What is High Ankle Sprain Surgery?
High ankle sprain surgery is a procedure performed to repair torn or severely stretched ligaments in the syndesmosis — the joint where the tibia and fibula meet just above the ankle. The goal is to restore stability to the ankle and allow the ligaments to heal properly, especially when the injury is too severe to heal on its own. A high ankle sprain is a more complex and less common type of sprain.
When is High Ankle Sprain Surgery Necessary?
Surgery is usually recommended when the ligaments are completely torn, the ankle joint is unstable, or when the injury involves a fracture or widening of the syndesmosis. In athletes or active individuals, surgery may also be advised to support a faster, more reliable return to sport.
The High Ankle Sprain Surgery Procedure
During the procedure, the surgeon realigns the bones and repairs the damaged ligaments. This often involves placing screws or a suture device between the tibia and fibula to hold them in position while the ligaments heal. The surgery is typically performed under general anesthesia and may be done on an outpatient basis.
Recovery and Aftercare
Recovery from high ankle sprain surgery typically takes several weeks to a few months. Patients usually wear a boot or cast and may need to avoid putting weight on the ankle for several weeks. Physical therapy begins once healing is underway and focuses on restoring strength, range of motion, and stability. A full return to high-impact activity or sports may take 3 to 6 months, depending on the severity of the injury and the individual’s overall health.
FAQs
No. Most high ankle sprains can be treated without surgery using rest, bracing, and physical therapy. Surgery is only needed when there’s significant ligament damage, instability, or a fracture that prevents proper healing.
You can expect some pain and swelling after surgery, but this is typically managed with medication, rest, and elevation. Most patients find the pain improves significantly within the first week or two.
Yes, in many cases a cast or walking boot is used to protect the ankle and allow proper healing. The exact type and duration of immobilization depends on the specific procedure and your surgeon’s recommendation.
Ankle ligament reconstruction surgery has a high success rate, with most patients regaining strength and stability. Athletes and active individuals often return to their previous level of activity following proper rehab.
In the early stages of recovery, you may need to wear the boot at all times — including while sleeping — to protect the ankle and prevent accidental movement. Your doctor will let you know when it’s safe to remove it at night.
If you experience severe pain, an inability to bear weight, or significant swelling after an ankle injury, it’s a good idea to visit the ER or urgent care to rule out a fracture or severe ligament damage.
