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Post-operative period

  • During the first two hours apply ice to prevent edema; you can find ice at any time in the refrigerator in each patient’s room.
  • You may feel a severe pain during the first 24 hours after the operation. In such case ask healthcare personnel to anesthetize you. Pain should decrease to the minimum at elevated limb position and ice application.
  • If the toe(-s) is (are) fixed with the use of wire(-s), you must monitor its (their) condition, namely the color and sensation of the nail phalanx(-ges). In case of any changes (intense edema, discoloration, numbness, decrease of temperature) you should immediately inform healthcare personnel and your attending doctor about it.
  • During the first several days following the operation, dressings may get a sousing due to secretion leakage from the area of post-operative wounds. Do not worry about it as this goes to prove evacuation of a post-operative hematoma. To lessen escape of blood, elevate the limb.
  • You will not need specific post-operative care. You will be able to move and attend to yourselves.
  • Hospitalization period includes 3 to 7 days.
  • You may walk only (!) wearing post-operative shoes. You may commence walking right on the day of operation after expiration of the anesthetic effect, however only upon the consent provided by your surgeon or attending doctor. You have to become accustomed to walk in post-operative shoes. During the first days you may suffer from severe pains and instability sensation which will be eliminated in the course of increasing activity.
  • During the operation fractured bone fragments are fixed with the use of dedicated screws which are produced from specific alloys used for medical applications (titanium-based alloy or stainless steel). Their physical properties allow, where necessary, conduction of any diagnostic tests (CT, MRI, ultrasound scan). They do not sound when passing through metal detectors (at the airports or railway stations, at shopping malls).
  • Generally, a screw is not subject to further extraction. Only in those rare cases of its (their) migration, it (they) can be extracted that may be caused by several reasons, for example, failure to follow recommendations of post-operative behavior, extensive load on the feet and osteoporosis. Absence of the screws (after their extraction) will not affect operative outcome. Possible migration of the screws is not relevant to surgeon’s proficiency and quality of the implants!

  • You should remember that feet become heavily swollen after the operation, so you must not walk long. You will have 1 to 1.5 hours a day during which you are allowed to let feet down or walk. At all other times you should keep your feet elevated, higher than heart position.
  • In no circumstances you may make dressings wet or delete them.
  • It is recommended to apply “Troxevasin” gel or “Lioton” gel onto visible (around dressings) areas of the feet as well as the entire surface of lower legs to improve blood stream and lessen hematoma.
  • Dressings will be changed as and when necessary following the doctor’s decision.
  • When the wounds stop bleeding heavily, special retentive bandages are applied.
    • Upon your discharge from the hospital, it is recommended to change dressings every 2-3 days. More frequent change is not necessary. In the presence of relevant skills, you can change dressings independently: address the wound using an antiseptic (for example, Chlorhexidine or Betadine wound care solution) provided that applied wipes used to clean/cover the wound are sterile (!) while a retentive bandage may be non-sterile (as it is applied above the wipes).
    • In no circumstances treat the wounds with “brilliant green” solution during every change as it has no wound-healing effect. Moreover, due to its multiple application phlyctenas (vesicles with content) appear very often that require time-consuming recovery with wound edges not closing for a long time.
    • It is recommended to remove sutures on the 14th day after the operation; if sutures applied on the plantar surface, they are usually removed upon expiration of 21 days. This procedure is treated on an ambulatory basis at the local clinic (free of charge) or at any health center of your choice, including the clinic of your surgery, however on a paid basis (the payment can be processed through the Commercial Department).
    • The wires (if any) are also extracted on an ambulatory basis, including the local clinic as this is a key responsibility of clinic/casual collection point doctors. This procedure is painless, so you will not need anesthetization.
    • IT IS NECESSARY (!) to strictly follow our recommendations, because no one (!) but only we know the details of your operation. All other advises provided by non-professionals (neighbors, friends and other “experts”) may bring harm to your health!
    • Any “deviations” from the scheduled plan of post-operative patient management shall be reported to your attending doctor or your surgeon.
    • After deletion of dressings you should wear interdigital correcting insert (a silycone pad) within 6 weeks.
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    • You should wear post-operative shoes within 4-6 weeks after the operation.
    • After these 4-6 weeks you should survive repeated inspection and production of individual inner soles, for which you should attend a doctor wearing your post-operative shoes.
    • New shoes shall be preferably selected/bought after modeling (production) of inner soles.
    • These soles can be used for different pairs of shoes as they are compatible with any type of shoes provided that they have similar heel/platform height.
    • Recovery period is treated individually depending on the level of initial deformation, volume of surgery, age specifics, patient’s occupation and his/her individual activity.
    • All (!) patients suffer from different pain feeling in two feet during the post-operative period, with more pain in the foot which was less painful prior to operation occasioning more frequently. Such condition does not mean that one foot was operated by a surgeon and another by his/her assistant.
    • Numb feeling at the post-operative areas and great toes usually remains up to one year.
    • Feet edema persists up to 6 months after the operation, but in some cases may remain even after the first year.
    • During the post-operative period you should do a complex of exercises to improve mobility of the great toe.
    • An average period of disability and medical leave is 4 to 8 weeks.
    • Control X-ray image shall be preferably obtained in 3 months after the operation (anterior and lateral projection, under load (in a standing position!)).
    • Further control medical checks shall be passed in 6 and 12 months after the operation.

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