ANKLE ARTHROSCOPY RECONSTRUCTION SURGERY

ANKLE ARTHROSCOPY RECONSTRUCTION SURGERY

Ankle reconstruction at our clinic in Double Bay

We also perform ankle arthroscopy reconstruction surgery at the Specialist Foot & Ankle Group, treating patients throughout Double Bay and the Sydney area. If you require this procedure, then it will involve reconstructing the anatomy of your ankle to give improved support and performance.

The doctor will repair damaged ligament ends as well as strengthen the bands of fibrous tissue around your ankle (retinaculum). We can easily identify damaged ligaments even several years post-injury and combine the reconstruction procedure (also called lateral ligament repair) with ankle arthroscopy. This will remove any inflammation around the ankle joint that may be present due to recurring sprains, and can improve overall results.

Ankle arthroscopy reconstruction surgery has a 91% success rate (Messer ’03) and is a simple procedure that will retain your normal ankle structure, with the range of motion barely affected. As a result, our patients can return to all forms of athletic activity without risk of recurring injury to the ankle.
Complications

Minimal complications exist for this procedure and include:
  • Infection: estimated at 1%
  • Range of motion: may be decreased in some cases; estimated at 3% risk of recurrence 
  • Nerve damage can result in 15% of cases – in most of these cases, traumatised nerves regenerate and normal sensation returns. 
It should be noted that these statistics are exceptionally low and calculated together, give only a 19% risk of complication. Complications and risks of surgery should always be considered and are outlined on our preoperative consent form.

Post-operative instructions
  • Leave the dressing intact until your follow-up appointment with Dr. Slater, including while showering and sleeping. 
  • Keep the leg elevated for the first four days post-surgery for at least four hours per day. The leg should be elevated above the heart. 
  • Ice the area intermittently for the first three days. The boot can be removed to access the area. 
  • The local anaesthetic will wear off over 12-48 hours. Numbness will be present at this time. Tingling of the limb is a normal sensation as the anaesthetic block wears off.
  • Post-operative pain is common and will be controlled with prescribed medication. If pain persists, please contact Dr. Slater's rooms.
  • Directly following the procedure you will be able to weight-bear as tolerated while wearing the Hawk Air boot and with the use of crutches (provided by physiotherapists at the hospital). 
  • You will attend a postoperative appointment 7-10 days post-surgery, where your sutures will be removed and further rehabilitation instructions will be given. It is advised that you take some pain control 30 minutes before this appointment.  
  • Physiotherapy will commence at the six-week mark post-surgery, but this will be confirmed at your appointment at the 4-6 week mark. 

Contact the rooms if you have any of the following symptoms:
  • Severe pain continues after taking painkillers.
  • Infection – symptoms to watch out for are redness and swelling around the wound dressing with associated increase in temperature.
diagram of ankle indicating incision location
The red marking on the outside of the ankle indicates where the incision is made
Call us today on 1300 338 778 to find out more about our ankle reconstruction services in Double Bay.
pointed ballet toes and feet
man's feet jogging in sunset
Rehabilitation Framework 
Please present this to your physiotherapist at your first appointment.
4-8 WEEKS POST-OP
  • Restore normal gait, discontinue crutches when gait is no longer antalgic
  • Ambulation training in Aquatrex
  • Active ROM as tolerated
  • Passive heel cord stretching 
  • Joint mobilisation
  • Plantar flexion and dorsiflexion PRE’s
  • Bicycle ergometer 
  • Proximal musculature PRE’s
  • Modalities PRN
12-20 WEEKS POST-OP
  • Continue with lower extremity PRE’s 
  • Advanced proprioception activities; Fitter, Euroglide, Sportcord
  • Continue with flexibility activities 
  • Progress endurance activities
  • Begin running program (PWB-FWB)
  • Isokinetics in all planes
8-12 WEEKS POST-OP
  • Inversion/eversion isotonics
  • Begin proprioception program
  • Continue with lower extremity PRE’s
  • AROM activities in all directions 
  • Begin Retro program 
  • Restore normal ROM 
  • Calf raises 
  • Stairmaster, Versaclimber as tolerated
  • Nordic attack
20-28 WEEKS POST-OP
  • Agility exercises
  • Advanced functional exercises 
  • Continue/progress running program
  • Isokinetic test
  • Functional test assessment
  • Return to full sporting activities 
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