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Instructions For Patients:

  • Strict non-weightbearing in a short leg splint for the first 2 weeks after surgery

    • Sutures typically removed at 2 weeks

    • Transition to removable walking boot at 2 weeks

  • Once you are transitioned to a removable walking boot you may remove the boot while in a seated, protected, position and begin to move your ankle up and down (ankle pumps)

  • Physical therapy will start 2-4 weeks post op

  • Wear boot sleeping until 4 weeks post op

  • Transition from removable walking boot to lace up ankle brace at 4-6 weeks post op

  • You may begin driving at 6-8 weeks depending upon your progression

    • Note: It is illegal to drive while wearing a walking boot

  • You may begin gentle biking and swimming at 8 weeks post-op

  • You may begin gentle running and higher impact activities at 16 weeks post-op

  • Use a lace up ankle brace for any cutting sports or uneven surfaces for 6 months following surgery

  • Once you can come up and down on your toes (single heel rise) on the surgical side, or you can hop on the surgical foot (single leg hop), you may return to sports and all activities. This may take 6 months to a year.

Pease note:

  • The complexity of ankle arthroscopy and/or repair of osteochondral lesion is variable from patient to patient. When surgery accompanied by additional surgery, recovery may be quite prolonged with extended swelling.  In the revision situation this may be even further magnified.  Please discuss individual recovery with your surgeon for realistic expectations.

Ankle Arthroscopy and Repair of Osteochondral Lesion Post-Op Rehabilitation Protocol:

  • This protocol provides you with general guidelines for rehabilitation after ankle arthroscopy and repair of osteochondral lesion.

  • Specific changes in the program will be made by your physician as appropriate for each individual patient.

  • Osteochondral lesions have a wide range of complexity and severity, and each individual heals at a different rate. It may take up to 12 months to make a full recovery, and it is not unusual to have intermittent aches and pains throughout the course of your rehabilitation.

Ankle Arthroscopy - Dr. Jonathan Hook
Repair of Osteochondral Lesion - Dr. Jonathan Hook
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