Dallas Ankle Instability Surgeon

Ligament Reconstruction With Internal Brace For Chronic Ankle Instability

At our state-of-the-art orthopedic center specializing in foot and ankle surgery, we offer an innovative solution for patients dealing with chronic instability and in need of ligament reconstruction with internal bracing. Chronic ankle joint instability can be a debilitating condition, affecting mobility and quality of life due to multiple prior ankle sprains, ligament damage, and a torn anterior talofibular ligament. Our expert Dallas ankle instability surgeon, who is board-certified and has extensive training in orthopedic foot and ankle surgery, is skilled in the latest surgical procedures and is dedicated to providing the best patient care. Ankle instability surgery performed here offers a durable and minimally invasive solution to stabilize the unstable ankle, treat ankle problems, and restore its function. This surgical treatment involves repairing or reconstructing the damaged ligament and addresses inflammation to reduce pain and swelling.

Understanding Chronic Ankle Instability

Chronic ankle instability, also known as functional instability, can occur when the ankle ligaments are weakened, damaged, or overstretched, often due to repeated ankle sprains or an ankle ligament injury caused by a sudden twisting movement during an athletic event or daily activities. Over time, the stretched or torn ligaments of patients with acute ankle sprains lose their ability to maintain proper ankle bone alignment, which can lead to chronic lateral ankle instability and increase the risk of ankle arthritis and ankle fractures. It is a chronic condition characterized by a further lateral ankle sprain, ligament damage, and long-term joint damage that may require orthopedic surgery or conservative treatment. Medications like NSAIDs can help manage pain and inflammation associated with this condition.

Unlike an acute ankle sprain, a person with chronic ankle instability often experiences a recurrent sensation of “giving way,” where the ankle feels wobbly or unstable, particularly during physical activities or even during normal walking on uneven surfaces. Lateral ankle instability following an ankle sprain can also lead to frequent falls, significantly impacting a person’s daily activities, range of motion, and overall quality of life. Early diagnosis and treatment by an experienced Dallas ankle instability specialist are essential to prevent the need for deformity correction and possible complications.

Dallas ankle instability surgeon

Ligament Reconstruction with Internal Brace: An Overview

How is ankle instability treated?

Ankle ligament reconstruction surgery with internal bracing is a procedure aimed at reinforcing and stabilizing the outside or lateral ligaments: the Anterior Talofibular Ligament, the Posterior Talofibular Ligament, and the Calcaneofibular Ligament, or the CFL ankle ligaments. This ankle instability surgery involves repair or reconstruction of the injured ankle ligaments and addresses inflammation. Internal bracing is a relatively new technique that uses a high-strength suture material to support the sprained ligaments as they heal. This procedure does not rely solely on the suture material. It promotes the natural healing of the ligaments while providing extra support to the ankle’s dynamic stability. It’s a minimally invasive approach that can result in a more rapid recovery and return to activity compared to traditional ligament reconstruction methods, with complete recovery generally noticed within 10 to 12 weeks. Imaging tests are used for an accurate diagnosis before surgery is performed by a skilled ankle surgeon.

Dallas Chronic Ankle Instability Ligament Reconstruction: Procedure Indications

The management of ankle instability depends on the findings of the physical examination and your level of activity. You may be a candidate for ligament reconstruction ankle surgery with internal bracing if:

  • You have chronic ankle instability with recurrent injury.
  • Non-surgical treatments like physical therapy and bracing have not improved your previous ankle injuries.
  • You experience persistent pain from multiple ankle sprains, swelling, or the ankle giving way.
  • You have a desire to return to an active lifestyle and sports without recurrent instability.

Our ankle surgeon in Dallas, TX will conduct a thorough assessment of your ankle and discuss the best treatment options for your specific condition.

The Procedure Done by a Dallas Ankle Instability Surgeon

Our orthopedic foot and ankle specialist performs a tendon transfer procedure to treat ankle instability. Surgical procedures involve repair through small incisions around the ankle. The ankle doctor first evaluates the condition of the affected ligaments and then decides whether to repair the existing ligaments or replace them with a tendon graft or from the peroneus brevis muscle tendon.

The internal ankle brace, made from a strong suture material, is then placed to support the torn or stretched ligaments and the ligament complex. It is anchored to the bone on either side of the ligament, providing a stable yet flexible support structure that protects and prevents the recurrent slipping of the ligament during the healing process.

Ankle Injury Recovery and Rehabilitation

Following the surgery, you may need to wear a cast or boot to protect the affected ankle as it heals. Crutches may be needed to avoid placing weight on the ankle initially to ensure proper healing and prevent further injury. Physical therapy will play an integral part in restoring ankle stability, helping to improve your strength, flexibility, and balance through targeted exercises and gait training.

As healing progresses, you will gradually regain ankle stability and return to weight-bearing and regular activities and sports. The internal brace provides early stability, which often allows for a quicker return to activity compared to lateral ankle ligament reconstruction.

The surgeon will thoroughly evaluate your condition and discuss all treatment options before recommending ankle replacement surgery.

Long-Term Outcomes and Benefits of Ankle Ligament Reconstruction

Ligament reconstruction with internal bracing has shown excellent results in patients with chronic ankle instability. The benefits include:

Stabilized Ankle Joint

This procedure effectively stabilizes the ankle joint, reducing the risk of acute ankle sprains, chronic pain, and instability.

Quicker Recovery

The minimally invasive nature of this ankle ligament surgery and the support from the internal brace allow for a faster recovery and pain relief compared to traditional methods.

Restoration of Function

Most patients can return to their previous levels of activity, including sports, with improved ankle function.

Pain Relief

This surgical treatment surgery often significantly reduces the ankle pain and discomfort in the ankle and leg muscles associated with functional ankle instability by stabilizing the ankle.

Lifestyle Modifications


Certain activities may need to be modified to avoid aggravating the arthritic joint.

Risks and Complications

As with any surgical procedure for ankle injuries, ligament reconstruction with internal bracing carries potential risks, including swelling, chronic pain, stiffness, infection, nerve damage, and complications related to anesthesia. Patients may also experience challenges during the healing process, such as difficulty bearing weight initially. However, these risk factors are relatively low, and our experienced orthopedic surgeon with extensive training in ankle and foot surgery takes all necessary precautions to minimize them. Proper aftercare, including physical therapy and follow-up imaging like X-ray, is essential to reduce possible complications and ensure successful recovery.

Why Choose Our Practice for Ankle Stability Surgery?

Expertise

Selecting our center for your ligament reconstruction with an internal brace procedure symbolizes trust in a highly trained top ankle specialist devoted to delivering exceptional orthopedic care. With years of extensive training and a track record of successful outcomes, our Dallas annkle instability doctor hass honed the skills required to handle this complex procedure efficiently and safely, including managing sports injuries and various ankle conditions.

We provide specialized interventions like ankle arthroscopy, minimally invasive bunion correction, ruptured tendon repair, Achilles tendon treatments, ankle replacement surgery, ankle arthritis surgery, and ankle fracture fixation for broken ankle cases.

Individualized Care

We believe in the power of a personalized treatment approach. Our Dallas ankle instability doctor works closely with each patient, understanding their unique health goals and lifestyle, and crafts a bespoke treatment plan that aligns with these needs. This tailored approach ensures maximum comfort and effectiveness in treatment with minimal disruption to your daily routine.

Advanced Techniques

Our center prides itself on the use of advanced surgical techniques and state-of-the-art technologies, including minimally invasive approaches like foot and ankle arthroscopy and the use of regenerative medicine such as platelet-rich plasma (PRP) and bone marrow aspirate concentrate (BMAC), which significantly enhance surgical precision and patient safety. Coupled with our comprehensive postoperative care, this focus on cutting-edge methods results in shorter recovery periods, fewer complications, and improved overall patient outcomes.

Patient-Centered Approach

Central to our ethos is a strong commitment to patient education and providing transparent communication. We firmly believe that an informed patient can make better health decisions when ankle instability is diagnosed. Therefore, we make it a point to keep you in the loop regarding your treatment plan, including understanding issues like decreased rear foot motion, incomplete rehabilitation, and inadequate healing, address your concerns, and answer all your questions at every stage of the process.

Contact us today to schedule your appointment with an ankle specialist and embark on the journey toward improved ankle health and stability. When you choose our center, you’re not just opting for a treatment, but a dedicated partner in your health journey.

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Contact Us

We are wholeheartedly committed to restoring your mobility and improving your quality of life. Don’t hesitate to contact us today to schedule an appointment. Take the first step on your journey towards better ankle health with us.

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Christopher Sakowski, MD place picture
4.9
Based on 424 reviews
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Anne Blackford
6 months ago
Very professional, knowledgeable, and good communicator
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Stephen Smith
6 months ago
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Nancy Eppers
6 months ago
Just great people!! In and out so fast but still spent plenty of time with the doc!!!
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Katrina Scott
6 months ago
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Tammy Maddox
6 months ago
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Steve K
7 months ago
Dr. Sakai was very thorough, not rushed, and took the time to walk through my x rays and explain exactly what was going on with my Achilles. Very good experience and everyone in the office was super friendly
Felicia Jones profile picture
Felicia Jones
8 months ago
Dr.Sakowski……. All I can say is WOW!!!!! This doctor was very professional and very precise regarding my ankle surgery. I was extremely on edge about the surgery but he assured me that everything would be OK!!! Thanks Dr. Sakowski ( YOU’RE THE BEST)🎉
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Brenda Elliott
10 months ago
Dr. Sakowski is wonderful! He is a true listener and always makes me feel at ease. I leave the appointment feeling like he included my thoughts and views on any decision that was made. Very grateful for him!
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kristen barr
11 months ago
We are so grateful to Dr Sakowski! Our daughter is a student athlete and was running at 6 weeks and back to full sports activity 10 weeks post ankle surgery. She had very little pain and zero complications. Highly recommend TOA. The entire staff is fantastic and the office is run so efficiently.
Mel Jay profile picture
Mel Jay
1 year ago
Always a pleasant experience of care and attentions placed when I come to TOA! Dr. Sakowski and his PA, Emma, are detailed in explaining my treatment plan and expectations. Paris, with the medical supplies fittings, is such a pleasant member of the team to work with!!