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Procedures & Rehab Protocols

Please note it takes up to one year for swelling to go away in the toe, foot, or ankle. This is to be expected.

Forefoot

Bunion Correction
Day 0 to 14 Heel weight bearing in post op shoe
2-6 weeks Stable toe spacer WB in short boot
6-12 weeks

Transition to shoe continue toe spacer in closed toe shoe until 3 months

Its OK to ride a bike at 6 weeks, but no running for 12 weeks

1st MTP Fusion
Day 0 to 14 Heel WB on crutches
2-4 weeks WBAT in short boot
6-8 weeks WBAT in regular shoes
Hammertoe Correction/Weil osteotomy Plantar Plate Recon
Day 0 to 14 Heel WB in post-op shoe
2-6 weeks WBAT in post-op shoe or short boot. Initiate passive PF stretching of involved MP joints, utilize dressing or Budin splint if toes are cocking.
6 weeks Transition to regular shoe as swelling allows
Cheilectomy/Cartiva
Day 0 to 14 WBAT in post-op shoe
2-4 weeks Start PT
4 weeks Transition to regular shoe as swelling permits
Jones Fracture
Day 0 to 14 NWB splint or Heel touchdown WB in post-op shoe
2-4 weeks NWB in CAM boot
4-6 weeks WBAT in a CAM boot

Midfoot

Lapidis (Bunion Correction) or TMT Fusion
Day 0 to 14 Splint, NWB
2-6 weeks Non-weight bearing cast
6-10 weeks Boot, progressive weight bearing
10-12 weeks Wean out of boot, WBAT, increase activity, possible PT
12 weeks No restrictions
Lisfranc ORIF
Day 0 to 14 Splint, NWB
2-6 weeks Non-weight bearing cast
6-10 weeks Boot, progressive weight bearing
10-12 weeks Wean out of boot, WBAT, increase activity, possible PT, Poss arch support
12 weeks Begin running/jumping activities
5-6 months Consider hardware removal
Flatfoot Reconstruction (FDL Tx, MDCO, etc)
Day 0 to 14 Splint, NWB, Neutral flex, slight inversion
2-6 weeks Non-weight bearing cast
6-12 weeks Boot, progressive weight bearing, start PT
10-12 weeks Wean out of boot, WBAT, increase activity

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  • American Academy of Orthopaedic Surgeons
  • Arthroscopy Association of North America
  • American Orthopaedic Association
  • South Carolina Orthopedic Association