Why Do I Keep Rolling My Ankle?
Repeated ankle sprains are both a symptom and a cause of a weak and unstable ankle. Each time you twist or roll your ankle, the ligaments on the outside of your ankle can stretch or tear, creating a perpetual cycle of recurring injuries and ankle pain.
Chronic ankle instability occurs when the damaged ligaments fail to heal properly. The loose ligaments cannot protect your ankle from rolling outwardly. Symptoms of chronic ankle instability include:
Your ankle “gives way” when walking on uneven surfaces
Pain or tenderness in your ankle
Chronic ankle swelling
Feeling unstable or wobbly
Repetitive ankle sprains
Recurring Ankle Sprains?
You’re Not Alone.
Weak, unstable ankles and recurring ankle sprains can create frustrating limitations to activities and daily life. The InternalBrace procedure is helping people with chronic ankle instability get back on their feet and back in action.
Benefits of the InternalBrace procedure include:
Faster return to activity1,2
Reduced chance of another ankle sprain while you heal1,3
Appropriate for people who have already had ankle surgery
Performed in an outpatient setting through a small incision
Ankle Sprains by the Numbers
Ankle sprains are incredibly common injuries that can be caused by trips and falls, landing awkwardly after a jump, pivoting wrong, and other motions.

Ankle sprains are the most common sports injury with an estimated 2+ million sprains occurring annually in the United States.4

1 in 5 people who suffer an ankle sprain report having long-term ankle problems5; the rate is even higher, 1 in 3, for athletic populations6

Up to 70% of people with an ankle sprain will suffer another sprain in the future7,8
What Sets the InternalBrace Technique Apart?
Chronic ankle pain and instability can be relieved, but not completely treated, with conservative treatments. Unfortunately, this means many people reduce or eliminate their favorite activities. In fact, more than 40% of patients who underwent traditional (Brostrom) surgery stepped down or abandoned athletic activities altogether.9
If nonoperative options like rest, braces, and physical therapy have not helped, your chronic ankle instability may require surgery.
The InternalBrace procedure is designed to help speed up the recovery process and allow immediate range of motion. This early postsurgical movement leads to a stronger, more stable ankle.1
Even people who have already had ankle surgery can undergo the InternalBrace procedure. InternalBrace augmentation of a previous ankle ligament repair is a simple revision procedure that may help protect your ankle from future sprains.3
InternalBrace Repair: A Seat Belt for the Ankle
Similar to how a seat belt acts in a car accident, surgical repair with InternalBrace ligament augmentation secures your ligaments to the bone and helps limit excess range of motion during the healing phase, which may reduce your chances of experiencing another sprain while your ankle ligaments regain strength.1,3
Chronic Ankle Instability Patients Recover Faster With the InternalBrace Procedure
The InternalBrace procedure accelerates recovery and rehabilitation1,2 to get patients back to their activities faster.
Postoperative management is patient-specific and dependent on the treating professional's assessment. Individual results will vary and not all patients will experience the same postoperative activity level or outcomes.

The goal of surgery is to restore strength and stability to the ankle by repairing the injured ligament.
Similar to how a seat belt acts in a car accident, InternalBrace ligament augmentation repair uses suture anchors that provide additional fixation points to hold the ligament to the ankle bone during the healing process. This supports your main (or primary) ligament repair procedure, potentially reducing your chances of future ankle sprains.1,3
How InternalBrace Ligament Augmentation Repair Works
FAQs
Why should I consider the InternalBrace procedure?
Compared to traditional ankle ligament repair surgery, addition of the InternalBrace procedure may help you recover weeks faster than surgeries that don’t incorporate it.1,2
In the past 10-plus years, more than 600,000 InternalBrace procedures have been performed around the world,10 and extensive published research supports its ability to provide support to your primary surgery while you heal.
Is anyone a candidate for the InternalBrace procedure?
You should talk to your doctor about whether you are a candidate for InternalBrace ligament augmentation repair. Patients who need a “revision” surgery to repair a failed previous ligament repair may be candidates for the InternalBrace procedure.
What materials are used in the InternalBrace procedure? Do they ever have to be removed?
The InternalBrace procedure incorporates several components to secure your ligament to the bone during the healing phase. While you heal from your primary ligament repair procedure, SwiveLock® anchors fix the ligament to the ankle bone and FiberTape® suture holds it there. FiberTape suture has a very low risk of causing a tissue reaction,11 and this equipment is designed not to need removal.
Is the InternalBrace procedure outpatient?
Ligament repair procedures, including those that incorporate InternalBrace ligament augmentation repair, are typically outpatient. Many can be performed outside the hospital setting, such as in an ambulatory surgical center (ASC).
Will getting the InternalBrace procedure affect my mobility?
The InternalBrace procedure works similarly to how a seatbelt protects you during a crash, by providing protection to your surgically repaired ligament during the healing phase.
The InternalBrace procedure allows freedom for your ankle to function normally, but limits abnormal or excessive movement that may overstretch or harm your underlying ligament repair.
Will insurance cover my InternalBrace procedure?
Check with your insurance provider to determine whether your specific procedure is included in their coverage.
Can patients who have had a failed prior ankle surgery get the InternalBrace procedure?
Yes. One common ankle ligament repair procedure is called the Brostrom technique, which can be augmented using the InternalBrace ligament augmentation repair procedure. In the case of a failed Brostrom procedure, your doctor may choose to augment the revision repair with the InternalBrace ligament augmentation repair technique.
What will my scar look like after this procedure?
Scarring is patient-specific and dependent on the surgical procedure. Individual results will vary based on age, skin color, health conditions, and the wound closure technique performed by your surgeon.
However, minimally invasive surgical, or MIS, procedures such as the InternalBrace technique are designed to require a smaller incision (and thus create a smaller scar) than traditional procedures.









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