Immobilization and weight bearing
A sterile dressing is applied and the patient is immobilized in a boot, as illustrated, or a below-knee cast. If the state of the soft tissues is precarious, a padded bandage should be applied initially, combined with elevation of the leg.
Weight bearing is delayed at least until the wound is healed.
The sutures are removed 2 weeks postoperatively and graduated weight bearing can begin, as tolerated in the splint.
Elevation of the foot, at rest, should be continued.
X-rays are taken 6 weeks postoperatively to assess union and the integrity of the fixation.
The resumption of use of normal footwear is guided by the clinical signs and x-ray evidence of union.