Brostrom ankle surgery. Preoperative .

Brostrom ankle surgery. Consequently, we advocate for adopting arthroscopic repair as a preferred alternative to the conventional open Broström-Gould procedure for treating chronic lateral ankle instability. From 10% to 20% of sprains progress The arthroscopic Brostrom procedure is a minimally invasive technique that is a viable option surgeons have to treat patients with chronic lateral ankle instability (CAI). Brostrom-Gould surgery-the Brostrom technique associated with Gould augmentation-is currently the gold standard surgical option for chroni … Dec 19, 2022 · What is the CPT code for modified Brostrom procedure? Modified Broström ligament reconstruction is commonly reported with CPT code 27698 (repair, secondary, disrupted ligament, ankle, collateral [e. The development of arthroscopic techniques for the ankle mirrors the processes witnessed for the shoulder and knee over the last 30 years. Ankle surgery can fix structural problems and remove and replace damaged tissues to relieve your pain. Bromström technique involves primary repair of the lateral ankle ligaments (imbrication). 5 cm incision. The Ankle Stabilization Brostrom procedure, also known as the Brostrom-Gould surgery, is designed to combat chronic ankle instability resulting from frequent sprains or ligament tears. It’s also known as the Brostrom procedure. A strong tape called Fiber Tape is A high frequency of associated injuries is seen in patients with chronic lateral ankle instability. Some people find that they need to stay in hospital the night after surgery because the ankle is painful and they need strong painkillers. In some Ankle Surgery You might need ankle surgery if you’ve seriously injured your ankle, or if you have a condition that causes chronic pain, like arthritis. The two ligaments commonly injured are the Anterior Talo Fibular […] Jun 25, 2018 · A Brostrom procedure is an anatomical lateral ligament surgical reconstruction commonly performed for lateral ankle instability and/or in case of failure of conservative management for chronic ankle instability. ) An incision is made over the distal fibula parallel and 3 mm – 5 mm proximal to the distal edge. Options for repair include the ligament only or could include peroneal tendon and bone work in the form of osteotomies. Jul 3, 2021 · Modified Brostrom Procedure with Suture Tape Augmentation for Treatment of Chronic Lateral Ankle Ligamentous Instability Timothy Miller, MD, FAAOS | John Mckeon, MD The Modified Brostrom Procedure for Lateral Ankle Instability. If you are experiencing any problems, please call our office or contact us via the internet at www. Rehabilitation Protocol for Brostrom Lateral Ankle Ligament Repair This protocol is designed to guide clinicians through the post-operative recovery process following a Bros-trom repair. Explore all your options. Modifications to this guideline may be necessary dependent on physician specific instruction, degree of the tear, specific tissue healing timeline, chronicity of injury and other contributing During simultaneous arthroscopy, surgeons have the option to perform the all-arthroscopic ArthroBrostrom®repair technique using the same instruments from the Arthrex Brostrom Repair System. Apr 24, 2018 · However, the goal of surgery for chronic ankle instability is always the same: Tighten and stabilize the loose or torn ligaments on the outside of the ankle. ), There are many techniques that can be utilized to reconstruct the lateral ligaments. Our hypothesis was that there will be a statistically significant difference in pre- and postoperative scores and that patient satisfaction scores remained consistent at a minimum of 5 years postoperatively. Regain Mobility. It’s most often done as an outpatient surgery. This means you can go home the same day. This is accomplished through an incision over the outside of your ankle so that the loose ligaments can be cut. Find out why you might need it, how to prepare, what to expect, and how to recover. Cummins Dean C. You will have tried physiotherapy to improve this but often the ankle is still loose. Modified Broström 18 anterolateral ankle pain and instability after slipping. Jul 24, 2016 · Modified Brostrom and Brostrom-Evans Procedures Paul J. Prices start at $6490. 4 years after their Brostrom procedures. It is essentially a reconstruction or repair of the lateral ankle ligaments. This includes over-the-counter The Arthrex Brostrom Repair™ technique and implant system allows surgeons to perform a Modified Brostrom‐Gould repair through one small 1. g. What to expect if you have a Broström Lateral Ligament Repair. Surgeons can drill, tap, and implant the SwiveLock anchor through the guide. 0 surgical technique provides surgical versatility with added size and material options. Brostrom-Gould Reconstruction restores ankle stability by repairing the lateral (outside) ligaments of the ankle. New York, 1994. It is designed for rehabilitation following a Modified Brostrom procedure. Recovery after the modified Broström procedure is problematic, often requiring 3 to 6 weeks of cast immobilization and 3 to 6 months before Brostrom Ankle Ligament Reconstruction The Brostrom operation is a repair of damaged ligaments on the outer ("lateral") side of the ankle. The following post-operative rehabilitation protocol was originally authored in 2010, and at that time, was adapted from the protocol used at the Hospital for Special Surgery (HSS), where the modified Brostrom-Gould procedure is the preferred anatomical surgical procedure for the treatment of lateral ankle instability. Internal Brace (IB) augmentation is a surgical procedure that utilizes fibertape augmentation of the lateral ankle ligaments. Rehabilitation Protocol for Brostrom Lateral Ankle Ligament Repair This protocol is intended to guide clinicians through the post-operative course for Brostrom repair. The Brostrom procedure is performed to address ankle instability and not pain. Historically, repair of the ligaments was performed to improve stability to the ankle (Brostrom). Our hypothesis was that there will be a statistically signif-icant difference in pre- and postoperative scores and that patient satisfaction scores remained consistent at a min-imum of 5 years postoperatively. Learn about the Brostrom procedure, a surgery to tighten and firm up the ligaments on the outside of your ankle. Interventions should be customized according to the patient’s specific needs, taking into account ROHThe Brostrom operation is a repair of damaged ligaments on the outer (lateral) side of the ankle. Jul 9, 2025 ·  Introduction Lateral ankle stabilization surgery treats chronic instability and recurrent sprains caused by damaged lateral ligaments. Mar 27, 2010 · Question: The surgeon completed a modified Brostrom repair with repair of the peroneus brevis ligament. This surgery has a high degree of success, and even though my ankle started to feel better in the months before surgery, both my PT and the doctor felt this was the right decision long-term. Hamilton Master Techniques in Orthopaedic Surgery. The Foot and Ankle. , Watson-Jones procedure]). This guide reviews the Feb 27, 2023 · Background Chronic lateral ankle instability occurs in 20% to 30% of patients who sustain an ankle sprain, and one in three patients forgo or decrease activity after the modified Broström procedure, which is a weaker construct than the native ligament. Specific intervention should be based on the needs of the individual and should consider exam findings and clinical decision making. The arthroscopic Brostrom is a novel technique that allows the surgeon to Hope this video helps anyone going through or planning to go through an ankle surgery themselves. This will demonstrate Brostrom-Gould Lateral Ankle Ligament Reconstruction technique that is performed when you have unstable ankle and chronic ankle instability with positive anterior drawer founding and positive ‘talar tilt. The open modified Brostrom lateral ligament repair remains the gold standard for surgical treatment of chronic lateral ankle instability. This normally settles down the inflammation in your ankle and strengthens the muscles on the outside of your ankle This rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. Fifteen to 20% of ankle sprains will require surgical intervention. This surgery is often referred to as a Brostrom ligament operation. Apr 8, 2024 · The Arthrex Brostrom Repair™ technique and implant system allows surgeons to perform a Modified Brostrom-Gould repair through one small 1. The Broström procedure is a surgical technique commonly used to repair chronic lateral ankle instability (CLAI), a condition often caused by repeated sprains of the ankle ligaments. The repair itself could include soft tissue only or augmentation May 18, 2022 · 10/14/22 Q: The Brostrom procedure and CPT assist that is noted in the webinar, it mentions that a “tissue is required” for secondary repair. ’ In the beginning the author marks the incision points and describes possible options. The most common method is called a modified Brostrom procedure. Ankle Stabilization with Internal Brace The Brostrom procedure for tightening anterior-inferior talofibular ligament has long been the standard treatment for ankle instability. Utilizing the Arthrex percutaneous This means that you are admitted to hospital, operated on and discharged home on the same day. 1 The InternalBrace 2. com. Modified Brostrom Surgery with Augmentation About the Surgery The Brostrom procedure is a method of “tightening” the ankle. The incision is opened up down to the ankle joint. However, with the development of arthroscopic References: Brigham and Women’s Hospital: Modified Brostrom-Gould Repair; University of Wisconsin Sports Medicine: Rehabilitation Guidelines for Lateral Ankle Reconstruction; Journal of Orthopaedic Surgery and Research: Treatment of chronic lateral ankle instability: a modified brostrom technique suing three suture anchors; Sports Physical Therapy: Return to Play in Athletes Following ankle The arthroscopic Brostrom procedure is a minimally invasive technique that is a viable option surgeons have to treat patients with chronic lateral ankle instability (CAI). Preoperative Brostrom-Gould: This operation is usually performed under a general anaesthetic. Download a Guide to our Ankle-Saving Procedures Discover innovative procedures that can help you return to sports & avoid ankle fusion/replacement. A thick band of tissue called the extensor retinaculum is sewn over the top, further re-enforcing it. This protocol is time based (dependent on tissue healing) as well as criterion based. During this procedure, the ligament tissue is cut along the end of the fibula bone, and is tightened and repaired with sutures, anchors in the bone, or both. Hello, just looking for a first hand experience from anyone that has undergone an ATFL reconstruction (Brostrom). They are then repaired to the correct tension May 30, 2018 · Brostrom Repair – The Surgery I had my surgery done with Daniel Thuillier at UCSF. It appears that he only repaired the lateral side. The ankle ligaments will be tightened using the Brostrom-Gould technique, which involves the placement of sutures to strengthen and stabilize the ligaments. The Modified Bromström technique also includes advancing the extensor retinaculum to the fibula to reinforce the ligament repair. The procedure involves making a small incision on the outer side of the ankle and reattaching the ligament to the bone using sutures or anchors. Your ankle is a hinge joint that allows motion up Sep 28, 2020 · Lateral ankle repair & reconstruction Brostrom developed this technique in 1966 to surgically address chronic ankle instability by performing an anatomical repair of the ATF and CF ligaments. The stretched ligament is cut and then overlapped and sewn together again under tension. The procedure was modified in 1980 by Gould to address subtalar instability by suturing the Foot & Ankle International is a scientific journal of the American Orthopaedic Foot & Ankle Society. Utilizing the Arthrex percutaneous Micro SutureLasso™ suture passer, pass the sutures through the anterior talofibular ligament (ATFL) and the extensor retinaculum via the limited incision. As with Ankle Ligament Reconstruction (Brostrum repair) Also known as lateral ankle ligament reconstruction (ALR), the aim of this surgery is to restore normal stability to the ankle. Comorbidities include intraarticular pathologies (osteochondral lesion, soft tissue or bony impingement syndrome, loose body, synovitis, etc. Lateral Ankle Ligament Reconstruction What is lateral ankle ligament reconstruction? Lateral ankle ligament reconstruction is a surgery to tighten and firm up one or more ankle ligaments on the outside of your ankle. The IB procedure has been Below you will find a resource for finding the correct billing and coding for ankle ligament repair surgery or a Modified Brostrom: Explaining the use of 27696 or 7 and which to use for Medical and which code to use for lateral: Jan 1, 2022 · On July 15, I underwent surgery to address years of unresolved ankle instability. I am in a hard cast, NWB, and for the most part doing well. This procedure is performed through an incision on the outside of the ankle. Patients with persistent pain, weakness, and limited mobility—often following multiple ankle injuries—may benefit from this procedure when conservative treatments (physical therapy, bracing, activity modifications) have failed. Studies have shown the superiority of fibertape augmentation over traditional lateral ankle stabilization procedures such as the Brostrom or Brostrom-Gould. Jan 17, 2016 · The open anatomic repair of the anterior talofibular and calcaneofibular ligaments (modified Brostrom procedure) is widely accepted as the standard surgical stabilization procedure for lateral ankle instability that does not respond to conservative measures. What to tell your healthcare provider Tell your healthcare provider about all the medicines you take. This technique is preferred because it promotes normal ankle anatomy, tension and stability in the area. The procedure was modified in 1980 by Gould to address subtalar instability by suturing the extensor retinaculum to the fibula. Brostrom repair with the InternalBrace™ procedure provides additional fixation of the repaired ligament backdown to bone during the healing process, allowing early mobility during recovery and a quicker return to activity. The skin is then carefully sewn up and a plaster of paris cast is Why would you need a Broström Lateral Ligament Reconstruction Surgery? If your ankle ligaments are badly damaged your ankle keeps going over on uneven surfaces. Does "both ligaments" mean medial and lateral ligaments, or can it mean more than one lateral ligament? Idaho Subscriber Answer: Many coders interpret the Nov 14, 2023 · Our findings support that arthroscopic repair yields comparable outcomes to open surgery. G. The InternalBrace technique allows the surgeon to support the primary Brostrom repair of soft tissue to bone for lateral or medial ankle instability repair and can be used for chronic ankle injuries and revisions. Augmentation of this repair with Internal Brace has shown better results with faster recovery. Mar 12, 2021 · Lateral ankle repair & reconstruction Brostrom developed this technique in 1966 to surgically address chronic ankle instability by performing an anatomical repair of the anterior talofibular (ATF) and calcaneofibular (CF) ligaments. Rates as high as 7 per 1000 person-years have been reported in the general population. Learn how much an Ankle Ligament Repair or Reconstruction costs near you. Feel free to comment below with any questions you have for me. May 26, 2010 · Hi, I am about one month post op from a modified brostrom surgery/bone chip removal/ligament repair. There are many different types of procedures. There are a number of causes of ankle instability including… Soft tissue complications are of specific concern in lateral ankle surgery, and the literature further supports the use of arthroscopic techniques, with studies reporting superior outcomes for wound-related complications in arthroscopic Brostrom procedures. An incision (cut) is made over the outside of the ankle. Ankle instability can lead to recurring painful "giving way" or turning of ankle. Preoperative Modified Brostrom-Gould Technique for Lateral Ankle Ligament Reconstruction The patient is placed in a supine position with a hip bump to internally rotate the leg. It’s most often done as an outpatient surgery, so you can go home the same day. 3,5 Jul 1, 2025 · The standard operative treatment of lateral ankle stabilization has been the Brostrom-Gould procedure, which has produced good results. Easley DEFINITION Lateral ankle injuries are among the most common musculoskeletal injuries in the athletic population. Our hypothesis was that there will be a statistically significant difference in pre- and postoperative scores and that patient s … Dr Daniel Dean, a foot and ankle surgeon in Western Springs, New Lenox, Hinsdale, Joliet and Chicago, IL offers ankle ligament repair to treat ankle ligament tears and ruptures. The lateral ankle ligaments, including the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL), play a crucial role in maintaining the stability of… The surgery is designed to address ankle instability by repairing or tightening the anterior talofibular ligament. Taylor Mark E. Reconstruction of the lateral ligaments of the ankle using a regional periosteal flap. Sep 10, 2023 · The arthroscopic Brostrom procedure is a minimally invasive technique that is a viable option surgeons have to treat patients with chronic lateral ankle instability (CAI). Patients requiring a Brostrom procedure will typically have a history of recurrent ankle sprains. Jun 27, 2018 · CONCLUSION. In laboratory studies, ankle ligaments repaired with Internal Brace augmentation were three times stronger than those repaired with standard ligament surgery (the Brostrom procedure) alone. Specific changes in the program will be made by the physician as appropriate for the individual patient. (Consider lateral decubitus position for very large or obese patients. Get the best price for an Ankle Ligament Repair or Reconstruction with MDsave. Recovery usually takes a few months. The morning of the surgery, I was nervous. A study published in 2017 looked at the outcomes of 669 Brostrom procedures and found the need for a second operation was only 1. Ankle instability can occur for a number of reasons, but is often the result of ligament injury due to repeated ankle sprains. Apr 3, 2023 · How to Manage Pain after Brostrom Surgery: A Step-by-Step Guide Brostrom surgery is a common surgical procedure that is done to repair the ligaments in the ankle. The Jun 25, 2018 · A Brostrom procedure is an anatomical lateral ligament surgical reconstruction commonly performed for lateral ankle instability and/or in case of failure of conservative management for chronic ankle instability. If you are experiencing undiagnosed ankle pain, you may use our ankle pain symptom checker to learn more about your injury. You’ll go home the same day. May 23, 2024 · Watch this full-length, narrated surgical video of a Brostrom-Gould procedure performed for lateral ankle instability. This method is ideal because it allows for more natural healing and provides significant artificial strength to the recovering ankle ligaments. This refers to repair and reconstruction of the ligaments on the outside of your ankle. Aug 28, 2017 · Ankle Ligament Reconstruction Internal Brace Rehabilitation Protocol This protocol provides you with general guidelines for initial stage and progression of rehabilitation according to specified time frames, related tissue tolerance and directional preference of movement. Lateral ankle ligament reconstruction is a surgery to tighten and firm up one or more ligaments on the outside of the ankle. Through anatomic repair of attenuated ankle ligaments and suture-tape augmentation, this modified procedure can provide reliable stability and minimal risk of recurrent instability. Jun 25, 2018 · A Brostrom procedure is an anatomical lateral ligament surgical reconstruction commonly performed for lateral ankle instability and/or in case of failure of conservative management for chronic ankle instability. Is Brostrom procedure considered secondary as long as the documentation is “chronic” or “ankle instability”? The surgical management of chronic lateral ankle instability (CLAI) has evolved since the 1930s, but for the past 50 years, the modified Broström technique of ligament repair has been the gold standard. Information about ligament surgery on the ankle for patients Abstract Surgical strategy regarding chronic lateral ankle instability is undergoing an evolution from traditional open procedures to minimally invasive and arthroscopic techniques. newyorkortho. It comes with a talus offset guide that allows for In cases where activity modification, the use of a laceup ankle brace, and/or therapy has not provided sufficient relief, surgery can be considered. Hecht Justin S. Knowledge of the surgical techniques, imaging appearances, and complications in the postoperative ankle is necessary for the accurate diagnosis of postoperative complications and for optimal patient care. The surgery aims to restore stability and function to the ankle joint by tightening the ligaments and preventing recurrent injuries. And of course, once you have an unstable ankle, sprains happen more frequently! As with many What is lateral ankle ligament reconstruction? Lateral ankle ligament reconstruction is a surgery to tighten and firm up one or more ankle ligaments on the outside of your ankle. The ligaments that keep the ankle stable are torn or have healed too loosely and require repair/tightening. The most common procedure for this is referred to as a modified-Brostrom procedure. The outcomes for patients who undergo this procedure are excellent and have passed the test of time. Call our office @ 646-501-7223 option 4, option 2 to confirm your first postoperative visit, which is usually about 1-2 weeks after surgery. Nov 4, 2024 · Ankle Ligament Reconstruction – Brostrom-Gould Technique The Brostrom-Gould technique is the most common surgery to address damaged ankle ligaments that don’t respond well to conservative treatments. I think the correct code is 27696, but don't completely understand the descriptor. Dr David Guelich in Lincoln Park, Chicago, and Near Northside of Chicago, IL offers Brostrom repair and ligament reconstruction to treat injured ligament, ankle instability, unstable ankle, ankle sprains and ankle pain. What is Watson-Jones procedure? One of the most widely used techniques is the Watson-Jones method (Wat- son-Jones 1940, Anderson & Lecocq 1954, Gil- lespie & Boucher Lateral Ankle Ligament Repair/ATFL Repair/Brostrom For the Clinician: The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation for the patients who undergo therapy for a Lateral Ankle ligament repair, Brostrom type. Chronic ankle instability is a potential sequel to acute ankle sprains and refers to persistent giving way of the ankle. Your hospital stay will be discussed and arranged in the clinic when surgery is offered. Brostrom Repair What is a Brostrom repair? The Brostrom repair is a repair of the damaged ligaments on the outside (lateral side) of the ankle. 2% on average 8. This article details the surgical technique, advantages, and outcomes of an arthroscopic approach to surgical management of lateral ankle instability. Brostrom-Gould surgery-the Brostrom technique associated with Gould augmentation-is Jun 19, 2023 · Introduction Modified Brostrom-Gould surgery (MBG) aims to repair the lateral ligaments of the ankle in patients with ligamentous laxity and chronic instability. In this procedure, a surgeon shortens up and reattaches ligaments in the ankle (called a Brostrom repair) and then adds an additional brace that acts as… Mar 23, 2025 · Evaluate the outcomes of repairing the anterior talofibular ligament using open modified Brostrom repair with InternalBrace augmentation combining with ankle arthroscopic surgery at the Viet Duc University Hospital. Feb 10, 2020 · Brostrom ankle surgery is a procedure to repair torn ligaments on the outside of the ankle with tendons. Learn about the complications, recovery time and a nonsurgical option using bone marrow concentrate injections. The Current Procedural Terminology (CPT ®) code 27698 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Leg (Tibia and Fibula) and Ankle Joint. . The Brostrom ankle stabilization surgery is a very good and reliable surgery for stabilizing a chronically weak ankle. It incorporates a time-based approach, depending on tissue healing, as well as a criterion-based approach. I’m booked for surgery in September but have been dealing with chronic ankle instability along with a whole chain of kinetic issues up my hip, lower back and now up into my shoulder. This surgical technique video accompanies the article:Co Jan 1, 2025 · Chronic lateral ankle instability is a common diagnosis in foot and ankle clinics. Raven Press, Ltd. Surgical interventions in the ankle are becoming more prevalent with increasing athletic demands and emerging focus on techniques for prevention of joint injury. To compare the clinical and radiological outcome between the modified Broström repair with augmentation using suture tape (MBA) and the modified Broström repair (MB) for patients with chronic lateral ankle instability. A retrospective study was Jun 24, 2024 · Ankle Surgery You might need ankle surgery if you’ve seriously injured your ankle, or if you have a condition that causes chronic pain, like arthritis. Ankle Instability Repair: The Brostrom-Gould Procedure W. Arthroscopic Brostrom procedures with a suture anchor have been reported to achieve both anatomic repair of the lateral ankle ligaments Introduction Modified Brostrom-Gould surgery (MBG) aims to repair the lateral ligaments of the ankle in patients with ligamentous laxity and chronic instability. For Brostrom procedure this does not always require another tissue or graft. The anterior talofibular ligament is identified and tightened. Jul 29, 2022 · Ankle arthroscopy is a minimally invasive surgery used to treat damage in your ankle. A Brostrom repair should be considered a last resort after a patient has tried a series of non-surgical options, such as wearing a boot cast after the injury, going to physical therapy for an extended period of time, etc. These are commonly injured when the ankle is sprained and on occasions will lead to symptomatic instability needing surgery. The branches of the superficial peroneal nerve and sural References: Brigham and Women’s Hospital: Modified Brostrom-Gould Repair; University of Wisconsin Sports Medicine: Rehabilitation Guidelines for Lateral Ankle Reconstruction; Journal of Orthopaedic Surgery and Research: Treatment of chronic lateral ankle instability: a modified brostrom technique suing three suture anchors; Sports Physical Therapy: Return to Play in Athletes Following ankle Modified Brostrom Rehabilitation Guideline This rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. After meeting two different surgeons, I opted for the generally well-regarded Internal Brace surgery from Arthrex. These techniques offer surgeons 2 truly minimally invasive options to treat patients presenting with lateral ankle instability. Most ankle sprains can significantly improve without surgery. It involves the reconstruction of the torn or injured ligaments with a graft taken from another part of the body, typically from the ankle or knee. The Internal Brace procedure implants a biocomposite anchor into the talus and fibula. The purpose of the Brostrom-Gould procedure is to stabilize the ankle ligaments, improve the ankle's mechanics and restore full function. Lateral ankle ligament reconstruction, also known as the Brostrom procedure, is a surgical procedure performed to repair or reconstruct the damaged lateral ankle ligaments, typically due to chronic ankle instability or repeated ankle sprains. Why would it be done? If you have torn the ligament on the lateral side of your ankle and the ankle keeps giving way, you would normally be prescribed a course of physiotherapy. Often, an arthroscopic inspection and debridement (or cleanup) of the ankle joint is also Jan 29, 2025 · Conclusions: The MBP augmented with suture tape appears to be an effective surgical technique for chronic lateral ankle instability. Physical Therapy Protocol: Lateral Ligament Reconstruction (Modified Broström) The surgical repair after a lateral ligament reconstruction of the ankle can be quite variable. Normally this occurs due to an accident or injury when the ligaments are damaged causing you to regularly twist your ankle especially if walking on an uneven surface. Brostrom Technique Ankle stability restored with Brostrom surgical technique The Brostrom technique is a surgical procedure used to repair a torn or stretched ligament in the ankle. MODIFIED BROSTROM LATERAL ANKLE LIGAMENT REPAIR PERONEAL TENDON REPAIR POST OPERATIVE INSTRUCTIONS AND REHABILITATION PROTOCOL This protocol has been developed for the patient following modified brostrom repair for ankle instability. Experience Relief. Modifications to this guideline may be necessary depending on physician-specific instruction, degree of the tear, specific tissue healing timeline, chronicity Enter date of surgery (DOS) or date of injury (DOI) to calculate the number of days, weeks, months or years post op. g2mdmd 1l0v scoyf8s kf6gpk cs627 nkd aewl eey64g ssjg 3v