Lateral Ankle Ligament Repair Rehabilitation Protocols

5 Lateral Ankle Ligament Repair rehabilitation protocols from 5 institutions, published 2014–2022. Weight-bearing progressions vary by institution — compare them in the table below before selecting a protocol.

Compare by institution

Institution	Weight-Bearing	Key Restrictions
Mammoth Orthopedic Institute / Sierra Park PT — Brostrom…	NWB x2 weeks; WBAT x4 weeks in CAM boot; FWB with brace at 6-8 weeks	No passive stretching into PF and inversion; no plyometrics prior to 11-12 weeks; no return to sports prior…
Ohio State University Wexner Medical Center — Brostrom…	NWB in CAM boot wks 0-2; progressive WB in boot wks 2-6; FWB wk 6+	No active or passive ankle inversion or eversion x 6 wks; low grade joint mobs of accessory joints only…
SOMOS (Society of Military Orthopaedic Surgeons) — Ankle…	Wks 0-2: NWB in splint/SLC; Wks 2-4: WBAT (no passive PF stretching); Wks 4-6: WBAT in…	NWB wks 0-2; no inversion PROM/AAROM past neutral first 4 weeks; no passive PF stretching wks 2-4; CAM boot…
University of Colorado Anschutz (CU) — Modified Brostrom…	NWB in splint wks 0-2; WBAT in boot wks 2-4; WBAT in boot all ADLs wks 4-6; WBAT in…	NO INVERSION until 12 wks; no ankle/foot ROM wks 0-4; no talar distraction or anterior glides; wean to ASO…
UW Health Sports Medicine — Lateral Ankle Reconstruction…	NWB until post-op surgeon visit; then TDWB in boot or cast	No inversion/eversion ROM for 6 weeks; no jumping/hopping until Phase IV (~14 weeks); wean to ankle…