Ligaments and tendons are the supporting structures of the ankle joint. They attach to muscle and bone, providing stability and the ability to flex or extend the ankle. In cases of a fracture or other trauma to the ankle, a ligament can be partially or completely torn. An ankle ligament reconstruction (ALR) is a surgery in which the doctor repairs the ligament by stitching it together or by replacing the ligament with a tendon. An ALR is usually an outpatient surgery.
The Brostrom procedure is used to restore ankle stability by repairing the outside ligaments in the ankle in a patient with reoccurring ankle instability. The surgery helps reduce the risk of repeated sprains due to weak ankle ligaments. The surgeon makes one or more small incision over the outside of the ankle and may repair, shorten or reattach the ankle ligaments. The procedure is usually performed on an outpatient basis but does require general anesthesia. Recovery takes about six weeks.
The Achilles tendon is the strong fibrous cord connecting the calf muscle to the heel. Despite its strength, the Achilles tendon can tear (rupture) if it is injured. Some people naturally have tight Achilles tendons, which makes them more susceptible to injury. Conservative treatment (which is lengthy and may increase the risk of further injury) and surgery are both options for an Achilles tendon rupture. Active young people and athletes are more likely to undergo surgery.
