The Clinic for Foot & Ankle Surgery The Clinic for Foot & Ankle Surgery : 0845 6434 553
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Patient Info

Total Ankle Replacement

Please keep your foot elevated above your heart as much as possible for the first few weeks after your surgery.

Pre Hospital

  • If you have your own X-rays please take them to hospital
  • No food, drink or smoking for 6 hours prior to surgery (you may have sips of water up to 2 hours prior to surgery)
  • Notify The Clinic for Foot & Ankle Surgery if you have any cuts, abrasions or skin problems on the leg to be operated on.

Hospital

  • Usual stay two to three nights
  • ½ plaster backslab dressing first two weeks
  • Physiotherapy to mobilise non-weightbearing on crutches
  • Ensure you have a postoperative appointment on discharge.

What to Expect

  1. Swelling - This is to be expected. Minimise this by keeping your foot elevated above your heart
  2. Pain - You will receive a prescription for pain medication on discharge. Pain will be minimised by keeping your foot elevated
  3. Bleeding - This always occurs. You may notice some oozing through the bandages. If this continues in large amounts please contact The Clinic for Foot & Ankle Surgery. Keeping your foot elevated will minimise the bleeding.

Post Operative care of your Foot

  1. Rest - Bed for the first few days with your foot elevated above the level of the heart. The foot should be elevated on 3 to 4 pillows
  2. Mobilise only as necessary - Use the shoe provided for mobilising
  3. Ice - An iced filled plastic bag placed over the foot or resting the foot on the bag helps ease pain and swelling
  4. Pain medication - Take oral analgesia as prescribed when necessary
  5. Do not wet dressing
  6. Do not remove dressing.

Post Operative Appointments

7 - 14 Days

  • Dressing removed and changed
  • If necessary sutures are removed and ends trimmed
  • Fibreglass cast applied. (Click here for information about care of your cast)
  • Cast shoe supplied and weight-bearing, using crutches is commenced
  • Continue to elevate and rest leg as much as possible.

6 Weeks

  • Cast removed
  • X-ray
  • Physiotherapy referral
  • Weight bear as instructed
  • You may now bath as normal. 'Dab" dry the wound rather than rub with a towel.

12 Weeks, 6 months and yearly

  • Review
  • X-ray.

Expect

  • 3 months to be fair, 6 months to be good, 12 months to be right
  • 6 months for all swelling to cease.

Please understand that the post operative course varies with individuals and these are guidelines only.

If you develop a fever associated with an increase in pain and a discharge from the wound please call The Clinic for Foot & Ankle Surgery, also if you have any further questions.

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