An appropriate well-padded dressing should be applied to protect the surgical incision. Compression will help control swelling.
If present, the skin-pin interface should be similarly well-padded but with dressings that can be readily removed to inspect for pin site infection.
Immediate postoperative treatment is rest, ice, and elevation.
The patient should restrict weight-bearing for six weeks until signs of radiographic healing are present. After this, patients can be weight-bearing as tolerated.
Patients must exercise their ankle and subtalar joints out of the orthosis to prevent stiffness (eg, by stretching their Achilles).
X-ray the metatarsals at six weeks to confirm satisfactory union and remove K-wires if present. Once the fracture is united, the orthosis may be gradually discontinued.
A gastrocnemius release may need to be performed in cases with postoperative gastrocnemius contracture. This occurs more typically in the mid- and hindfoot.
If the gastrocnemius muscle has been released, a splint or cam walker can be used to protect the surgical site.