Chronic pain and instability following ankle sprain
An ankle sprain is an extremely common sporting injury. Tearing of the lateral ligaments is often accompanied by intra-articular pathology which can contribute to longstanding ankle pain and instability.
If, after rigorous physiotherapy, recurrent ankle sprains and instability is experienced, surgery for stabilisation is recommended. By ensuring the ankle ligaments are strong, this makes the ankle stable and helps prevent further injury.
Osteo Chondral Defect (OCD)
When a patient has a history of ankle instability and repeated sprains, both the bone and cartilage will be affected. Minor injuries should recover with rest and elevation.
More severe injuries may result in loose bone fragments and cartilage in the ankle joint which may result in surgery. The severity of the injury determines if surgical intervention is required.
Arthroscopy and Ankle Reconstruction
This surgery is primarily aimed at removing any materials that may promote infection and impede healing the ankle joint as well as stabilising the surrounding ligaments and preventing arthritis.
Both surgeries are done at the same time, allowing any underlying joint pathology to be treated as well as stabilising the joint.
Ankle Arthritis
Arthritis affecting the ankle joint typically presents as a painful stiff ankle. There are a variety of causes for ankle arthritis and there are a number of surgical procedures aimed at addressing symptoms.
Non surgical or conservative treatment includes: bracing, shoe wear selection, exercise and pain medication.
The type of ankle surgery will depend on the severity of the disease and the level of symptoms experienced.
Ankle Fusion
An ankle fusion is the most reliable surgical option when the ankle is stiff and painful. The degenerate joint surface is surgically removed and then fixed together with screws. The bones heal in this position and should remain in situ permanently.
This surgery aims to convert a stiff painful ankle joint into a solid comfortable joint.
Ankle Replacement
This surgery is aimed at preserving ankle joint motion. The worn out joint surfaces are removed and replaced with a metal implant that functions similarly to a normal ankle joint. Whilst this is a less reliable option than the ankle fusion, performed on a suitable patient can produce desired results.
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