What It Is

Lateral ankle ligament reconstruction is a surgical procedure designed to repair or reconstruct damaged ligaments on the outside (lateral side) of the ankle. This surgery is typically recommended for individuals who suffer from chronic ankle instability, often due to repeated ankle sprains or ligament tears that have not healed properly. Over time, these injuries can weaken the lateral ligaments—especially the anterior talofibular ligament (ATFL) and the calcaneofibular ligament (CFL)—leading to persistent instability, pain, and difficulty with everyday activities.

Signs & Symptoms of Chronic Ankle Instability

  • Frequent ankle sprains or “rolling” of the ankle
  • Pain, swelling, or tenderness on the outer side of the ankle
  • A feeling of instability or “giving way” in the ankle during physical activity
  • Difficulty walking on uneven surfaces or participating in sports
  • Reduced strength and mobility in the ankle

Diagnosis

To diagnose chronic ankle instability, Dr. Romanelli will perform a comprehensive evaluation, including a physical examination and review of your medical history. Imaging tests, such as X-rays or an MRI, may be used to assess the extent of ligament damage and rule out other causes of ankle instability, such as fractures or cartilage damage.

Treatment

When non-surgical treatments, such as physical therapy or bracing, fail to relieve symptoms, lateral ankle ligament reconstruction may be recommended to restore stability to the ankle. The procedure aims to strengthen and repair the ligaments, allowing the patient to return to normal activities without the fear of recurrent ankle injuries.

Surgical Procedure

Lateral ankle ligament reconstruction typically involves the following steps:

  • Anesthesia: You will be given either general anesthesia (to put you to sleep) or regional anesthesia (to numb the affected area) for the procedure.
  • Incision and Exposure: Dr. Romanelli will make a small incision on the outer side of the ankle to access the damaged ligaments.
  • Ligament Repair or Reconstruction: Depending on the severity of the damage, the existing ligaments may be repaired (tightened and reattached to the bone) or reconstructed using a tendon graft. In some cases, tendons from your own body or a donor may be used to replace the damaged ligaments.
  • Anchoring and Fixation: Small anchors or screws are used to secure the reconstructed ligament to the bone, ensuring stability during healing.
  • Closing the Incision: Once the reconstruction is complete, the incision is closed with sutures, and a dressing is applied to protect the area.

Recovery and Rehabilitation

Recovery from lateral ankle ligament reconstruction involves several stages:

  • Immobilization: After surgery, your ankle will be placed in a cast or boot to keep the area immobilized and protect the repair. Crutches may be needed to avoid putting weight on the affected ankle.
  • Physical Therapy: Once the initial healing phase is complete, Dr. Romanelli will recommend physical therapy to help restore strength, flexibility, and range of motion to the ankle. Exercises will be tailored to gradually increase your activity level and improve balance and coordination.
  • Return to Activity: Full recovery can take several months, depending on the extent of the reconstruction and the patient’s adherence to rehabilitation. Most patients can expect to return to their regular activities, including sports, with significantly improved ankle stability.

Benefits of Lateral Ankle Ligament Reconstruction

  • Improved Stability: The procedure restores stability to the ankle, reducing the risk of future sprains and injuries.
  • Increased Mobility: Patients typically experience improved mobility and confidence in their ability to walk, run, and engage in physical activities.
  • Reduced Pain and Discomfort: Chronic pain and instability caused by weak or torn ligaments are often relieved after surgery.

If you’ve been suffering from chronic ankle instability and repeated ankle injuries, lateral ankle ligament reconstruction may provide the long-term relief you need. Dr. Romanelli’s expertise in ankle surgery ensures that you receive the highest quality care for restoring stability and function to your ankle.