Primary ankle ligament repair is a surgical procedure that uses various techniques to improve ankle stability after injury. Dr. Alicia Knee of San Francisco offers the needed exams, diagnostic assessments, and procedures to help get you back on your feet with minimal symptoms or complications. Call the offices of Alicia Knee, DPM, today to schedule an appointment or consultation.
Ankle ligament repair aims to restore stability in your ankle when you have issues that do not respond well to nonsurgical treatment. If after a period of time, typically 6 months, your symptoms have not improved through other approaches, Dr. Knee may recommend the surgery.
Ankle ligament repair surgery is usually done on an outpatient basis under general or regional anesthesia. Numerous techniques are available, including the modified Bröstrom procedure and replacing torn ligaments with tendons.
The most commonly performed surgery for ankle ligament repair, the modified Bröstrom procedure begins with a curved incision on the outside of your ankle. Dr. Knee then identifies and tightens the ankle ligaments using anchors or stitches. Stitching over the tissue enhances the strength of the repair.
If Dr. Knee opts to replace the ligament with tendons, she’ll weave the tendon onto the bones in your ankle, holding it in place with stitches and perhaps a screw. One of your own tendons, from your hamstring or ankle, or a tendon from a cadaver may be used for this approach.
Recovery from ligament repair surgery may involve wearing a splint or cast for at least 2 weeks followed by a removable walking boot and athletic ankle brace. After about 6 weeks, ankle strengthening, potentially with physical therapy, begins. Full recovery may take 6-12 months.
All surgeries and anesthesia involve some level of risk, including the possibility of infection, bleeding or blood clots, delayed healing, and nerve or blood vessel damage. You may also experience less sensation around your incision and top of your foot.
Research has shown a higher success rate, including good or excellent outcomes, for ligament repair surgery. While results vary depending on the severity of your initial injury, proper after care, such as doctor-advised use of a brace or physical therapy, helps ensure positive and lasting results. Although uncommon, additional surgery, such as ankle fusion, may help if problems continue.
Dr Knee accepts most major PPO insurance plans. Here is list of some of the plans we accept. Please contact our office if you do not see your insurance provider listed.