Ankle

We offer an assortment of treatments for various injuries to the ankle, including:

• Ankle arthroscopy
• Open reduction with internal fixation (ORIF) for ankle fractures
• Ligament repair
• Achilles tendon repair

Ankle Arthroscopy

Ankle arthroscopy is a minimally invasive procedure that allows for good visualization of the ankle joint, and it is generally used to remove inflammation and treat cartilage injuries of the ankle joint. Typically two small incisions are used in the anterior portion of the ankle joint. Immobilization is usually required for the first two weeks after surgery with non-weight bearing and crutches. After sutures are removed, physical therapy is used to help restore range of motion and improve strength.

Open Reduction and Internal Fixation (ORIF) for Ankle Fractures

Ankle fractures are a common injury from either a direct blow or a twisting type injury with a foot fixed on the ground. Ankle fractures come in a variety of displacements, including injury to the inside or outside of the ankle extending up into the shin bone. Oftentimes with minimal to no displacement, casting or brace placement is appropriate. With displacement or marked comminution, open reduction with internal fixation with plates and screws is typically used. Other methods of treatment include: rods, external pins, or fixation. Generally ankle fractures heal well enough over a six to twelve week period to allow for full weight bearing, although it may take several months of physical therapy for range of motion and strengthening to allow for a return to full activity.

Ligament Repair

Ankle sprains are common injuries from a twisting of the foot after slipping or stepping awkwardly into a hole or off of a step. A simple sprain will generally heal quickly over a few weeks; but, many times with persisting pain and swelling, a more significant injury to the ligament may have occurred. An MRI may be required to identify the extent of the injury about an ankle after a twisting sprain. If a complete ligament rupture is noted, ligament repair may be required. Typically after surgery, non-weight bearing is instituted with a splint or boot. After several weeks of healing, physical therapy is instituted to help restore range of motion and strength to the ankle.

Achilles Tendon Repair

Achilles tendon injuries are seen most often in the middle age group due to persisting sporting activities without proper warm up or stretching. Achilles tendon injuries can occur through multiple other traumatic type injuries as well. It will generally require a lengthy period of immobilization and/or surgical repair. MRIs are ordered to view the extent of the injury as well as the amount of tendon retraction. If surgical repair is instituted, the tendon is reapproximated and held in place with heavy, non-absorbable sutures and/or suture anchors. Gradual changes in the degree of ankle flexion are performed to allow for slow stretching of the Achilles tendon after repair. Extensive physical therapy for range of motion and strengthening is generally required.