Ankle arthroscopy and lateral ligament reconstruction
You have recently undergone an ankle arthroscopy and lateral ligament reconstruction. This information will give you some general information about your post-operative plan and what to expect following surgery.
If you have concerns during business hours, please contact South East Orthopaedic Surgery on 0484 739 550 or via email email@example.com. Please note voice mail messages and emails will be replied to by the next business day. If you have concerns outside of business hours, please contact the switchboard at Frankston Private Hospital on (03) 8796 1300. If you have having a limb or life threatening emergency, please dial 000 or present to the Frankston Public Hospital Emergency department.
For any surgery wound management is important. Due to the proximity of the foot and ankle to the heart and great vessels, and potential issues with blood supply, wound management following foot and ankle surgery is critical. Please keep your dressings and cast intact until review by your GP or surgeon, unless directed otherwise. You will need to keep the wounds dry by wrapping a plastic garbage or kitchen bag sealed with tape and an elastic bag during showers or bath. If you have excessive wound ooze through the dressings please contact the surgery to arrange the dressings to be changed. If you are concerned about the amount of wound ooze please contact the surgery as above, or present to Frankston Public Hospital Emergency department. If possible, please don’t commence antibiotics without discussing the situation with your surgeon.
Some swelling following your surgery is normal and may persist for months afterwards. Keep you foot elevated as much as possible, even if you are allowed to weight bear. We suggest icing the area (if practical) for 20 minutes five times a day for the first week to help reduce inflammation.
You need to be non weight bearing while the wound heals. This is mean you need crutches, a frame or wheelchair (or a combination of all three) for mobility in this period.
You will see your surgeon two weeks following surgery for removal of sutures. You will usually have the cast removed, sutures our and and change to an ankle brace or boot at that stage, and commence your rehabilitation.
Unless instructed, you are unable to drive a minimum of two weeks following surgery.
Your post-operative appointment will be at our Frankston Rooms, 7 Foot St, Frankston. The time of this appointment would normally have been made for your prior to your surgery - please contact the rooms if you are unsure. If you have travelled a significant distance and would prefer to see your GP for removal of sutures, this can be arranged. You will likely need to pay a consultation fee to your GP for this service (the cost of your post-operative appointment in our consultation rooms is included in your surgical fee).
Your post-operative rehabilitation is the most important part of the procedure. You need to see your physiotherapist after your sutures are removed to commence your post-operative rehabilitation exercises. If you do not have a regular physiotherapist, we can recommend one for you.
Smoking and alcohol consumption following surgery
It is important you smoke as little as possible (ideally not at all) to minimise wound problems and reduce risk of post-operative complications, including infection, following your surgery.
It is strongly recommended you avoid alcoholic beverages for six weeks following your surgery. Alcohol is a vasodilator which causes fluid to leak out of your blood vessels, particularly around areas of trauma such as your recent surgery. Alcohol consumption following surgery results in increased swelling, redness, pain and wound complications. People who drink alcohol following surgery also require stronger painkillers than those who are able to abstain or limit their alcohol intake.
It is normal to have some numbness around the toes following surgery. This is due to a combination of swelling, local anaesthetic and possibly stretching of the nerves around your foot or ankle. Usually the numbness resolves after a few weeks, but rarely can be permanent.
Some post-operative pain is normal following surgery. Your surgeon and anaesthetist work together to make sure you are as comfortable as possible on the ward and then when you are discharged home. If you have severe, relenting or escalating pain that is not relieved by pain-killers please contact your surgeon, GP or emergency department.
It is important you contact your surgeon, GP or emergency department if you have any of the following symptoms:
severe unrelenting pain not relieved by analgesia, rest, ice, compression or elevation
severe swelling of the foot or calf that does not resolve with elevation
redness around the wound or redness of the skin visible around the cast
discharge from the wound or pin sites
fevers, night sweats or unexplained shaking or feeling cold
shortness of breath or chest pain
We wish you well with your recovery post-operatively and look forward to seeing you at your two-week post-operative appointment.
Please note - this information is a non-specific overview prepared by your surgical team and is not a replacement for specific medical advice. If you have any questions, please don't hesitate to contact your surgeon.