What are the surgical options available for a sprained ankle?

Hello,

Welcome to icliniq.com.

I have gone through the images you have provided (attachment removed to protect patient identity). I think only the anterior tibiofibular ligament has ruptured and all the other ligaments are sprained only. I would suggest you manage it non-surgically as all the other ligaments are intact. You should get a long leg plaster cast by an orthopedic surgeon and keep it for six weeks. This will help the ligaments heal and also the trauma edema to reduce. You still have sufficient stability as only one ligament is ruptured. So my suggestions remain conservative management, provided I see your X-ray films. But, if you are a sports person then only surgical management can be an option. Do let me know about your profession and your needs as the management also depends accordingly. X-rays will help me guide you with further management. This professional advice provided by me stands subject to the actual examination of the report/image and is based entirely on inputs provided to me. It should be correlated with clinical findings.

Thank you.

Hello,

Welcome back to icliniq.com.

I have gone through your X-ray films (attachment removed to protect patient identity). I saw the X-ray, and you seem to have asevere syndesmotic injury on the X-ray and since you are involved in sports too you will surely require surgery. Following are the options of the surgery.

1. Only screws.

2. Screws with plate fixation over the fibula.

3. Bioabsorbable screws, which will not necessitate implant removal in the future.

4. Tightrope fixation can also be done if the surgeon is confident about the procedure. Usually, metal implants will require removal after an average of 12 weeks after the surgery. Tightrope and bioabsorbable screws will not require removal. I would also suggest you get a CT (computed tomography) scan done to check for any small avulsion injuries before going for surgery. Follow up in one week.

Thank you.

Hi,

Welcome back to icliniq.com.

Here are your answers.

1. Usually, four days in the hospital.

2. Non-weight-bearing with crutches can be started some days after surgery until six weeks.

3. Partial weight-bearing with crutches for six weeks, and then eight to 10 weeks later, you can stop using the crutches depending upon the pain.

4. Avoid smoking for better healing.

I would suggest two tightropes for you as a surgical option, which is a good technique.

Hello,

Welcome back to icliniq.com.

HGH (human growth hormone) will not affect healing at all. So, please do not take it. You will be fine with just the surgery. Your surgery only requires soft tissue healing so just doing the surgery with a plaster cast is enough. If you want to enhance the healing, then I suggest you include vitamin C tablet along with calcium and vitamin D supplementation. Consult your specialist doctor, discuss with him or her and take the above medicines with their consent. Platelet-rich plasma injections given locally at the site of the injury can be used to assist in recovery with surgery and heal better rather than stem-cell therapy. So, ask your doctor about it in your area regarding its availability.

Thank you.