May
4
BUMMER! 10 wks NWB.
May 4, 2011 | |
Saw my ortho yesterday at 6 wks. Out of 90 degree cast and into boot. Expected him to say “progress to full weight bearing” as he had earlier alluded to, but he changed his mind.
He said that since my rupture was “high” ( 7 cm proximal to calcaneus)and it involved the soleus fascial complex and that I had also ruptured my plantaris tendon and tore my soleus, he needed to be extra careful. His verdict: NWB boot for 4 more weeks, but NWB physical therapy now.
At least I got to clean that stinky and skinny leg up last night.
Best,
pb
Comments
3 Comments so far
It’s always possible that a conservative surgeon who wants to have a patient go slow “to be extra careful” is being logical AND correct, too — though I’ve never seen a scrap of evidence to support the logic. At least for a normal, random grab-bag of complete ATRs, the studies with the best results have the fastest progression to FWB, exercise, and PT. Some studies have randomized and tested different timing to FWB post-op (and several are linked here, in the ATR Rehab Protocols, Publications, Studies page). I think they’re split between “faster is better” and “faster is the same as slower (except it’s way better for the patient’s LIFE!)”.
BTW, when I look at your photo on your “Newbie” post, I keep seeing a massive opening (3 incisions making a “flap”) on the FRONT of your lower leg. Is that what you got??
No I have a single posterior-medial incision about 7 cm long. No flaps.
That picture is difficult to orient.
pb
Thanks. I can now see it as a single incision stretched into a parallelogram. But the posterior-medial thing still makes me dizzy!