49ers’ Trey Lance out of surgery, begins rehab process for 2023 season

San Francisco team physician said Monday that the former Bison quarterback, who injured his right ankle on Sunday, will begin rehab after surgery repaired a fibula fracture and ligament disruption.

San Francisco 49ers starting quarterback Trey Lance (5) is helped off the field after being injured against the Seattle Seahawks in the first quarter of a Sunday, Sept. 18, 2022 game at Levi's Stadium in Santa Clara, Calif.
Nhat V. Meyer/TNS
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SANTA CLARA — Trey Lance is out of surgery and will begin the long rehab process pointing toward the 2023 season.

The 49ers issued the following statement Monday regarding Lance, who was injured in the 49ers’ 27-7 win over the Seattle Seahawks at Levi’s Stadium:

“San Francisco 49ers quarterback Trey Lance underwent successful surgery on his injured right ankle this morning, an injury that occurred in yesterday’s game versus the Seattle Seahawks.

“Surgery was performed at Stanford Hospital and repaired two injuries to Lance’s ankle, a fibula fracture and ligament disruption. Lance will start the rehab process, and head team physician Dr. Tim McAdams is confident that he will recover completely in time for a full return in the 2023 season.”

The former North Dakota State QB posted the following message on Twitter with a photo of himself in recovery:


“Truly appreciate all of the messages and prayers. Surgery was a success and I am ready to attack this rehab process. We will never understand why, but I trust that it’s all a part of His plan. I will be back better than ever. This chapter is going to make the story even greater!”

With 2:33 to play in the first quarter and the 49er leading 3-0, Lance was injured on a 2-yard zone-read keeper, colliding with defenders Cody Barton and Bryan Mone at the Seattle 19-yard line.

Center Jake Brendel attempted to pull Lance to his feet, but the former No. 3 overall pick fell back to the grass and was in obvious pain. Replays showed Lance’s right leg bent in a position where it was clear the injury was serious.

San Francisco 49ers starting quarterback Trey Lance (5) scrambles against the Seattle Seahawks in the first quarter of a Sunday, Sept. 18 game at Levi's Stadium in Santa Clara, Calif.
Nhat V. Meyer/TNS

The 49ers’ team physicians immediately called for a cart, an air cast was placed on his leg, and Lance was immediately declared out for the game. Afterward, coach Kyle Shanahan confirmed Lance would be out for the season.

Jimmy Garoppolo, who agreed to a restructured contract on Aug. 29 to be Lance’s backup, emerged from the bench and directed the team to the win over the Seahawks.

It was Lance’s third rush of the game and came on a play Shanahan defended as a “very normal call.

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