After the operation
On the Day
After the anaesthetic has worn off your foot should be largely free of pain ,due to the use of nerve blocks(Femoral and Sciatic). You will be given a course of pain killers and anti- inflammatory tablets .These will be working for you when the nerve blocks wear off by 12 hours or so .
You may also require a PCA analgesic pump.
Immediately after the operation you will have a temporary plaster cast. The day following this will be changed into a lightweight fibreglass cast.
A physiotherapist will instruct you on the use of crutches the day following surgery. You will be non weight bearing on the operated foot for a period of six weeks.
Length of stay
One or two post-operative days depending upon comfort and mobility.
Aspirin 150mgs for 6 weeks.
At two weeks
You will require an outpatient assessment and wound review. Self absorbing sutures are normally used .Your lightweight cast will be changed and non weight bearing will continue for another four weeks.
At six weeks
You will require an outpatient assessment and check x-ray to confirm union of the calcaneal osteotomy.
At this stage you will be able to return to the orthotic which by itself has failed to control your foot preoperatively. It may require some adjustment by our orthotist.
This should be worn for all weight bearing activity.
Chance of success
- The chance of significant reduction in pain and improvement in function is of the order of 85%.
- The chance of a persisting correction in the alignment of the foot is 70-80%
- The chance of failure of the surgery to the extent that midfoot fusion is required is 10%.
2. The stiff (non correctable)and painful arthritic flat foot
Left sided arthritic subtalar and midfoot joints.