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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 ankle instability is often underestimated and, if left untreated, can lead to degenerative change and arthritis. Modern techniques allow many ankle injuries to be treated with rehabilitation or minimally invasive keyhole surgery. Ligament repair using the InternalBrace technique can restore normal joint stability and accelerate recovery after ligament injury. Prolonged immobilisation is often no longer necessary, allowing an earlier return to sport, work and normal activity.

Ankle Injuries we treat include

Keyhole surgery for ankle impingement and loose body removal (footballer's ankle)

Fracture management

Ankle instability and ligament repair

Spring ligament repair (acute flat foot)

Tendon dislocation

Achilles tendon rupture and repair

Peroneal and tibialis post tendon injuries

Osteochondral lesions (cartilage surface damage/ulcers and cysts)

The ankle is the most frequently injured joint in sport. Ongoing ankle instability is often underestimated and, if left untreated, can lead to degenerative change and arthritis. Modern techniques allow many ankle injuries to be treated with rehabilitation or minimally invasive keyhole surgery. Ligament repair using the InternalBrace technique can restore normal joint stability and accelerate recovery after ligament injury. Prolonged immobilisation is often no longer necessary, allowing an earlier return to sport, work and normal activity.

Ankle Injuries we treat include

Keyhole surgery for impingement and loose body removal (footballer's ankle)

Fracture management

Ankle instability and ligament repair

Spring ligament repair (acute flat foot)

Tendon dislocation

Achilles tendon rupture and repair

Peroneal and tibialis post tendon injuries

Osteochondral lesions (cartilage surface damage/ ulcers and cysts)

WE CAN HELP YOU RECOVER FROM ANKLE INJURY

Ankle surgery options

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ANKLE 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 TENDON RUPTURE

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 REPAIR - INTERNALBRACE TECHNIQUE

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 INJURY

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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IF YOU THINK ANKLE SURGERY COULD HELP YOU

Then please get in touch - we would love to help

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