What Is the Success Rate of Ankle Ligament Reconstruction?

Ankle ligament reconstruction is a widely performed surgical procedure used to treat chronic ankle instability, usually after repeated ankle sprains have stretched or torn the ligaments that support the joint. When conservative treatments like bracing or physical therapy are no longer effective, surgery may be recommended to restore stability and prevent further injury. But how successful is this procedure?

The success rate of ankle ligament reconstruction is generally high. Most studies report satisfaction rates ranging from 85% to 95%, with the majority of patients experiencing significant improvement in ankle stability, function, and pain relief. These outcomes are especially favorable in individuals who follow their post-operative care plan closely and complete a structured rehabilitation program.

One of the most commonly used procedures is the Broström or Broström-Gould technique, which involves tightening or repairing the lateral ankle ligaments. When performed on the right candidates—typically those without significant joint arthritis or bone deformity—this technique reliably restores stability and allows patients to return to everyday activities and even sports.

Patients can typically expect to resume normal walking and light activity within a few months after surgery. More physically demanding activities, such as running or competitive sports, often require a longer recovery period, generally four to six months. However, long-term success is not only measured by a return to activity but also by reduced recurrence of ankle sprains, improved joint confidence, and reduced long-term joint damage.

Complications are relatively uncommon but can include persistent stiffness, minor nerve irritation, or, in rare cases, recurrence of instability. For those with generalized ligament laxity or a high-demand lifestyle, additional surgical reinforcement using grafts may be needed, which can slightly alter the outcome and recovery timeline.

Ultimately, ankle ligament reconstruction is considered a reliable and effective solution for individuals struggling with chronic instability. When performed by an experienced surgeon and followed by dedicated rehabilitation, most patients regain confidence in their ankle and enjoy long-term relief from the instability that once limited their activity. If you've been dealing with repeated ankle sprains or feel like your ankle is frequently "giving out," this procedure may offer the durable, long-lasting results you're looking for.