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First MTP Fusion

Post Operative Instructions


Cast

  • You will have a dressing over your wound and a post-operative sandal/shoe following surgery

  • A post-op sandal/shoe will be worn for the first 6 weeks

  • At 6 weeks, you will wean off the post-op shoe and begin walking in a regular shoe


Wound

  • The surgical incision has been closed with sutures

  • Do not get the dressing or wound wet for the first two weeks. When showering place a bag over the dressing and secure with tape to your leg to avoid the wound getting wet

  • Do not remove the dressing until your 2 week appointment – the first dressing change will occur at your 2 week appointment

  • Stitches will be removed at your 2 week appointment

  • After the stitches are removed, you may begin to shower after 2-3 days

  • Do not immerse the foot in water (bath, hot tub, pool) for 4 weeks

  • Do not apply any lotions or creams on the wound for 6 weeks


Weight Bearing

  • You may walk on your heel only for the first 6 weeks while in a post-op shoe. You will be given crutches if needed

  • After 6 weeks you may begin fully walking on the foot


Medications

  • You will be given a prescription for pain medication and Aspirin (blood thinner)

  • Pain medication should be used regularly for the first 24-48 hours, when required for the first 1 to 2 weeks, followed by Regular Tylenol

  • Aspirin should be taken for 30 days, no exceptions


Driving

  • For right foot surgery you are not permitted to drive for the first 6 weeks

  • For left foot surgery, please contact your insurance company to see if you are permitted to drive

  • Driving is not permitted while on narcotics


Work

  • You will be in a post-op shoe for the first six weeks following surgery

  • You will be permitted to put weight through your heel only. If you are able to get to work safely, and will be seated for the majority of the day, you may return to work a couple days after surgery

  • Return to full duties is usually possible after 8-12 weeks


Follow Up

  • You will have your first appointment 2-3 weeks after surgery in the Fracture Clinic

  • Your next appointments will be at 6 weeks, 3 months then 6 months post operatively

  • You will have x-rays taken at these appointments


Recovery

  • It is normal to experience mild to moderate pain, numbness, or tingling for the first 2 weeks following surgery

  • Please come to the emergency department if you are suffering from severe pain

  • You will get back to most of your activities by 3 months

  • Swelling often remains for 6-12 months

  • You are expected to experience a FULL recovery (no pain, no swelling, ability to walk, etc.) in 9-12 months


Physiotherapy

  • For the first 2 weeks you should perform hip and knee exercises only

  • From 2-6 weeks you may perform range of motion exercises for your ankle only, 5-10 times per day

  • After 6 weeks you will begin to walk without the post-op shoe and begin strengthening the foot and ankle – you will be referred for formal physiotherapy at this time


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