Ankle Ligament Repair — Brostrom Repair

iOrtho

Weight-Bearing

NWB with crutches wks 0-2; WBAT in boot wks 2-8; WBAT in shoe with active ankle brace wks 7-8+; FWB in shoe wks 9+

Key Restrictions

No inversion or plantarflexion ROM wks 0-2; no inversion throughout early phases; ankle mobilizations must avoid stress to CFL and ATFL; 90% Y-balance/hop tests and CAIT/FAAM for RTS

Timeline & Phases

Phase I (Wks 0-2 immediate), Phase II (Wks 2-8 intermediate), Phase III (Wks 7-8 late), Phase IV (Wks 9-12 transitional), Phase V (Months 3-4 early RTS), Phase VI (Months 5-6+ unrestricted RTS)

Notes

More cautious for tendon augmentation, peroneal repair, revision, hyperlaxity, or comorbidities; avoid stress to CFL and ATFL with mobilizations; outcome measures: CAIT or FAAM

Published

August 2024