title: Rehabilitation after anatomical ankle ligament repair or reconstruction.
abstract: The selection, implementation of and adherence to a post-operative regimen are all essential in order to achieve the best outcomes after ankle ligament surgery. The purpose of this paper is to present a best-evidence approach to this, with grounding in basic science and a consensus opinion from the members of the ESSKA-AFAS Ankle Instability Group. Basic science and clinical evidence surrounding tissue healing after surgical repair or reconstruction of the ligaments as well as around the re-establishment of sensorimotor control are reviewed. A consensus opinion based on this evidence as to the recommended rehabilitation protocol after ankle ligament surgery was then obtained from the members of the ESSKA-AFAS Ankle Instability Group. Rehabilitation recommendations are presented for the initial post-operative period, the early recovery phase and a goal-orientated late rehabilitation and return-to-sport phase. This paper presents practical, evidenced-based guidelines for rehabilitation and return to activity after lateral ankle ligament surgery.
authors.affiliation: Jurong Health, NTFGH, 1 Jurong East Street 21, Singapore, 609606, Singapore. chris.pearce@doctors.org.uk.
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Pearce
authors.affiliation: Centre Osteo-Articulaire des Cèdres, Parc Galaxie SUD, 5 rue des tropiques, 38130, Echirolles, France.
authors.forename: Yves
authors.initials: Y
authors.lastname: Tourné
authors.affiliation: Department of Physical Therapy, University of Delaware, Newark, DE, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Zellers
authors.affiliation: Laboratoire de Physiologie de l'Exercice (EA 4338), Université Savoie Mont-Blanc, 73377, Le Bourget du Lac, France.
authors.forename: Romain
authors.initials: R
authors.lastname: Terrier
authors.affiliation: CEVRES Santé Savoie Technolac, 30 allée du lac d' Aiguebelette, BP 322, 73377, Le Bourget du Lac, France.
authors.forename: Pascal
authors.initials: P
authors.lastname: Toschi
authors.affiliation: Department of Physical Therapy, University of Delaware, Newark, DE, USA.
authors.forename: Karin Grävare
authors.initials: KG
authors.lastname: Silbernagel
mesh_terms: D016512:Ankle Injuries / Q000534:rehabilitation* / Q000601:surgery*; D006801:Humans; D007593:Joint Instability / Q000601:surgery; D008023:Ligaments, Articular / Q000293:injuries / Q000601:surgery*; D011182:Postoperative Care
keywords: Anatomical reconstruction; Ankle; Brostrom; Gould; Instability; Rehabilitation