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Would you recommend surgery for a full thickness tear of ATFL and CFL?

I injured my ankle pretty badly while playing basketball 3 months ago. It was a really bad fall. My ankle bone hit the ground when my ankle twisted, and I couldn't get up for a few minutes. I could walk, but I was limping, and there was a lot of swelling initially. Two days later, I went to get an X-Ray at urgent care. They said nothing was fractured, and that it was probably just a sprain. Two weeks later, I got an appointment at my orthopedic. My orthopedic took more X-rays and said nothing was fractured. He said to wait 4-6 weeks, and to get an MRI at that point if the ankle still hurts. About 7 weeks after he said that, I got an MRI. The results of the MRI are as follows:

The Achilles tendon is intact. The peroneal compartment tendons, anterior compartment tendons and posterior compartment tendons are intact. There is a full thickness tear of the anterior talofibular ligament and calcaneofibular ligament. The anterior inferior tibiofibular ligament, posterior inferior tibiofibular ligament, posterior talofibular ligament, posterior tibiotalar ligament are intact. The osteochondral surfaces are intact. The plantar fascia is intact. The tibiotalar join fluid is physiologic. There is normal alignment.

Impression:
Full thickness tear of anterior talofibular ligament and calcaneofibular ligament.
Intact osteochondral surfaces
No fracture

My orthopedic told me that I could try physical therapy, but that I might need surgery.
When I went to my physical therapist, I was told that a full thickness tear means a grade III tear, meaning that >75% of each of those 2 ligaments are torn. He told me that prognosis with physical therapy is poor. He recommended 3-4 weeks of physical therapy, but that I would likely need surgery.

I was hoping to get a recommendation from the orthopedic community. Would you suggest surgery? I'm 25 years old, and I'm very active. I used to play basketball and tennis regularly, and go for runs on a daily basis. I can't do that right now. I've had surgery on my left wrist in the past, and range of motion never fully returned. I'm afraid that, if I get surgery on my ankle, range of motion may never fully return, and that I wouldn't be able to sprint as fast as I normally could, go on long distance runs, including half marathons and marathons, or continue playing basketball and tennis.

What are your recommendations? Thank you in advance for all your time and help!
1 Responses
Avatar universal
Hey so what did u do finally?
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