Initially, the patient’s foot and ankle are kept in a well-padded posterior splint that maintains the foot in a neutral position. Surgical drains are removed 2 days after surgery.
The leg should be elevated intermittently through the first number of weeks. The ankle joint is put through range-of-motion exercises as soon as possible, or when soft tissues allow.
Weight bearing is delayed until 12 weeks.
Radiography including lateral and axial views is obtained at 6,12 and 26 weeks.
All patients with severe hindfoot trauma and combined injuries will require physiotherapy for optimal outcome.