A lateral ligament reconstruction (Broström) tightens the ligaments on the outside of the ankle to stop recurrent sprains and giving way. It is offered for chronic instability that has not settled after a proper course of rehabilitation.
When is lateral ligament reconstruction considered?
Reconstruction is considered when the ankle repeatedly gives way after sprains despite a structured rehabilitation programme, and examination or imaging confirms lateral ligament instability.
Can I avoid surgery?
What happens during the procedure
The stretched or torn lateral ligaments are identified
The ligaments are tightened and repaired back to bone
Additional reinforcement is added when tissue quality requires it
The ankle is protected while the repair heals
Recovery timeline
- First 2 weeks — elevation and wound care
- 2–6 weeks — boot protection and gradual weight-bearing
- 6–12 weeks — physiotherapy restores movement, balance and strength
- 3–6 months — return to running and sport-specific work when stable
Risks & complications
Risks include infection, stiffness, nerve irritation, persistent instability, over-tightness, swelling and blood clots. Good rehabilitation is essential for a strong result.
Costs & insurance
Self-pay consultations are £250 (new) and £175 (follow-up). The procedure price is confirmed after your consultation. We are recognised by all the main insurers including Bupa, AXA Health, Vitality, Aviva and Cigna.
Questions & answers
No. Most ankle sprains recover without surgery. Reconstruction is for recurrent giving way after proper rehab.
It is a standard operation that tightens and reattaches the ankle's lateral ligaments to restore stability.
Many patients return to sport once strength, balance and confidence have recovered, often over 3 to 6 months.
Yes. Surgery restores mechanical stability, but physiotherapy restores control, balance and sport readiness.
