Ankle Reconstruction

Ankle reconstruction is a surgical procedure which is used to treat serious ankle instability. The procedure is usually performed in cases of ankle sprains that did not successfully respond to conventional management and rehabilitation or a crushed ankle following traumatic injury.  For individuals suffer from ankle instability due to an ankle sprain, more incidences of ankle sprains may be likely which further destabilizes the ankle and ultimately results in the deterioration of the ankle. Your orthopedic specialist  will conduct a comprehensive evaluation and a Q and A session to identify candidacy for ankle reconstruction and discuss all options in detail.

Ankle reconstruction is performed through a small incision in the ankle, which gives access to the ligaments of the ankle.  The approach in the procedure depends in part, on the status of the ligaments.

  • If the ligament is intact but stretched, the ligament is resected to make it short and then sewn back together.
  • If the ligament is torn but still attached to the fibular bone, the torn ends are sewn together.
  • If the ligament is torn and detached to the fibular bone, a small hole is created by drilling into the fibula.  The ligament is then attached to the bone through suturing.
  • To further strengthen the ankle, the band of connective tissue that crosses the frontal side of the ankle is used to support the ankle.

Recovery and Outcome

After the procedure, plaster splints are used to further support the ankle.  After the swelling has subsided, the plaster splints shall be replaced by a short leg plaster cast that will be applied for 3 to 4 weeks on average. With proper rehabilitation and good compliance to the rehabilitation program, the ankle is stabilized and in due time, ankle strength is regained.

It is important to recognize that medications and medical procedures are associated with benefits and risks that should be discussed with your physician. It is important to recognize that all information contained on this website cannot be considered to be specific medical diagnosis, medical treatment, or medical advice. As always, you should consult with a physician regarding any medical condition. Your Health Access disclaims any liability for the decisions you make based on this information.