Ankle ligament reconstruction surgery

Ankle ligament reconstruction repairs or rebuilds damaged ligaments to create a more stable ankle and reduce repeated giving way.

Ankle ligament reconstruction surgery overview

Ligaments are strong bands of tissue that hold the ankle bones together. Repeated sprains can stretch or tear the ligaments on the outside of the ankle, leaving it painful, weak or unstable. Surgery may be recommended when physiotherapy, bracing and other treatments have not provided enough stability. The aim is to restore support so you can walk, exercise and change direction with greater confidence.

How is surgery carried out?

The procedure is usually carried out under a general anaesthetic. Your surgeon may first use keyhole surgery to inspect and treat any damage inside the ankle joint.

The damaged ligaments are then tightened and reattached to the bone through a cut on the outside of the ankle. If the existing tissue is not strong enough, a tendon graft may be used to rebuild the ligaments.

 

Are there any risks?

Possible risks include:

  • Infection or problems with wound healing
  • Damage to nearby nerves, causing numbness or tingling
  • A blood clot in the leg (deep vein thrombosis or DVT)
  • Ankle stiffness or ongoing swelling
  • Continued pain or instability
  • The repair stretching or failing following another injury

Your specialist will talk you through your individual risks before surgery.

 

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Ankle ligament reconstruction surgery overview

Recovery from ankle ligament reconstruction surgery

0–2 weeks

Protecting the repair

Your ankle will usually be in a plaster cast and you will keep your weight off the operated foot. Raise your foot regularly to reduce pain and swelling.

2–6 weeks

Returning to walking

You will usually move into a supportive boot and gradually begin putting weight through the foot. Your specialist will advise when you can return to normal footwear.

6-16 weeks

Rebuilding stability

Physiotherapy will focus on strength, balance and controlled movement. Most everyday activities return before sport, which requires additional rehabilitation and testing.

Working with foot and ankle professionals and teams

Our foot and ankle specialists support professional athletes, sports teams, active individuals and people whose work places high demands on their feet and ankles. Working closely with radiologists, physiotherapists and the wider multidisciplinary team, they provide coordinated care from diagnosis through to rehabilitation, helping each person return safely to sport, work or everyday activities.

 

The same specialist expertise and collaborative approach are available to every patient, whatever your activity level or recovery goals.

 

Working with foot and ankle professionals and teams

How to pay

We offer flexible options depending on how you choose to access care at Fortius. Whichever option you choose, we’ll help make the process clear and straightforward from the start.

Private medical insurance

Private medical insurance

If your care is covered by private medical insurance, we’ll usually invoice your insurer directly. Please check your policy in advance and request an authorisation code if your insurer requires one. You’ll be responsible for paying any policy excess or costs that aren’t covered by your insurance.

Paying for yourself

Paying for yourself

You don’t need private medical insurance to access care at Fortius. If you’re paying for your own treatment, our team will explain the costs clearly and provide a personalised quote before you decide whether to go ahead.

 

Ankle ligament reconstruction surgery FAQs

You can consider driving when you are out of your boot, walking comfortably and able to perform an emergency stop safely. You should ask your specialist and confirm that your insurer is happy for you to drive.

 

Desk-based work may be possible after two to four weeks if you can keep your foot raised. Work involving prolonged standing, walking or manual activity may require six to 12 weeks or longer.

 

Low-impact exercise usually begins before running and changing-direction sports. A full return to sport often takes around four to six months, depending on your progress and the demands of your sport.

 

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