Ankle reconstruction is a surgical procedure to repair damaged cartilage and bone of the ankle and surrounding joint. This type of surgery will typically be performed by an orthopedic surgeon. The procedure is meant to restore range of motion to the ankle, which may have been damaged due to trauma or a deformity. X-rays and magnetic resonance imaging (MRI) may be taken before ankle reconstruction surgery is performed.
Arthroscopy is a less-invasive type of surgery than traditional surgery that involves cutting into tendon or bone. This is done with an instrument known as an endoscope, as well as a very small camera that can show details of the damaged tissue. Arthroscopy can be an option in cases where ankle surgery is necessary.
Athletes or those who participate in other physical activities may damage ligaments and tendons of the foot or ankle. When the damage cannot be corrected through physical therapy or other methods, ankle reconstruction may be necessary. Ankle reconstruction may enable the patient to regain full function of his foot and become free from pain.
In this type of surgery, the main goal is to reconstruct ligaments or tendons that have been torn or twisted. This may involve reattaching the ligaments that have been separated or torn. In certain cases where tendons have been damaged beyond repair, the surgeon may perform a tendon graft procedure. The grafting tissue is obtained from a tendon bank or other depository. The grafting procedure attaches tendon to muscle surrounding the ankle.
When an individual suffers repeated injuries, such as sprains or ligament tears, scar tissue may form. Over time, this scar tissue can cause further damage if not corrected surgically. Ankle reconstruction can be used to reduce this scar tissue and improve stability in the joint.
Recovery after ankle reconstruction surgery will typically take anywhere from 10-14 days. If post-operative complications arise, recovery time will take longer. During the course of recovery from ankle reconstruction, patients generally need to use crutches for a week or two. Within two weeks, the physician may advise the patient to begin walking with the aid of a walking boot. This type of boot will support and protect the ankle as the patient heals.
In most cases, the patient will begin physical therapy after the surgery site has healed. Generally, this will take place several weeks after surgery. Physical therapy or ankle rehabilitation will help to strengthen the ankle and improve flexibility.
