Operative management of ligamentous injuries to the ankle

Isolated deltoid ligament injuries are extremely rare and usually occur in combination with fractures of the lateral malleolus. These are treated by recognizing the injury complex and stabilizing the lateral side, being sure that the mortise is reduced. Injury to the lateral ankle ligament is the most common athletic injury. A small percentage of these ligament ruptures are best treated surgically. The surgery consists of replacing the torn ends of the ligament in their original position and holding them there during the early phase of their healing process.