You must rest with the leg elevated for the first 48hrs (essential walking only, or hoping if a cast has been put on your leg). It is important that you do not interfere with the dressings and keep them dry. You can buy a purpose made waterproof cover to keep the leg dry in the bath or shower, from your chemist. You will be seen for a dressing change along with the cast if appropriate 3-6 days post surgery. Patients not in a cast will return to walking to tolerance around the house.
For reconstructive procedures (plantar plate repair and tendon transfer) the patient will remain in the cast for 3-4 weeks with a gradual return back to comfortable shoes. If a wire has been placed through the toe, this will be removed at the six week mark. You can then gradually return back to your normal footwear and activities. A full recovery often takes 6 months.
Patients undergoing a closing wedge osteotomy will be in the post operative shoe for 10-14 days. Thereafter you should remain in a trainer for an additional 4 weeks whilst the bone begins to heal. During this time you should refrain from any high impact activities (running jumping
etc.) Taping the two toes together can provide initial support. The team will advise you whether this is required. Destructive surgery (amputation, syndactylisation) the dressing is removed after 10-14 days along with the sutures if they are not the dissolving type. You can then gradually return back to your regular footwear and activities Once out of the post operative shoe or cast you can drive your car as and when you feel safe.