Lateral Ligament Reconstruction Rehabilitation

1. 01

   Procedure Overview

   Understanding lateral ligament reconstruction surgery

   Surgical Technique

   Following ankle arthroscopy, the Anterior Talo-Fibula Ligament (ATFL) and/or Calcaneo-Fibula Ligament (CFL) are reconstructed by tightening the tissue by detaching, advancing and reattaching them with bone anchors or sutures.

   Note: This procedure helps restore ankle stability and prevent recurrent sprains.

2. 02

   Day of Operation (Week 1)

   Immediate post-operative care instructions

   Immediate Post-Surgery Protocol

   • Rigid walking boot placed during surgery
   • Mobilise touch weight bearing (10 % body weight) with 2 crutches
   • Home the same day
   • Strict elevation at the level of the chest
   • Move toes, knee and hip

   Important: Maintain strict elevation and minimal weight bearing during the first week for optimal healing.

3. 03

   Weeks 1 - 2 Post Operatively

   Early recovery phase care guidelines

   Week 1 - Maximum Elevation

   Strict elevation at the level of the chest, for 23 hours a day (for pain relief and wound healing)

   Tip: Proper elevation is critical during the first week to minimize swelling and promote healing.

   Week 2 - Reduced Elevation

   Strict elevation at the level of the chest 40 minutes every hour

   Mobility & Movement Guidelines

   • Mobilise touch weight bearing (10 % body weight) with 2 crutches
   • Move toes, knee and hip. Straight leg raises

   Exercise Note: Gentle movement of adjacent joints helps maintain circulation and prevent stiffness.

4. 04

   Week 3 Post Operatively & Beyond

   Transitioning to full weight bearing and therapy

   Clinic Review Appointment

   After 2 weeks completed, you will have a clinic review by the doctor for comprehensive assessment.

   Medical Assessment

   • Removal of boot for inspection
   • Wound inspection
   • Removal of sutures

   Weight Bearing Progression

   Rigid walking boot refitted. Now full weight bearing (FWB, 100 % body weight)

   Milestone: You can now bear your full weight comfortably in the boot.

   Physical Therapy Begins

   Start physiotherapy to restore strength, flexibility, and ankle stability

   Therapy Goal: Gradual restoration of ankle range of motion, strength, and proprioception to prevent future injuries.

Please note: this guide is general information from FootArk’s rehabilitation guidance. Your surgeon’s instructions for your own operation always come first.