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This is my routine, I'd be interested in how others handle these in the post operative period
When I perform TT releases I also release the Porta Pedis and frequently do a Heel spur/Fasciotomy as well.
I apply a "boot" cast and allow partial wt bearing for two weeks.
After two weeks we dispense and ace and Cam type walker for an additional 3 weeks. I normally have the patient, at the 3-5 week period, apply a folded 4X4 over the TT area under the ace for added compression on the surgical area. Ice BID (once after bathing) /elevation as needed.
Normally after the 5 weeks I allow them to start with an athletic shoe or other well constructed shoe and begin increasing their activity level.
Crutches are usually discontinued at around 3 weeks.
Fellow American College of Foot & Ankle Surgeons
Board Certified Foot & Ankle Surgery, ABPS
Adjunct Professor OCPM
Green Bay, Wisconsin, USA
I usually do something similar...except that I go right to the Cam walker vs another type of cast.
I keep them in the Cam walker for 3 weeks then ambulate with normal shoes and some type of compression stocking.