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Tarsal Tunnel Postop care

Discussion in 'Foot Surgery' started by drsarbes, Dec 11, 2007.

  1. drsarbes

    drsarbes Well-Known Member

    Members do not see these Ads. Sign Up.
    Well, I've been away for a week and I don't see any new posts in the Foot Surgery Area.
    OK......just thinking of an interesting topic or two that may be helpful as well.

    Question: What is your Postop care for Tarsal Tunnel Release?
  2. Admin2

    Admin2 Administrator Staff Member

  3. drsarbes

    drsarbes Well-Known Member

    This is my routine, I'd be interested in how others handle these in the post operative period

    When I perform TT releases I also release the Porta Pedis and frequently do a Heel spur/Fasciotomy as well.

    I apply a "boot" cast and allow partial wt bearing for two weeks.
    After two weeks we dispense and ace and Cam type walker for an additional 3 weeks. I normally have the patient, at the 3-5 week period, apply a folded 4X4 over the TT area under the ace for added compression on the surgical area. Ice BID (once after bathing) /elevation as needed.

    Normally after the 5 weeks I allow them to start with an athletic shoe or other well constructed shoe and begin increasing their activity level.

    Crutches are usually discontinued at around 3 weeks.

  4. NavyFootDoc

    NavyFootDoc Welcome New Poster

    I usually do something similar...except that I go right to the Cam walker vs another type of cast.
    I keep them in the Cam walker for 3 weeks then ambulate with normal shoes and some type of compression stocking.

    Dr. J

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