Recovery Timeline After Ankle Ligament Surgery: What to Expect - Orthopedics

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Ankle ligament tear surgery?


Recently, a family member underwent surgery for right ankle ligament repair.
The foot is currently slightly swollen, and there is only mild pain at the incision site.
How long will it take before they can attempt to put weight on the operated foot and start walking, or will they need to rely on assistive devices? If they cannot bear weight for rehabilitation, how long is the expected recovery time?

Lin, 30~39 year old female. Ask Date: 2021/10/27

Dr. Chen Bochen reply Orthopedics


Hello, after ligament surgery, it generally takes about 4 to 6 weeks to walk, but since each person's injury is different, it's best to consult the surgeon who performed the operation for specific guidance.
The doctor has seen the actual condition of the injury during the surgery and is aware of the status after the repair, so their advice will be more accurate.

Reply Date: 2021/10/27

More Info


After ankle ligament surgery, the recovery timeline can vary significantly based on the extent of the injury, the type of surgery performed, and the individual's overall health. Generally, the recovery process can be broken down into several phases, each with specific expectations and milestones.

Immediate Post-Operative Phase (0-2 weeks):
In the first few days following surgery, it is normal for the ankle to be swollen and for the surgical site to experience some pain or discomfort. During this period, it is crucial to keep the ankle elevated to reduce swelling and to follow your surgeon's instructions regarding pain management. Most surgeons will recommend using crutches or a knee scooter to avoid putting weight on the affected ankle. The use of a splint or cast may also be necessary to immobilize the joint.

Weight Bearing Phase (2-6 weeks):
Around the two-week mark, your surgeon will likely assess your healing progress. If the swelling has decreased and the pain is manageable, you may be cleared to begin partial weight-bearing activities. This means you can start to put some weight on the ankle while still using crutches or a walking boot for support. The timeline for transitioning to full weight-bearing can vary, but many patients are able to start walking without assistance by the six-week mark, depending on their healing progress.

Rehabilitation Phase (6-12 weeks):
Once you are able to bear weight on the ankle, physical therapy typically begins. Rehabilitation focuses on restoring range of motion, strength, and stability to the ankle. This phase is crucial for a successful recovery and may last several weeks to months. Patients often engage in exercises that promote flexibility, strength, and proprioception (the body's ability to sense movement and position). The timeline for returning to normal activities, including sports, can vary widely but often ranges from three to six months post-surgery.

Long-Term Recovery (3-6 months):
By three months, many patients notice significant improvements in their ankle function, but complete recovery can take longer. It is essential to continue with physical therapy and follow your surgeon's recommendations to avoid complications such as stiffness or re-injury. Full recovery may take up to six months or longer, especially for athletes or those involved in high-impact activities.

Signs to Monitor:
Throughout the recovery process, it is essential to monitor for any signs of complications, such as increased swelling, persistent pain, or signs of infection (redness, warmth, or discharge at the surgical site). If any of these symptoms occur, it is crucial to contact your healthcare provider immediately.

In summary, while the initial recovery phase may require the use of crutches and limited weight-bearing for the first few weeks, many patients can expect to begin walking with assistance by the end of the first month. Full recovery, including the return to normal activities, can take several months and will depend on adherence to rehabilitation protocols and the body's healing response. Always consult with your surgeon or physical therapist for personalized guidance tailored to your specific situation.

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