FootArk Clinic - Premier Foot & Ankle Care Mumbai | Dr. Abhishek Kini
+91 98765 43210
Mumbai, India
Post-Surgical Care Protocol

Lateral Ligament Reconstruction Rehabilitation

Comprehensive post-operative care instructions and recovery timeline following lateral ligament reconstruction surgery.

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.

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.

Weeks 1 - 2 Post Operatively

Early recovery phase care guidelines

1

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.
2

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.

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.

1

Medical Assessment

  • Removal of boot for inspection
  • Wound inspection
  • Removal of sutures
2

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.
3

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.