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ANKLE JOINT SURGERY

Method
Arthroscopic and open surgery of the ankle joint
Duration
30 to 120 minutes
Recovery time
6 weeks to 6 months

As specialists for surgery of the ankle joint in Freiburg we offer a broad range of arthroscopic and open procedures. From the treatment of cartilage damage and ligament injuries through to arthritic changes – our experienced surgeons use the most modern techniques to restore the function and stability of the ankle joint.

How does surgery of the ankle joint work?

Surgery of the ankle joint can be carried out either arthroscopically (minimally invasively) or open. The arthroscopic technique allows precise diagnosis and treatment with minimal damage to the tissue. A camera and special instruments are introduced through small incisions in order to smooth cartilage damage, remove loose bodies or repair ligament injuries.

For more complex procedures such as ligament reconstructions or arthritic changes an open operation is carried out. Modern methods of fixation such as absorbable screws or special implants are used. The operation is usually carried out under general or regional anaesthetic and can mostly be done as a day case or with a short stay in hospital.

Accompanying injuries to tendons or cartilage can be treated during the same operation. Aftercare is adapted individually to the type of procedure and to the patient's personal needs.

Rehabilitation after surgery of the ankle joint

Aftercare following surgery of the ankle joint runs in several phases and is guided by the biological course of healing and by the type of procedure carried out. Targeted physiotherapy afterwards is decisive for the functional result.

Phase I (weeks 1 to 6): protection and unloading

In the first phase the emphasis is on protecting the operated ankle. The aim is to support healing and avoid complications.

  • Unloading with crutches for 2-4 weeks
  • Elevation and cooling to reduce swelling
  • Passive mobilisation exercises under physiotherapy guidance
  • Mobilisation adapted to the pain
Phase II (weeks 6 to 12): building up load

In the second phase the load is increased step by step and movement is improved.

  • Transition to full weight-bearing
  • Active movement therapy
  • Strengthening exercises for the muscles of the foot
  • Balance training
Phase III (months 4 to 6): functional build-up

In this phase the focus is on restoring full function.

  • Sport-specific training
  • Co-ordination exercises
  • Load training for everyday activities
  • Return to light sporting activities
Phase IV (months 7 to 9): full integration

The final phase aims to restore full load-bearing capacity.

  • Full return to sporting activities
  • Load tests to check function
  • Individual adjustment to personal goals
  • Long-term preventive measures