Early Mobility and Rehabilitation Protocol after Internal Brace Ankle Stabilization.
Bryanna Vesely1, Shanthan Challa2, Benjamin Moyer2
1Orthopedics Desert Orthopedic Center.
International Journal of Sports Physical Therapy
|January 6, 2025
Summary
Internal Brace (IB) augmentation offers superior outcomes for chronic lateral ankle instability compared to traditional methods. This clinical commentary introduces a new early mobility and rehabilitation protocol for IB procedures, facilitating faster recovery.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Foot and ankle reconstruction
Background:
- Chronic lateral ankle instability is a prevalent condition requiring effective surgical intervention.
- Internal Brace (IB) augmentation, a fibertape technique, demonstrates mechanical advantages over traditional Brostrom or Brostrom-Gould procedures.
- Existing rehabilitation guidelines do not specifically address the IB augmentation technique.
Purpose of the Study:
- To present a novel early mobility and rehabilitation protocol tailored for patients undergoing Internal Brace (IB) augmentation for chronic lateral ankle instability.
- To establish clear post-operative guidelines for treatment goals, weight-bearing status, and rehabilitation interventions following IB augmentation.
Main Methods:
- Clinical commentary describing a proposed early rehabilitation protocol.
- Focus on post-operative management following Internal Brace (IB) augmentation.
- Recommendations for weight-bearing, range of motion, and therapeutic interventions.
Main Results:
- The described protocol aims to facilitate earlier weight-bearing and range of motion.
- This approach is expected to lead to a quicker return to activity and sport for patients.
- The protocol provides a structured framework for clinicians managing post-operative IB augmentation.
Conclusions:
- The Internal Brace (IB) augmentation is a promising technique for managing chronic lateral ankle instability.
- A standardized early rehabilitation protocol is crucial for optimizing outcomes after IB augmentation.
- This clinical commentary offers a valuable resource for guiding post-operative care and enhancing patient recovery.
Keywords:
BrostromInternal Braceankle sprainlateral ankle instabilitypostoperative protocolrehabilitation

