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