Dr. Gary Driver offers effective ankle instability surgery in Fort Worth and Weatherford, TX. Using the latest medical technology, Dr. Gary Driver provides advanced care to help patients regain ankle stability. He is a board-certified foot and ankle surgeon who specializes in repairing damaged ligaments to restore ankle function. His patient-centered approach is designed to meet your individual needs and help you get back to an active lifestyle. Contact us today to make an appointment with Dr. Gary Driver at his Fort Worth or Weatherford location.
What is Ankle Instability?
Ankle instability is a chronic condition characterized by the recurrent slipping of the outer side of the ankle. Instability is generally noticed during movement of the ankle joint but can also occur while standing.
Symptoms of Ankle Instability
The symptoms of ankle instability include the following:
- The ankle feels unstable.
- The ankle turns repeatedly while walking on uneven surfaces or during a sporting activity.
- Pain, tenderness, and swelling are present in the ankle joint.
- Persistent discomfort and instability.
- Giving way of the ankle while walking on uneven surfaces or during a sporting activity.
Causes of Ankle Instability
Ankle instability usually results from repeated ankle sprains. Inadequate healing of a sprained ligament or incomplete rehabilitation of the affected ligament can result in instability. Recurrent injury to the ligaments further weakens them and aggravates the instability, which predisposes to the development of additional ankle problems. Inadequate healing of the sprained ligament or incomplete rehabilitation of the affected ligament can also result in ankle instability.
How Is Ankle Instability Treated?
The management of ankle instability depends on the findings of the physical examination and your level of activity.
Conservative treatment
Conservative treatment for ankle instability includes:
- Physical therapy for improving the strength, balance, and range of motion of the joint
- Bracing to support the affected ankle and prevent further sprain
- Non-steroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation
Surgical treatment
Surgery is recommended in patients with a high degree of instability and in those who have failed to respond to non-surgical treatment. Commonly used surgical procedures involve repair or reconstruction of the damaged ligament.
What is Ankle Instability Surgery?
Ankle instability surgery is performed to treat an unstable ankle and involves the repair or replacement of a torn or stretched ligament.
There are two types of ankle instability surgeries:
- Anatomic repair: This surgery involves shortening and tightening the stretched ligament.
- Non-anatomic repair: This surgery uses a tendon as a graft to replace the damaged ligament.
How Is Ankle Instability Diagnosed?
A complete review of your medical history and a physical examination are essential for an accurate diagnosis of your condition. An X-ray and other imaging tests may be ordered to confirm the diagnosis.
When Is Ankle Instability Surgery Required?
Surgery is recommended when you have a high degree of ankle instability and have failed to respond to non-surgical treatments.
Anatomic repair is preferred in most cases of ankle instability, while non-anatomic repair is performed if you are obese, require increased stability, or when stretched and scarred ligaments are not strong enough and need to be reinforced with a tendon graft.
How is Ankle Instability Surgery Performed?
Ankle instability surgery involves the repair or reconstruction of the injured ankle ligaments.
- Anatomic repair involves the reconstruction of the stretched or torn ligaments. The surgery is performed under epidural anesthesia. Your surgeon makes an incision in the ankle to expose the damaged joint and ligaments. The joint capsule and ligaments are examined, and the edges of the torn ligament are shortened and repaired with sutures. The ends may be overlapped and then sutured to strengthen the ligament. Your surgeon then covers the repaired ligament with the extensor retinaculum, a dense band of connective tissue, to further reinforce the ligament. The range of motion is evaluated, the incision is closed, and a sterile bandage is applied.
- Non-anatomic repair, also known as reconstructive tenodesis, is a tendon transfer procedure that uses your own tendon or the tendon from a donor as a graft to replace the damaged tendon. The surgery is performed under epidural anesthesia. Your surgeon makes an incision in your ankle. Drill holes are created where the damaged ligament normally attaches to the lower end of the fibula (calf bone) on one side and the talus (anklebone) on the other end. Your surgeon then harvests the peroneus brevis muscle tendon, found on the outer edge of the small toe, and weaves it through the drill holes to form a ligament complex. The range of motion is evaluated. The incision is closed, and a sterile bandage is applied.
What is the Postoperative Care for Ankle Instability Surgery?
After surgery, your foot will be immobilized with a cast or splint. You will be provided crutches to avoid bearing weight on the affected ankle. Your doctor will remove the splint and provide a removable walking boot to be worn for 2 to 4 weeks. Physical therapy will be initiated to strengthen your joints and improve your range of motion. Complete recovery may take 10 to 12 weeks.
What are the Advantages and Disadvantages of Ankle Instability Surgery?
The advantages of the anatomic repair include:
- Simple surgical procedure that makes use of your anatomy to repair the damage
- Preserves complete joint mobility
- Rapid recovery
- Smaller incision
- Fewer complications
The disadvantages of the anatomic repair include:
- Loosening of the ligaments, requiring additional repairs.
The advantages of the non-anatomic repair include:
- Provides increased strength.
- It can be used when host tissues are severely damaged.
- Provides additional stability if you are obese.
The disadvantages of the non-anatomic repair include:
- Decreased rear foot motion.
- Does not preserve the peroneus brevis, an important structure for the ankle’s dynamic stability.
What are the Risks and Complications of Ankle Instability Surgery?
As with all surgical procedures, ankle instability surgery may be associated with certain complications, including:
- Injury to the superficial nerves
- Chronic pain
- Stiffness
- Need for second surgery (rare)
Why Choose Dr. Gary Driver for Ankle Instability Surgery in Fort Worth and Weatherford, TX?
Dr. Gary Driver offers ankle instability surgery tailored to your unique health requirements. Here is what makes Dr. Gary Driver the best option in Fort Worth and Weatherford:
- Advanced Treatment Techniques: Dr. Gary Driver offers advanced treatment options utilizing the most recent and effective medical tools and techniques. His treatment plans are designed to deliver reliable results and long-term relief.
- Patient-Centered Care: Dr. Gary Driver will thoroughly assess your condition and create a treatment plan that aligns with your personal needs. He will ensure that you feel comfortable every step of the way.
- Convenient Locations: With clinics in Fort Worth and Weatherford, patients have convenient access to Dr. Gary Driver’s foot and ankle treatment. Give us a call to schedule an appointment at either location.
- Fellowship-Trained Foot and Ankle Surgeon: Dr. Gary Driver specializes in foot and ankle surgery. As a double-board-certified specialist, he has the expertise to address severe ligament damage.
Get Treatment for Ankle Instability in Fort Worth or Weatherford, TX
When left untreated, ankle issues can cause discomfort and affect your daily life. With Dr. Gary Driver’s personalized ankle instability treatment in Fort Worth & Weatherford, TX, you can regain mobility and get back to the activities you enjoy. Schedule an appointment today, and take a step closer to making a full recovery.
Frequently Asked Questions (FAQs)
How much does ankle instability surgery cost in Fort Worth and Weatherford, TX?
The cost of ankle instability surgery in Fort Worth and Weatherford depends on the type of surgery required. Dr. Gary Driver offers flexible payment options that allow patients to focus on recovery rather than the financial burden of medical care.
Does insurance cover ankle instability surgery?
Yes, ankle instability surgery is covered by most insurance plans. However, you should check with your insurance provider to learn more about coverage.
How long does it take to recover from ankle instability surgery?
It usually takes around 8 to 12 weeks to recover from ankle instability surgery. Dr. Gary Driver will provide you with a tailored post-surgery recovery plan to restore ankle stability as quickly as possible.
Will I regain full mobility after the surgery?
Yes, most people regain full mobility after ankle instability surgery. Dr. Gary Driver will tailor your treatment plan to address your specific ankle issues and ensure lasting relief.
How can I decide if ankle instability surgery is right for me?
Ankle instability surgery may be the right option for you if you are experiencing:
- Chronic pain in your ankle
- Frequent ankle sprains
- Difficulty performing daily activities like running and walking
How soon will I be able to walk after surgery?
You will likely need to keep your weight off your ankle for a few weeks after surgery. Dr. Gary Driver will provide you with specific instructions to make a quick recovery.