Ankle instability is a condition in which the ankle joint repeatedly gives way, typically following previous sprains or injuries that haven’t healed correctly. This leads to discomfort, weakness, and an increased risk of future injuries. Ligament reconstruction surgery is an effective treatment for chronic ankle instability. Mr. Ziad Harb, an experienced orthopaedic consultant in Surrey, offers state-of-the-art treatments, including ligament reconstruction surgery, to restore function, improve stability, and reduce the likelihood of re-injury. In this guide, we will cover the causes, symptoms, treatment options, recovery process, and explain why Mr. Harb is the ideal choice for ankle instability care in Surrey.

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What is Ankle Instability?

Ankle instability occurs when the ligaments that help stabilise the ankle joint become weakened or damaged, often due to repeated sprains or improper healing of previous injuries. This can result in the feeling of the ankle "giving way" or "buckling" during physical activities or even while walking.

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Causes and Risk Factors of Ankle Instability

• Recurrent Sprains: Multiple ankle sprains over time can damage the ligaments, leading to chronic instability.
• Previous Injury: An initial sprain or fracture that didn’t heal fully can lead to ongoing instability.
• Improper Rehabilitation: Failing to undergo necessary rehabilitation after an ankle injury can leave the joint weak and increase the risk of instability.
• Overuse: High levels of physical activity, especially in sports involving frequent jumping, running, or sudden directional changes, can lead to ligament damage.

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Symptoms of Ankle Instability

Common signs of ankle instability include:

• Frequent feelings of the ankle "giving way" or being unsteady.
• Persistent pain or swelling, particularly after physical activity.
• Weakness in the ankle joint, making it difficult to walk or take part in sports.
• A sensation of "looseness" or "wobbliness" in the ankle.

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Who Can Benefit from Ligament Reconstruction Surgery?

Ligament reconstruction surgery is typically recommended for individuals with chronic ankle instability that does not improve with conservative treatments, such as physical therapy, bracing, or rest. Ideal candidates for this surgery include:

• Individuals who have experienced multiple ankle sprains and are at risk of recurring injuries.
• Athletes or active individuals who wish to return to high-level sports or physical activities without the fear of ankle instability.
• Those with persistent pain or weakness in the ankle, which affects daily activities.

Mr. Harb will carry out a thorough assessment of your ankle instability and determine if ligament reconstruction is the appropriate treatment option.

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Ligament Reconstruction Surgery in Surrey: The Procedure

Pre-operative Preparation
Before undergoing ligament reconstruction surgery, Mr. Harb and his team will ensure you are fully prepared for the procedure, which may involve:

• A detailed consultation to discuss your medical history, injury history, and symptoms.
• Imaging tests, such as X-rays or MRI scans, to assess the extent of ligament damage.
• Instructions regarding fasting and adjustments to any medications prior to surgery.

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The Surgery/Procedure Itself
Ligament reconstruction surgery is performed under anaesthesia and typically takes 1.5 to 2 hours. The surgery involves repairing or reconstructing the damaged ligaments to restore stability to the ankle. This may involve:

• Reconstructing the damaged ligament using a graft from another part of the body or a donor.
• Tightening loose ligaments to provide better support and prevent the ankle from giving way.
• In some cases, additional procedures, such as bone spur removal or cartilage repair, may be performed if required.

Mr. Harb performs ankle instability surgeries at Nuffield Health Guildford Hospital and Runnymede Hospital, both renowned facilities in Surrey, offering state-of-the-art surgical suites and comprehensive post-operative care.

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Post-operative Care

After surgery, you will be closely monitored in the recovery room before being transferred to your hospital room. In the first few weeks following surgery, you may be required to wear a cast or boot to immobilise the ankle and allow the ligaments to heal properly. Rehabilitation and physiotherapy will begin early to strengthen the ankle and restore full mobility.

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Recovery and Aftercare

The recovery time after ligament reconstruction surgery varies depending on the complexity of the surgery and the individual’s health. However, a general timeline includes:

• First Few Weeks: Rest and immobilisation of the ankle in a cast or boot. Pain management and initial rehabilitation exercises will begin.
• 1-2 Months: Gradual weight-bearing with the use of crutches or a walker, followed by more intensive physiotherapy.
• 3-6 Months: Full recovery, with patients typically resuming normal activities and sports after following a structured rehabilitation plan.

Mr. Harb provides ongoing follow-up care to ensure that the ankle is healing properly. He will also work with you to create a personalised rehabilitation plan to restore strength, flexibility, and stability.

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Risks and Complications

As with any surgery, ligament reconstruction carries some risks, although they are rare. Potential complications include:

• Infection at the surgical site.
• Nerve or blood vessel damage during surgery.
• Recurrence of instability if the ligaments do not heal properly.
• Blood clots, particularly in the lower extremities.

Mr. Harb uses advanced techniques and the latest surgical equipment to minimise these risks. Following post-operative care instructions and attending follow-up appointments are crucial to ensure a successful recovery.

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Why Choose Mr. Ziad Harb for Ligament Reconstruction Surgery in Surrey?

Mr. Ziad Harb is a leading orthopaedic consultant who specialises in foot and ankle surgery. His expertise in ankle instability and ligament reconstruction ensures that you will receive the highest standard of care. With Mr. Harb, patients benefit from:

• Access to advanced medical facilities, such as Nuffield Health Guildford Hospital and Runnymede Hospital, which offer high-quality treatment and recovery options.
• A personalised, patient-centred approach to treatment, ensuring that each patient’s needs are met.
• Expertise in minimally invasive techniques, which reduce recovery time and promote quicker healing.

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FAQs

How long will it take to recover from ligament reconstruction surgery?
Recovery time varies depending on the severity of the injury and the type of surgery. However, most patients can expect to return to normal activities within 3-6 months, following a structured rehabilitation plan.

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Will I need physiotherapy after surgery?
Yes, physiotherapy is essential for regaining strength, stability, and mobility after ligament reconstruction surgery. Mr. Harb will guide you through a rehabilitation plan tailored to your needs.

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Can ankle instability be prevented?
While ankle instability may not always be entirely preventable, strengthening exercises, wearing proper footwear, and following correct rehabilitation after an ankle injury can help reduce the risk of future instability.

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What activities can I do after ligament reconstruction surgery?
Once fully recovered, most patients can resume normal activities, including sports, with proper care and attention to the ankle’s long-term health. Mr. Harb will advise you on when it's safe to return to specific activities.

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Contact us today to learn more about how ligament reconstruction surgery with Mr. Ziad Harb can help you restore ankle stability and return to an active lifestyle.