The pain around the ankle ligament anchor nail repair one year later may be caused by traumatic arthritis caused by walking too early, and wear and tear of the surrounding tissues by the fixation screws. 1. Traumatic arthritis: after the ligaments in the ankle are fixed by screws, it takes a long time to grow and repair. If the patients go down to the ground too soon after the operation, or even weight-bearing training, it can lead to slow recovery of the ligaments in the ankle or irreversible damage, causing traumatic arthritis in the ankle, and then the patients may have the symptoms of pain in the ankle area for a long period of time after the operation. 2. Fixation screws wear out the surrounding tissues: after ligament repair, the subcutaneous fat and other soft tissues in the ankle are less, and the pain is caused by repeated friction between the screws and the surrounding tissues. It is recommended that the patient should consult the doctor in time, check the X-ray and magnetic resonance of the ankle under the doctor’s guidance to further clarify the cause of the pain, and carry out standardized treatment under the doctor’s guidance, so as to avoid aggravation of the condition affecting the normal activities.