A damaged ligament from a sprain can cause instability and pain affecting the ankle.
Physiotherapy to strengthen the supportive ankle muscles and help with proprioception (the brain's ability to know where a body part is in space).
A Broström reconstruction involves a day case procedure under general anaesthetic. A cut is made over the outside of the ankle and the ligaments together with the baggy soft tissues are retensioned and reattached to the fibula (ankle bone) with a bone anchor. I usually carry out an ankle arthroscopy at the same time as a Broström reconstruction to deal with any problems within the ankle joint itself. Please also read the separate page about ankle arthroscopy.
I often use a device called an internal brace to strengthen the reconstruction. A video of the technique can be seen below. To find out more about the internal brace device, click here to view the manufacturer's website.
All surgical procedures carry some risk. These risks are usually rare, but can include infection, bleeding, damage to surrounding structures such as tendons or nerves, numbness, dysfunction of foot, ongoing pain, unsightly scar, painful scar, wound healing problems, swelling. There is also a risk that the procedure does not work fully and that the patient is left with some ongoing symptoms.
There are also some medical risks to surgery such as a clot in the leg (DVT), clot in the lung (pulmonary embolus or PE). The general anaesthetic has rare risks of problems such as heart attack, stroke, chest infection and in extremely rare circumstances, death.
Click here to download the Broström reconstruction rehab protocol.