 2 weeks non-weight bearing in boot, followed by 4 weeks of protected weight bearing in the boot. It is usually a day procedure, meaning you can go home on the same day as the surgery. It's also known as the Brostrom procedure. During the modified Brostrom procedure, the surgeon makes a C or J shaped incision on the outside portion of the ankle. With conveniently located offices in Mesquite, Rockwall, Wylie, Forney, and Kaufman, Texas, call the location nearest you or book a consultation online. Youll need to use this brace for several months. Come out of the boot and immediately begin moving your ankle up and down (range of motion) to prevent your ankle from getting stiff. The Brostrom-Gould technique involves tightening ligaments with sutures. An option is a tendon from a cadaver. This surgery is often referred to as a Brostrom ligament operation. This surgery is intended for active, healthy patients who have experienced frequent ankle sprains which has led to chronic ankle instability and pain. When it comes to reliable foot and ankle surgery, you can trust our dedicated podiatric medical professionals at Ocean County Foot & Ankle Surgical Associates, P.C. You may be able to start partially weight bearing, with the help of crutches. Following a lateral ankle ligament reconstruction, the patient typically returns home from the hospital on the same day as admittance. It's also known as the Brostrom procedure. Chronic Foot Pain Treatment Cincinnati OH. Your surgeon will weave the tendon around the bones and fixed into place with stitches and/or screws. This allows your surgeon to inspect the joint and guide their next actions without making a large incision. Reconstruction can be accomplished by simple techniques 90% of the time and complex flap reconstruction in 10% of cases. Ask if you should stop taking any medicines ahead of time, like blood thinners. Afterwards, to help with the healing process, it will be replaced with a removable walking boot. You should not eat or drink anything after midnight the night before your procedure. All Rights Reserved. Risks for this surgery include: Your own risk for complications depends on your age, the anatomy of your foot, and your general health. The specific technique may vary depending on the surgeon but many surgeons prefer the modified Brostrom procedure to reconstruct a lateral ankle ligament. 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. A strip of periosteum, which is the membrane covering the bone, is harvested on the fibula. An incision is made on the lateral side of the ankle. This leads to a condition called chronic ankle instability. At San Antonio Podiatry, we take a non-invasive approach to foot and ankle care, leading us to seek out alternative methods of treatment before prescribing surgery. John D. Miller, DPM, is a board-certified, fellowship-trained foot and ankle reconstructive surgeon at Brandywine Foot and Ankle Associates, which has locations in Coatesville and Limerick, Pennsylvania. Part of the surgery may be completed arthroscopically with the majority of the surgery through a larger incision. can go home the same day. Toms River West at 732-240-5677. A lateral ankle ligament reconstruction, or "Brostrom," is a surgery used to correct chronic ankle instability. Ankle ligament reconstruction consists in reconstructing the anterior talofibular ligament and the calcaneofibular ligament of the external lateral ligament. Foot diseases may make parts of daily life difficult and frustrating. It's also known as the Brostrom procedure. This may also result in additional stress on the nearby joints, which increases your risk of developing arthritis in those joints. It's most often done as an outpatient surgery, so you can go home the same day. It is most often done under general or regional anesthesia. The cast or splint will be on for about 2 weeks. Other surgeries may be performed at the same time, most often arthroscopic surgery of the ankle joint. Standing, walking, running, jumping, and even sitting up in a chair all rely on your ankles to support your legs and body. Having a sprained ankle feels painful and unstable. During an ankle fusion, your surgeon removes damaged tissue and permanently joins the ankle bones together using metal screws and plates. These include the anterior talofibular ligament (ATFL) and the calcaneofibular ligament (CFL). Given the small and precise incisions in arthroscopic surgery, the patient experiences less postoperative pain and recovers at a faster rate than after traditional open surgery. The view from inside your joint is transmitted in real-time to a video monitor right there in the operating room. You should wait at least four to six weeks before you place any weight on your ankle. Your surgeon might also replace your splint with a boot or cast at this time. Ankle reconstruction may be done under a combination of general, regional or local anaesthesia. Lateral ankle ligament reconstruction is a surgery to tighten and firm up one or more ankle ligaments on the outside of your ankle. One of our skilled surgeons makes a small incision on your ankle to perform the procedure and closes this cut with a dissolving stitch under your skin. A few options exist for this method; Allograft tendon, Autograft tendon, or Hamstring tendon. We look forward to serving you and helping you to live a more active, pain-free lifestyle. On the outer side of your foot, you have several ligaments. Conservative treatment typically lasts 6 months and consists of rest, physical therapy, ice, elevation, and potentially injections. The ankle joint (tibiotalar joint) is where your shinbone (tibia) rests on top of a bone of your foot, the talus. During lateral ankle ligament reconstruction, the surgeon makes a small cut on the outside of your ankle. If the ligaments cannot be repaired, a tendon may be used to replace them. Most arthroscopic surgery can be done on an outpatient basis. 2022 Ocean County Foot & Ankle Surgical Associates, P.C. You may also be injected with a local anesthetic at the surgical site to minimize post-surgical discomfort. anesthesia to make you sleep through the procedure or regional anesthesia to numb the The two ligaments commonly injured are the Anterior Talo Fibular . Ankle sprains are usually caused a sudden overstretch due to twisting or rolling the ankle. Lateral ankle ligament reconstruction can be done using two techniques: the Brostrom-Gould technique and tendon transfer. However, sometimes surgery is the best option for restoring full mobility and providing a complete recovery. Our primary concerns are reducing your pain and restoring your ankle to its natural function. This will help make sure that The diagnostic testing consists of an XRAY and potentially an MRI depending on the severity of the injury. If the ankle does not obviously need surgery, the foot and ankle specialist opts for conservative treatment. Doctors perform Lateral Ankle Ligament Reconstruction under general anesthesia. We utilize cutting-edge facilities and work with you to find the ideal surgical option based on your age, duration and severity of symptoms and any underlying medical conditions that could impact your outcome. In this procedure, your doctor will tighten the loose or weakened ligaments. The specific technique may vary depending on the surgeon but many surgeons prefer the modified Brostrom procedure to reconstruct a lateral ankle . Recovery is 8-12 weeks when combined with a physical therapy program. results, Who to call after the test or procedure if you have questions or problems, How much you will have to pay for the Keeping your leg elevated may help reduce swelling and pain, too. Foot and Ankle Reconstruction Surgery - San Antonio, TX. Ankle replacement can take away the pain from the arthritis and preserve the motion at the joint. Our board-certified foot and ankle surgeons can help you get back on your feet in no time. Choose a doctor and schedule an appointment. details of your surgery. Progressive arthritis can lead to bone cysts and the formation of bone spurs (osteophytes). More sprains may loosen your ligaments even more. These help keep your ankle and foot steady when you walk. Your stitches will be removed 1014 days after surgery, at this stage your cast may be swapped for a removable walking boot. An orthopedic foot surgeon will do your surgery. If you are visiting this website either you or a loved one has been diagnosed with a charcot joint. Ankle reconstruction is a surgical treatment for ankle sprains and instability due to ligament damage. Your ankles are strong, but overuse or trauma can stretch them to their breaking point. The surgeon weaves the chosen tendon into the bones surrounding the ankle and uses stitches or a screw to hold the tendon into place in the bone. Try to elevate your foot as much as possible at first to reduce swelling and pain. Ankle fracture surgery: If you have fractured bones in your ankle (a broken ankle), surgery can stabilize the breaks and help the bone heal. Lateral ankle ligament reconstruction is a surgery that tightens up the ligaments on the outside of the ankle. Once the swelling goes down, we apply a temporary splint. These are commonly injured when the ankle is sprained and on occasions will lead to symptomatic instability needing surgery. This first sprain makes it more likely that you will sprain your ankle again. The causes of functional deficits following surgery remain complex and difficult to objectivate by clinical examination alone. There are numerous methods used for an ALR. One of the most common sports injuries, ankle sprains, range in severity. 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. Lateral ankle ligament reconstruction (for chronic ankle instability or foot deformities): Also known as . This unique text utilizes a bulleted, case-based approach to present a variety of surgical strategies and techniques for tackling the many challenges posed by revision foot and ankle surgery.The book is organized thematically into sections on the forefoot, trauma, sports injuries, and arthritis and reconstruction, with each chapter including key takeaway points, discussions of evaluation . Ankle replacement. Commonly referred to as an ALR, a lateral ankle ligament reconstruction restores stability in your ankle when one or more of the ligaments on the outside of your ankle have been stretched or torn. Both techniques are minimally invasive and use small incisions through the ankle. Treatment. At 6 to 8 weeks post-op, slowly transition to regular shoe wear. Youll probably need to use crutches and keep weight off your ankle for at least a few weeks. It accounts for 14 percent of all sports-related injuries and range from minor sprains to severe ligament tears and ankle instability. In this minimally invasive procedure, your doctor makes a small incision to insert a narrow tube with a fiber-optic video function called an arthroscope. If you have had repeated ankle sprains or if you have certain foot deformities, your ligaments can start to get weak and loose. Ankle reconstruction surgery is performed under a general anesthetic, so you are unconscious for the entire treatment. After surgery, you will . The surgery Filed Under: Ankle Pain Tagged With: Ankle Surgeons Cincinnati, Ankle Surgery Cincinnati, Ankle Surgery near me, Foot and Ankle Surgeons. Most people are able to resume driving around 6 weeks after surgery. Complications from either type of ankle reconstruction surgery may be encountered during the rehabilitation phase and could include stiffness of the ankle joint or recurrent instability in your ankle. We are your trusted New Jersey provider of podiatry care in Ocean and Burlington counties with six convenient locations to serve you. In contrast with ankle replacement, this is generally recommended for younger patients with more active lifestyles. These are strong band-like structures that keep the bones in your ankle and feet tightly connected. At 2 weeks (Post-Operative Phase 2), the splint is removed, and they are placed into a Controlled Ankle Movement (CAM) boot. Your doctor will then use special surgical equipment to treat and repair the joint. If youve injured your ankle and completely torn a ligament, you may need ankle reconstruction surgery to recreate support in the joint by reconnecting the ligament. A sprain is an injury to a ligament (which connects a bone or bones to a joint). Our services include ankle & foot surgery, custom orthotics, diabetic shoe prescription, minimally invasive surgery and many others. What is the long-term impact of ankle ligament reconstruction surgery? This is more likely if you did not have the first sprain treated properly. See what our patients have to say about our outstanding services. The layers of skin and muscle around your ankle will be surgically closed. Ankle ligament reconstruction is a surgical procedure that tightens the outside or lateral ligaments of the ankle. A sprain is an injury to a ligament (which connects a bone or bones to a joint). Foot reconstruction is a surgery performed to correct the anatomy of the foot and restore function lost due to trauma, birth defects, infection and other illnesses. Do not confuse with a posterior tibial tendon repair. Its normal to feel some discomfort when the anaesthesia wears off, however simple pain medications are usually enough to keep you comfortable. You will have some pain for a while after your surgery, especially for the first few days. What is the long-term impact of ankle ligament reconstruction surgery? A 501(c)(3) non-profit organization. Sprains are graded on severity: Depending on the tear, surgery may involve repair, that is stitching the ligament back together or reconstruction where a tendon is used to replace the torn ligaments. This procedure is often done as an outpatient surgery. The best type of surgery to treat your ankle condition will depend on the extent of the damage and certain health factors. It's most often done as an outpatient surgery, so you can go home the same day. This means you Your doctor may prescribe pain relievers . Patients are generally able to walk normally twelve weeks after their surgery, and are also able to resume high impact sports activities. Additional incisions may be made in different points near the affected ankle. You might need this surgery if one or more of the ligaments on the outside of your ankle has loosened or stretched. Your doctor will explain which type of surgery may be best for you, and your surgery may be one of the following types: Loose bone fragments, damaged cartilage, and torn ligaments (such as in a severe sprained ankle) can be treated with arthroscopy. Ankle Reconstruction Surgery. There are a number of methods used If you break any of the bones comprising your ankle joint, your doctor can relieve the pain and repair the bones through surgery. If you have a foot or ankle condition thats preventing you from living your best life, visit Cincinnati Foot & Ankle Care. In the cases that the surgeon cannot repair the ligaments, the surgeon uses tendons to replace them. Candidates for an ankle replacement are healthy individuals who have advanced arthritis. The patient wears a brace or cast for at least two weeks, but the treating physician determines this duration of time. involved leg. You wont be able to walk on your foot normally for a while. Make sure to tell your surgeon right away if you have high fever, chills, or increasing pain from your ankle. A healthcare provider may advise surgery if other treatments for your ankle havent worked. You will need to return in about 10 days after your surgery to have your stitches or staples removed. Your foot and ankle have several ligaments. Your ankles endure tons of stress every day and are subject to all types of injuries. He or she will put small instruments and a camera through the incision to perform your surgery. Pain medicines may help to relieve your pain. For example, from a health condition such as Ehlers-Danlos. Part of the surgery may be completed arthroscopically with the majority of the surgery through a larger incision. To schedule an appointment, call any of our 18 locations in the Cincinnati area or fill out our online appointment form. Screws, metal plates, and small metal wires may hold the broken bone in place during healing. It will then be cast a few days later for about three to four weeks. Allrightsreserved. Schedule an appointment with one of our exceptional foot and ankle specialists by contacting our office in: Toms River at 732-505-4500. test or procedure. It is pulled down and inserted in the tip . This is done while you are under general anesthesia. Non-operative treatments include physical therapy and supportive ankle braces. To diagnose a sprained ankle, a physician orders diagnostic testing and performs a physical exam. Sometimes your surgeon start by performing an ankle arthroscopy to examine the inside of the joint before moving on to ligament repair. When you wake up, you will likely have a splint on your ankle. recover. Your surgeon may then reattach these serve patients throughout Ocean and Burlington counties in New Jersey and have the experience and extensive skills needed to perform all types of ankle reconstruction surgeries. It's most often done as an outpatient surgery, so you can go home the same day. In some cases the lateral ligaments stretch while in more severe cases the lateral ligaments tear partially or completely. This may involve repositioning your broken bone fragments and using metal plates and screws to hold the bone fragments together to foster proper healing. Ankle ligament reconstruction (ALR) typically is an outpatient surgery, meaning you can go home the same day as the procedure. Surgical treatments used to fix foot and ankle problems go by many names. Frequently, it is an outpatient surgery, so you can go home the same day. Coronavirus COVID-19: Welcome Back to All Patients Learn More. Weight may not be placed on the ankle up to six weeks in many circumstances and physical therapy often begins around the six week mark. You will probably get general In this procedure, your doctor will tighten the loose or weakened ligaments. This included over-the-counter medicines like aspirin. The surgeon places these stitches or anchors into the fibula bone, the bone lateral to the shin bone. Ankle reconstruction is a surgical treatment for ankle sprains and instability due to ligament damage. It can cause chronic pain, repeated ankle sprains, and an ankle that often gives way when you walk or perform activities. Arthritis can affect this joint as well as other joints in the foot. If conservative treatment does not work, the physician performs surgery. The podiatric surgery specialists at Texas Foot & Ankle Specialists, PLLC can repair the damage and restore function using advanced foot and ankle reconstruction surgeries. may take 2 or more hours. During the surgery, your vital signs, like your heart rate and blood pressure, will be watched carefully. You should have someone drive you home. Following this surgery, chronic pain and post-operative complications can occur, with a functional impact on locomotion, leading to instability, ankle stiffness and a risk of falls. This helps patients perform tasks such as walking on uneven . ankle & foot surgery, custom orthotics, diabetic shoe prescription, minimally invasive surgery and many others. Lateral ankle injury is one of the most frequent lower leg pathologies. Our board certified foot and ankle surgeons at Ocean County Foot & Ankle Surgical Associates, P.C. 2022 Cedars-Sinai. What Is It Like Living With Peroneal Tendonitis? Treatment of Sports and Traumatic Injuries, Regional anesthesia that numbs the entire leg or a general anesthesia to make you sleep through the entire procedure, An incision made through the skin and muscle of your ankle, which may be small if your surgery is minimally invasive and utilizes a camera and smaller instruments to perform the operation, Removal of your anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) from your fibula, Shortening your ATFL and CFL and reattaching these ligaments to your fibula with special sutures and small holes drilled into the bone, Closing the incision around the muscle and skin of your ankle, Rehabilitation similar to that of a modified Brostrom procedure. The artificial joint helps the ankle retain more-natural movement, so there's less risk of arthritis developing in nearby joints. After cleaning the affected area, your surgeon will make a cut through the skin and muscle of your ankle. Ankle instability results from a torn or stretched ligament commonly caused by a single severe injury or repetitive minor strains of the ankle. Forked River at 609-693-3202. This refers to repair and reconstruction of the ligaments on the outside of your ankle. The ligaments may be reinforced by stitching other tissues over the repair. The reason you are having the test or procedure, What results to expect and what they mean, The risks and benefits of the test or procedure, What the possible side effects or complications are, When and where you are to have the test or procedure, Who will do the test or procedure and what that persons qualifications are, What would happen if you did not have the test or procedure, Any alternative tests or procedures to think about, When and how you will get the At least one larger incision is required for . Your surgeon will provide specific details about your surgery prior to the procedure. You wont be able to bear weight on the affected leg, so you will need crutches.Before you leave the hospital, your therapist will help you walk safely with the crutches and show you some exercises to start your rehabilitation program. Lateral Ankle Ligament Reconstruction. These include foot surgery, ankle surgery, foot reconstruction or ankle reconstruction. for lateral ankle ligament reconstruction. Then your surgeon tightens one or more of the ligaments on the outside of your foot. Foot and ankle surgery is only performed when conservative treatments have failed. If you sustain an injury to your ankle that conservative treatments cannot address, its time to talk to your doctor about ankle surgery in order to restore your ankles function. It's normal to feel some discomfort when the anaesthesia wears off, however simple pain medications are . All Rights Reserved. Carefully follow all instructions about medicines and wound care. In a few weeks, your healthcare provider will likely replace this cast with a removable brace. Your surgeon may make other repairs, if necessary. In this procedure, the surgeon removes the ends of the damaged bones and fits a plastic-and-metal replacement joint onto them. Physical therapy to start 2 weeks post op. The ligaments are located and then anchored to the bone, ensuring that they have been pulled tight enough to create a stable ankle. Your surgeon may remove your ATFL and your CFL ankle ligaments from where they attach on your fibula. You may benefit from ankle replacement surgery even if you have had ankle fusion surgery. suture. . General looseness of your ligaments. Patients are encouraged to have one physical At this stage your rehabilitation program will usually start to incorporate strengthening exercises. Also known as the Brostrm procedure, a lateral ankle ligament reconstruction can help to stabilize and strengthen the ankle, especially after having recurring ankle sprains. Joint fusion surgery of the big toe is carried out to treat big toe arthritis . Using stitches or anchors, the surgeon tightens the stretched or torn ligaments. Typically, ALR surgery involves: Without surgery, your stretched or torn ligament could lead to chronic pain, repeated ankle sprains, chronic ankle instability that manifests while walking or performing other physical activities, and ankle arthritis. Reconstructive surgery is also recommended when instability in your ankle and other structural problems become a chronic condition. Athletes, dancers, and . A lateral ankle ligament reconstruction is a surgery to tighten and firm up one or more ankle ligaments on the outside of your ankle. He or she may make these ligaments shorter. Here are the two main types of procedures: The modified Brostrom procedure is the most common surgical procedure used for ankle reconstruction, primarily to repair the anterior talofibular ligament. Once the repair is finished, the incisions are closed and the wound is covered with a dressing. If this happens, your ankle may become unstable. 2021 ARLINGTON ORTHOPEDIC ASSOCIATES, P.A. However, loosening of the components can occur. At Cincinnati Foot & Ankle Care, our compassionate podiatrists treat a comprehensive range ofpodiatric conditionsand ailments including: Heel Pain, Diabetic Wounds, Bunions and many others. Understanding Foot and Ankle Reconstruction. If you smoke, try to stop smoking before your procedure. Your ankle is a hinge joint that allows motion up and down, and from side to side. Ankle replacement. Severe foot conditions often require long-term care and rehabilitation. Before you agree to the test or the procedure make sure you know: Cedars-Sinai has a range of comprehensive treatment options. FIGURE 95.1. Often, lateral ankle ligament reconstruction is an outpatient procedure. . Talk with your healthcare provider about any concerns you might have. 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