Which recovery duration best matches a complete anterior talofibular ligament tear?

• A. 2-3 months
• B. One year
• C. Over 3 months
• D. 6-12 weeks

Answer: (C)

A complete tear of the anterior talofibular ligament disrupts a key stabilizer of the ankle, and ligaments heal slowly with a need for progressive strengthening and proprioceptive retraining. After the initial protection and gradual weight-bearing, the tissue goes through remodeling and strengthening phases that extend over several months. Because of this, recovery beyond the 3-month mark is common for a full-thickness ATFL rupture, especially when aiming to return to full function and sports. Shorter timelines like 6-12 weeks or 2-3 months fit milder sprains or partial tears, while a year would be unusually long unless complications or complications alter the course. Therefore, more than three months best matches recovery from a complete ATFL tear.