Percutaneous anterior talofibular ligament repair: A new technique for chronic ankle instability

Table 1 Postoperative rehabilitation protocol

Timeframe	Protocol
Weeks 0-2	Immobilization in a non-weight-bearing posterior slab; focus on elevation and ice to control swelling
Weeks 2-4	Transition to a walking boot; partial weight-bearing as tolerated; gentle passive and active range of motion exercises (dorsiflexion, plantarflexion)
Weeks 4-8	Wean off walking boot and transition to an ankle brace; full weight-bearing as tolerated; begin proprioceptive and neuromuscular training (e.g., single-leg stance); start gentle strengthening exercises (e.g., resistance bands for eversion and inversion)
Months 2-4	Discontinue brace for daily activities; progress strengthening exercises; introduce sport-specific drills and activities
More than 4 months	Gradual return to unrestricted sports and activities based on clinical assessment and functional milestones