How long does a brostrom procedure take

Should tissue quality indicate, fibular anchors may be used to strengthen the surgery. Following the ligament repair the wound is then closed in a layered manner. The goal of this procedure is to improve stability to the lateral ankle, improve the ankle mechanics and restore full function.

Patients undergoing any surgery are subject to risks of infection, wound healing problems, nerve injury, deep vein thrombosis and pulmonary embolism.

There are some potential risks of surgery that are specific to the lateral ligament reconstruction procedure. This includes:. The nerve is usually identified and is not normally cut. However, in the repair and healing process, this nerve can become scarred, leading to either decreased sensation over the top of the foot or in some cases, a painful burning sensation in this region. If this type of neuritis occurs, fairly aggressive therapy to desensitize this area is required.

The repaired ligament is often strong and creates increased stability of the ankle. However, it is not as strong as the original ligament and further ankle sprains will potentially stretch out this ligament. Your physician will perform a physical exam to determine the laxity in your ankle. They may confirm this with a stress view x-ray or other imaging. Do not eat or drink anything after midnight for arrivals before noon. Otherwise, do not eat or drink anything seven hours prior to your arrival at the surgery center.

The day of the procedure, you will need to arrange for a ride to and from the procedure and arrange for help at home. If you disable this cookie, we will not be able to save your preferences.

This means that every time you visit this website you will need to enable or disable cookies again. This website uses Google Analytics to collect anonymous information such as the number of visitors to the site, and the most popular pages. Skip to content. Ankle ligament reconstruction surgery. You are here:. What is ankle ligament reconstruction surgery?

Read more.. What does ankle ligament reconstruction surgery involve? Why might I need ankle ligament reconstruction surgery? How long does it take to recover? An orthopedic foot surgeon will perform your surgery. The surgery may take 2 or more hours.

You can expect the following:. Someone will watch you for a few hours after your surgery. When you wake up, you will likely find your ankle in a splint. Often, lateral ankle ligament reconstruction is an outpatient procedure. This means you can go home the same day. You should have someone drive you home. You will have some pain for a while after your surgery, especially for the first few days. Pain medicines may help to relieve your pain.

Carefully follow all instructions about medicines and wound care. Keeping your leg elevated may help reduce swelling and pain, too. Make sure to tell your surgeon right away if you have high fever, chills, or increasing pain from your ankle.

You will need to return in about 10 days after your surgery to have your stitches or staples removed. Your surgeon might also replace your splint with a boot or cast at this time. In a few weeks, your healthcare provider will likely replace this cast with a removable brace. Your healthcare provider will give you specific instructions about how to strengthen your ankle and leg muscles as you recover.

You may benefit from physical therapy as well. A retrospective review of 50 open Modified Brostroms vs.

A Prospective Study of 30 consecutive patients. Knotless Biomechanic. All Inside Scope Brostrom. The tendons and nerves are identified and marked with a pen. The distal fibula is marked along with an accessory incision site 3cm proximal to the tip of the fibula. Looking inside the ankle joint and cleaning out the scar tissue at the lateral aspect of the joint. In addition, preparation of the fibula is performed for bone anchor placement. Two bone anchors are then inserted into the anterior face of the fibula.

The sutures are then passed out through the sinus tarsi area with a percutaneous suture passer. All 4 sutures have been passed with minimally invasive techniques and spread out in the sinus tarsi area. A small accessory incision is made in the midline of the distal fibula and the sutures are brought proximally into this incision after the sutures have been tied.

The sutures are then anchored into the distal fibula to add additional support and strengthen the repair.