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ANKLE INJURIES

Ankle injuries and treatments

ANKLE INJURIES

Ankle injuries and treatments

The ankle is the most frequently injured joint in sport. Ongoing instability is often underestimated and can result in degenerative change and arthritis. Modern techniques allow the joint to be treated with rehabilitation or key hole surgery. Ligament repair with the internal brace can restore normal function and accelerate recovery after ligament repair. There is no longer a need for prolonged immobilisation allowing an early return to play/ work.

Ankle Injuries we treat include

Keyhole surgery for impingement and loose body removal (footballers ankle)

Fracture management

Ankle instability/ligament repair

Spring ligament repair (acute flat foot)

Tendon dislocation

Achilles rupture/repair

Peroneal and tibialis post tendon injuries

Osteochondral lesions (surface breakdown/ulcers and cysts)

The ankle is the most frequently injured joint in sport. Ongoing instability is often underestimated and can result in degenerative change and arthritis. Modern techniques allow the joint to be treated with rehabilitation or key hole surgery. Ligament repair with the internal brace can restore normal function and accelerate recovery after ligament repair. There is no longer a need for prolonged immobilisation allowing an early return to play/ work.

Ankle Injuries we treat include

Keyhole surgery for impingement and loose body removal (footballers ankle)

Fracture management

Ankle instability/ligament repair

Spring ligament repair (acute flat foot)

Tendon dislocation

Achilles rupture/repair

Peroneal and tibialis post tendon injuries

Osteochondral lesions (surface breakdown/ulcers and cysts)

WE CAN HELP YOU RECOVER FROM ANKLE INJURY

Ankle surgery options

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INSTABILITY

Ankle instabillity is a very common injury after a severe ankle sprain. Often unrecognised and described as a weak ankle it is the result of ligament tears which have either failed to heal or healed in a lengthened position.

Common presentations relate to repeat sprains or difficulty walking on uneven ground or wearing high heels.

Long standing instability of the ankle is associated with arthritis and pain

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ACHILLES REPAIR

We developed a minimally invasive knotless technique for repair which has transformed Achilles management around the world. Essentially the new technique using InternalBracing principles is 3 time stronger and minimally invasive.

It restores the natural length and as a result excellent function. Most importantly recovery time is halved and complications minimised.

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LATERAL LIGAMENT

The commonest mechanism of injury is for the ankle to roll under you (invert) stretching the ligaments on the outside of the ankle (lateral). The classic repair is known as the Brostrom but requires immobilisation after surgery.

 The InternalBrace can now protect the repair allowing mobilisation and weight bearing often reducing recovery time by half and transforming the patient experience.

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SYNDESMOTIC LIGAMENT

The syndesmosis is a strong ligament often damaged with rotation injuries of the ankle. This can be the result of high energy impact often during a tackle when the foot is planted. It classically results in bruising and swelling

 on the fibula bone about an inch above the ankle joint. It is often described as a high ankle sprain, diagnosis is often missed and it can take twice as long to recovery when compared with a standard ankle ligament injury.

Unfortunately the syndesmotic ligament can fail to heal often as a result of malreduction when some debris gets trapped between the two bones ( Tibia and fibula) thus preventing anatomical reduction. A displacement of as little as 2mm can accelerate arthritic change.

The InternalBrace allows the ligament (Anterior talo-fibular ligament ATFL) to be repaired under direct vision ensuring normal anatomy has been restored. The brace protects the repair as it heals allowing early weight bearing and mobilisation. In addition a tight rope between the bones can further strengthen the construct.

Internal Brace Ankle Surgery

ACCELERATED RECOVERY

Minimises pain, accelerates recovery and optimises function.

RESTORES NORMAL FUNCTION

Restores normal anatomy and minimises the need for tendon transfer.

Internal Brace Ankle Surgery

RESTORES NORMAL FUNCTION

Restores normal anatomy and minimises the need for tendon transfer.

ACCELERATED RECOVERY

Minimises pain, accelerates recovery and optimises function.

Watch some of our patient videos

These videos feature a mixture of both elite sports men and women and ordinary active people who have undergone Internal Brace surgery - here are their stories....

Only 12 months since the operation (ACL IB surgery) I competed in my first decathlon (Men’s U23 British Decathlon Championships) where I placed third. The fact that the knee could withstand such force and pressure throughout is a triumph in itself. I hope I can be a testament to how successful the InternalBrace procedure is and has been."

Tom Chandler

“I was delighted that only 9 weeks to the day after my procedure (Achilles IB surgery), I was back in the water scuba diving with no worries or issues. I can’t thank Gordon and all his team enough.”

Brendan J Carr

“Professor Mackay has been inspirational to me and I’m extremely grateful for him and his expertise in repairing my injury that has been plaguing me since I was in my mid teens and throughout my military career.

Owen Tullan

InternalBrace Ankle Surgery

InternalBrace Ankle surgery - your questions answered

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HOW SOON WILL I BE ABLE TO RETURN TO ACTIVITY FOLLOWING INTERNALBRACE ANKLE SURGERY?

For ligament surgery a boot will have to be worn for 2 weeks, for Achillies repair the boot will have to be worn for 6 weeks.

ON AVERAGE HOW SOON WILL I BE ABLE TO RETURN TO WORK FOLLOWING INTERNALBRACE ANKLE SURGERY?

For a desk job 2-4 weeks, for a more physical job 6-8 weeks with modified duties

ON AVERAGE HOW SOON WILL I BE ABLE TO DRIVE FOLLOWING INTERNALBRACE ANKLE SURGERY?

2-4 weeks – as long as you are comfortable and confident carrying out an emergency stop.

CAN I HAVE MORE THAN ONE LIGAMENT AT A TIME INTERNALLY BRACED?

Yes

IF YOU THINK ANKLE SURGERY COULD HELP YOU

Then please get in touch - we would love to help

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