Lateral Ankle Ligament Repair — Lateral Ankle Reconstruction (Brostrom)

UW Health Sports Medicine · Marc Sherry, PT, DPT, LAT, CSCS, PES; UW Health Sports Medicine physician group

Weight-Bearing

NWB until post-op surgeon visit; then TDWB in boot or cast

Key Restrictions

No inversion/eversion ROM for 6 weeks; no jumping/hopping until Phase IV (~14 weeks); wean to ankle stabilizing orthosis (ASO)

Timeline & Phases

Phase I (0-6 wks): NWB/TDWB, no ROM; Phase II (6-10 wks): progressive WB, DF/PF ROM, no inversion/eversion; Phase III (10-14 wks): full ROM, full peroneal strength, normal gait; Phase IV (14-16+ wks): sport-specific prep, clearance from surgeon and PT/ATC

Notes

Brostrom and modified Brostrom-Evans technique. Allograft reconstruction described for severe instability. Criterion-based progression. Developed by Marc Sherry, PT, DPT, LAT, CSCS, PES.

Surgeon / Author

Marc Sherry, PT, DPT, LAT, CSCS, PES; UW Health Sports Medicine physician group

Published

2014-06