Post-Operative Care for Ankle Ligament Repair: What to Expect - Orthopedics

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Postoperative ankle ligament reconstruction?


Doctor, I have a sprained ankle that has resulted in ligament damage and looseness.
On the 13th of this month, I underwent arthroscopic ligament repair surgery using suture anchors and an arthroscopic vaporization device.
My attending physician told me that I cannot put weight on my foot for three weeks, as he is concerned that the ligaments may loosen again.
After three weeks, I can switch from a cast to a brace, which I will need to wear for six weeks before I can gradually start rehabilitation.
I would like to ask if, after three weeks, I will only be able to put weight on my foot, or if I can wear the brace to stabilize the operated ankle and start walking slowly.
Or will I have to wait for six weeks until I can start rehabilitation to walk slowly? Also, is the brace I need to buy the ASO ankle stabilizer type?

Alan, 20~29 year old female. Ask Date: 2022/06/30

Dr. Shi Guozheng reply Orthopedics


Ligament healing takes about six weeks.
Before it has fully healed, a brace is necessary for protection.
After wearing the brace for four weeks, walking is still possible, but if the brace is to be removed, it should be done only after six weeks or more.

Reply Date: 2022/06/30

More Info


Post-operative care following an ankle ligament repair is crucial for ensuring proper healing and regaining function. After undergoing surgery for ligament repair, such as the one you described with the use of anchors and arthroscopic techniques, it is essential to follow your surgeon's instructions closely to avoid complications and ensure a successful recovery.


What to Expect After Ankle Ligament Repair Surgery
1. Initial Recovery Phase (First Three Weeks):
- Non-Weight Bearing: As your surgeon advised, you should avoid putting weight on the affected ankle for at least three weeks. This is critical to allow the repaired ligaments to heal properly. Putting weight on the ankle too soon can lead to re-injury or failure of the repair.

- Immobilization: During this period, your ankle will likely be immobilized in a cast or a splint. This helps to keep the ankle stable and prevents movement that could disrupt the healing process.

- Pain Management: You may experience pain and swelling post-surgery. It's important to manage this with prescribed pain medications and by keeping the ankle elevated. Ice can also be applied to reduce swelling.

2. Transition Phase (Weeks 3 to 6):
- Switching to a Brace: After three weeks, you may be allowed to transition from a cast to a protective brace, depending on your surgeon's evaluation. The brace will provide support while allowing for some movement.

- Gradual Weight Bearing: Depending on your surgeon's advice, you may start to put some weight on the ankle while wearing the brace. This should be done cautiously and gradually, often starting with partial weight bearing and progressing as tolerated.

- Physical Therapy: After about six weeks, you will likely begin physical therapy. This is crucial for regaining strength, flexibility, and range of motion in the ankle. Your therapist will guide you through exercises tailored to your recovery stage.

3. Long-Term Recovery:
- Full Recovery Timeline: Full recovery from ankle ligament repair can take several months. It's important to be patient and follow your rehabilitation program closely.

- Return to Activities: Your ability to return to sports or high-impact activities will depend on your progress in rehabilitation and your surgeon's clearance.

Recommendations for Ankle Brace
- Choosing the Right Brace: An ASO ankle brace is a good choice for providing stability and support during the recovery phase. It is designed to limit excessive movement while allowing for some mobility, which is beneficial as you transition back to weight-bearing activities.

- Consult Your Surgeon: Before purchasing a brace, consult with your surgeon or physical therapist to ensure it meets your specific needs and recovery plan.


Conclusion
In summary, after your ankle ligament repair surgery, it is essential to adhere to the recommended post-operative care plan. Avoid weight-bearing for the first three weeks, use a protective brace afterward, and engage in physical therapy as directed. This approach will help ensure a successful recovery and minimize the risk of complications. Always communicate openly with your healthcare team regarding any concerns or questions you may have during your recovery process.

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