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Lateral or Medial Ligament Reconstruction Surgery
Lateral or medial ligament reconstruction (and syndesmosis repair) requires careful protection of the newly reconstructed ligaments. You'll be in a cast initially, moving into a moon boot and eventually an ankle brace to support stability during daily activities and rehabilitation.
Lateral ligament reconstruction
The lateral ligaments consist of 3 ligaments on the outside of the foot and ankle. They normally tear from the front towards the back with a sprain of the ankle. If surgery is not required (Conservative management): Wear a moonboot for 2-4 weeks after the injury - your doctor will advise when you can transition out of the moonboot into a lace-up brace
If surgery is required:
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After the surgery, you will have a back slab of the lower limb. Your cast will remain on for approximately 2 weeks, when it will be removed and a circular cast applied. Your cast will remain on for approximately 2 weeks, then a moon boot will be needed.
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It is important to keep the cast and the wounds dry; a cast protector is advised
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During the first 4 weeks after surgery, you are not allowed to bear weight on your operated foot. Crutches, a kneestrider or a wheelchair is advised during this period.
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At 8 weeks after the surgery, you will be able to transition into tekkies with an Ankle brace, with continuous rehabilitation
Phase 1: Day of Surgery
Surgeries this applies to: Lateral ligament reconstruction · Medial ligament reconstruction · Syndesmosis reconstruction
Crutches or KneeStrider
Why you need it: Move safely without weight on the foot.
Note: It is your choice to use crutches or a KneeSrider. You will need a mobility device for at least the first six weeks after surgery. The doctor will advise you at the follow-up appointments how long you should continue using these devices.
Cast Protector
Why you need it: Keeps cast dry in the shower.
Note: You can use this every time you shower, just ensure it is dry before use. It is advisable to sit on a chair while showering, so that the water does not flow directly into the opening of the cast protector.
Elevating pillow / leg support
Why you need it: Reduces swelling.
Note: Elevate your leg above heart level when resting. Use at least 3 pillows.
Ice Packs
Why you need it: Manages pain and swelling.
Note: Use for 15-20 minutes at a time, ensuring that the cast remains dry.
Phase 2: Once the cast is removed
(around 6 weeks after surgery)
Moon Boot
Why you need it: Protects the repair; keeps foot in safe position.
Note: You will start using a moonboot as soon as the circular cast is removed. Please ensure to follow doctor’s instructions on the duration of use.
Compression socks
Why you need it: Helps prevent blood clots (DVT) and reduces swelling.
Note: Wear during the day and remove at night unless otherwise instructed.
Laced Ankle Brace
Why you need it: To provide support and stability to the ankle.
Note: Worn together with a comfortable shoe, especially during physical activity
