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Ankle Ligament Surgery and Injuries in Perth, WA

Expert assessment and surgical solutions for ankle sprains, tears, and chronic instability. Dr. Samuel Duff helps you regain stability and return to an active life.

Ankle Ligament Surgery and Injuries
Managing Sprains and Instability

Ligament Reconstruction

The ankle joint is supported by a complex system of ligaments that stabilise the joint and allow smooth movement. Injuries to these ligaments, particularly on the outside of the ankle, are extremely common and may require medical or surgical management depending on severity.

We provide assessment and treatment for ankle sprains, ligament tears, and instability, including surgical repair when needed.

Understanding Ankle Ligaments

Understanding Ankle Ligaments

The ankle is made up of the tibia, fibula, and talus, connected by key ligament structures:

  • Lateral ligaments (outside):
    • Anterior talofibular ligament (ATFL)
    • Calcaneofibular ligament (CFL)
    • Posterior talofibular ligament (PTFL)
  • Deltoid ligament (inside)
  • Syndesmosis (above the joint): connects tibia to fibula


The lateral ligament complex is most commonly injured — especially during twisting or rolling movements.

FAQs

Common Questions About
Ankle Ligament Surgery

What Is an Ankle Sprain?

An ankle sprain typically involves overstretching or tearing of the anterior talofibular ligament (ATFL) and sometimes the calcaneofibular ligament (CFL). These injuries often occur during sport or uneven walking and cause pain, swelling, and difficulty bearing weight.

Most sprains are minor and recover without surgery, but proper first aid and rehab are essential.

Immediate treatment includes:

  • Rest and ankle bracing
  • Ice and compression
  • Elevation
  • Paracetamol or anti-inflammatories


Weight bearing as tolerated is usually encouraged. Begin gentle ankle movements early to prevent stiffness, and engage in structured physiotherapy to rebuild strength, mobility, and balance.

If you cannot bear weight, get an X-ray to rule out a fracture.

See Dr. Duff if:

  • You still have pain after 4–6 weeks
  • You experience ongoing ankle rolling or instability
  • You suspect hidden injuries such as:
    • Cartilage damage
    • Fractures (e.g. calcaneus)
    • Tendon or pulley injuries


These conditions may not heal with conservative care alone.

Roughly 10% of severe sprains lead to chronic ankle instability. Even after good physiotherapy, some patients continue to roll their ankle, especially during high-impact activities. This usually indicates that the ligaments have healed in a lengthened or stretched position, reducing joint control.

Ankle Ligament Reconstruction (Brostrom-Gould)

For patients with chronic instability, ankle ligament reconstruction may be required. This procedure:

  • Tightens the stretched lateral ligaments (usually the ATFL and CFL)
  • Is typically done through a small incision on the outer ankle
  • Is known as the Brostrom-Gould technique


It is a highly successful surgery with a relatively short recovery period, allowing patients to return to walking, sport, and daily activity with more confidence.

Ankle Ligament Reconstruction (Brostrom-Gould)

Book an Ankle Assessment

If you’re dealing with ongoing ankle pain, instability, or repeated sprains, Dr. Samuel Duff offers expert evaluation and treatment options — including surgical ligament repair where needed.

For further information or to schedule an appointment, contact our reception team at (08) 6150 8379 or through the Request An Appointment page.