Postoperative instructions:
The following are the general set of instructions for most foot and ankle surgical cases. Your particular set of instructions might be different depending on the type of surgery that you had. Your surgeon will discuss the postoperative orders pertaining to your surgery when you case is finished.
- Keep your bandages clean, dry and intact
- Take your pain medication as directed
- Your weightbearing status will be determined by your surgeon
- If your bandages do get wet, contact your surgeon immediately
- If you develop fever, chills, nausea or vomiting, call your surgeon immediately or visit the nearest emergency room or urgent care
- Be very careful when taking a bath or a shower since you will not have full balance
- Do not drive a vehicle or use heavy machinery during the postoperative period
- Learn to utilize your crutches or your walker or your wheelchair properly
More specific instructions will be given to you depending on your particular surgery.
Instructions for Using Crutches
Sizing Crutches
Even if you’ve already been fitted for crutches, make sure your crutch pads and handgrips are set at the proper distance, as follows:
- Crutch pad distance from armpits: The crutch pads (tops of crutches) should be 1½” to 2″ (about two finger widths) below the armpits, with the shoulders relaxed.
- Handgrip: Place it so your elbow is slightly bent – enough so you can fully extend your elbow when you take a step.
- Crutch length (top to bottom): The total crutch length should equal the distance from your armpit to about 6″ in front of a shoe.
Begin in the “Tripod Position”
The tripod position is the position in which you stand when using crutches. It is also the position in which you begin walking. To get into the tripod position, place the crutch tips about 4″ to 6″ to the side and in front of each foot. Stand on your “good” foot (the one that is weight-bearing).S
Walking with Crutches (Non-weight-bearing)
If your foot and ankle surgeon has told you to avoid ALL weight-bearing, you will need sufficient upper body strength to support all your weight with just your arms and shoulders.
- Begin in the tripod position, remembering to keep all your weight on your “good” (weight-bearing) foot.
- Advance both crutches and the affected foot/leg.
- Move the “good” weight-bearing foot/leg forward (beyond the crutches).
- Advance both crutches, and then the affected foot/leg.
- Repeat steps #3 and #4.
Managing Chairs with Crutches
How to get into and out of a chair safely:
- Make sure the chair is stable and will not roll or slide. It must have arms and back support.
- Stand with the backs of your legs touching the front of the seat.
- Place both crutches in one hand, grasping them by the handgrips.
- Hold on to the crutches (on one side) and the chair arm (on the other side) for balance and stability while lowering yourself to a seated position, or raising yourself from the chair to stand up.
Managing Stairs without Crutches
The safest way to go up and down stairs is to use your seat, not your crutches.
To go upstairs:
1. Seat yourself on a low step.
2. Move your crutches upstairs by one of these methods:
• If distance and reach allow, place the crutches at the top of the staircase.
• If this isn’t possible, place crutches as far up the stairs as you can, and then move them to the top as you progress up the stairs.
3. In the seated position, reach behind you with both arms.
4. Use your arms and weight-bearing foot/leg to lift yourself up one step.
5. Repeat this process one step at a time. (Remember to move the crutches to the top of the staircase if you haven’t already done so.)
To go down stairs:
- Seat yourself on the top step.
- Move your crutches downstairs by sliding them to the lowest possible point on the stairway. Then continue to move them down as you progress down the stairs.
- In the seated position, reach behind you with both arms.
- Use your arms and weight-bearing foot/leg to lift yourself down one step.
- Repeat this process one step at a time. (Remember to move the crutches to the bottom of the staircase if you haven’t already done so.)
- ing Your Crutches”)
- Do keep the crutch pads 11/2″ to 2″ below your armpits.
- Do call your foot and ankle surgeon if you have any questions or difficulties.
IMPORTANT: Follow These Rules for Safety and Comfort
- Don’t look down. Look straight ahead as you normally do when you walk.
- Don’t use crutches if you feel dizzy or drowsy.
- Don’t walk on slippery surfaces. Avoid snowy, icy, or rainy conditions.
- Don’t put any weight on the affected foot if your doctor has so advised.
- Do make sure your crutches have rubber tips.
- Do wear well-fitting, low-heel shoes (or shoe).
- Do position the crutch hand grips correctly (see “Sizing Your Crutches”)
- Do keep the crutch pads 11/2″ to 2″ below your armpits.
- Do call your foot and ankle surgeon if you have any questions or difficulties.