Surgical Modalities versus Conservative Treatment for Acute Injuries of Lateral Ligament of Ankle.

Abstract

Acute ankle sprain is a very common injury which comprises 80% of all ankle injuries. Acute ankle sprain affects almost exclusively the lateral ligamentous complex including ATFL followed by CFL, while PTFL is rarely of clinical significance. The injury is mostly produced by excessive inversion and plantarflexion of the ankle. Careful history taking and physical examination is crucial to guide imaging assessment, management and prognosis. Ottawa Ankle Rules are commonly used in assessing ankle sprains and can also help in deciding when radiographic studies are indicated in patients who undergo ankle trauma. Starting a physiotherapy programme as early as possible is essential to control pain and swelling, to improve and maintain the range of motion, and to minimize the risk of stiffness and muscle wasting, which are the two decisive factors which delay patients from returning to their normal activities. Regardless of severity, surgery for acute ankle sprain is not recommended anymore.