Early Mobility and Rehabilitation Protocol after Internal Brace Ankle Stabilization

Chronic lateral ankle instability is a common diagnosis in foot and ankle clinics. Internal Brace (IB) augmentation is a surgical procedure that utilizes fibertape augmentation of the lateral ankle ligaments. Studies have shown the superiority of fibertape augmentation over traditional lateral ankle...

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Main Authors: Bryanna Vesely, Shanthan Challa, Benjamin Moyer, Blake Gereb, Troy Watson
Format: Article
Language:English
Published: North American Sports Medicine Institute 2025-01-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.127849
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author Bryanna Vesely
Shanthan Challa
Benjamin Moyer
Blake Gereb
Troy Watson
author_facet Bryanna Vesely
Shanthan Challa
Benjamin Moyer
Blake Gereb
Troy Watson
author_sort Bryanna Vesely
collection DOAJ
description Chronic lateral ankle instability is a common diagnosis in foot and ankle clinics. Internal Brace (IB) augmentation is a surgical procedure that utilizes fibertape augmentation of the lateral ankle ligaments. Studies have shown the superiority of fibertape augmentation over traditional lateral ankle stabilization procedures such as the Brostrom or Brostrom-Gould. The IB procedure has been described elsewhere and the fixation involves placing bone anchors with attached suture tape at each end of the Brostrom repair augmenting the fixation. Various studies exist that support the mechanical advantage of the Brostrom with IB over non augmented repair. This technique allows for earlier weight bearing and range of motion which translates into earlier return to activity and sport. While there are guidelines for rehabilitation after Brostrom procedures, there are currently no guidelines regarding rehabilitation after the IB. The purpose of this clinical commentary is to describe an early mobility and rehabilitation protocol after IB augmentation for the ankle. The post operative protocol provides treatment goals, weight bearing status recommendations, and rehabilitation intervention suggestions after IB augmentation. # Level of Clinical Evidence V
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institution Kabale University
issn 2159-2896
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spelling doaj-art-9ea4548bd0114d44b27f8ba70580f0592025-02-11T20:29:51ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962025-01-01201Early Mobility and Rehabilitation Protocol after Internal Brace Ankle StabilizationBryanna VeselyShanthan ChallaBenjamin MoyerBlake GerebTroy WatsonChronic lateral ankle instability is a common diagnosis in foot and ankle clinics. Internal Brace (IB) augmentation is a surgical procedure that utilizes fibertape augmentation of the lateral ankle ligaments. Studies have shown the superiority of fibertape augmentation over traditional lateral ankle stabilization procedures such as the Brostrom or Brostrom-Gould. The IB procedure has been described elsewhere and the fixation involves placing bone anchors with attached suture tape at each end of the Brostrom repair augmenting the fixation. Various studies exist that support the mechanical advantage of the Brostrom with IB over non augmented repair. This technique allows for earlier weight bearing and range of motion which translates into earlier return to activity and sport. While there are guidelines for rehabilitation after Brostrom procedures, there are currently no guidelines regarding rehabilitation after the IB. The purpose of this clinical commentary is to describe an early mobility and rehabilitation protocol after IB augmentation for the ankle. The post operative protocol provides treatment goals, weight bearing status recommendations, and rehabilitation intervention suggestions after IB augmentation. # Level of Clinical Evidence Vhttps://doi.org/10.26603/001c.127849
spellingShingle Bryanna Vesely
Shanthan Challa
Benjamin Moyer
Blake Gereb
Troy Watson
Early Mobility and Rehabilitation Protocol after Internal Brace Ankle Stabilization
International Journal of Sports Physical Therapy
title Early Mobility and Rehabilitation Protocol after Internal Brace Ankle Stabilization
title_full Early Mobility and Rehabilitation Protocol after Internal Brace Ankle Stabilization
title_fullStr Early Mobility and Rehabilitation Protocol after Internal Brace Ankle Stabilization
title_full_unstemmed Early Mobility and Rehabilitation Protocol after Internal Brace Ankle Stabilization
title_short Early Mobility and Rehabilitation Protocol after Internal Brace Ankle Stabilization
title_sort early mobility and rehabilitation protocol after internal brace ankle stabilization
url https://doi.org/10.26603/001c.127849
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AT shanthanchalla earlymobilityandrehabilitationprotocolafterinternalbraceanklestabilization
AT benjaminmoyer earlymobilityandrehabilitationprotocolafterinternalbraceanklestabilization
AT blakegereb earlymobilityandrehabilitationprotocolafterinternalbraceanklestabilization
AT troywatson earlymobilityandrehabilitationprotocolafterinternalbraceanklestabilization