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Old 11-30-2011, 04:20 PM   #1
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Questions about PTT transfer and Calcaneal osteotomy

I am scheduled for a PTT transfer/repair, calcaneal osteotomy, and 3 other procedures to my left foot on January 4th. I saw the sticky thread on how to prepare for the surgery as far as being non weight bearing. I have to admit, I'm scared. I've been walking around in a boot since July when I tore the tendon. It hurts, but I usually just take 800 mgs of Advil and call it good. I'm scheduled for 2 nights in the hospital...is that for pain management or wound care? What kind of meds were you given after surgery? How long did you have to take them for? Was anyone able to go back to work after about 3 weeks?
Thanks for listening!

 
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Old 11-30-2011, 04:48 PM   #2
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Re: Questions about PTT transfer and Calcaneal osteotomy

I had flatfoot reconstruction (ptt repair, fdl tendon transfer, calcaneal osteotomy, kidner procedure and achielles tendon lengthening) Aug. 2010. I was in the hospital for two days for pain control. While in the hospital I had a PCA pump - first with morphine but then it was changed to dilaudid. After I came home I was on oxycodone (10 mg). I was probably on them for about a week then weaned off. I was unable to return to work for 4 months. But I work on my feet all day at a hospital as an RRT. This job is extremely demanding on my feet and my doctor wanted to make sure my foot was ready for the demands of my profession. I know others who have a sedentary jobs that were able to return much sooner. Recovery is long and at times difficult. For the first couple of weeks, your foot really needs to be elevated and iced. You will need help during this time as you really will not be able to get around. This surgery, although it is difficult, is well worth it in the end.

 
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Old 11-30-2011, 06:46 PM   #3
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Re: Questions about, I can say PTT transfer and Calcaneal osteotomy

MissyLuke and I had very similar surgeries, post op protocols and outcomes. I was in the hospital for three nights post op. There were NO complications but this was the doctors protocol. I was NWB 8 weeks followed by 6 or 7 weeks in a boot anytime my foot was on the ground. I was also out from work for about 4 months. The first few weeks, you will need a lot of help doing day to day activities. Recovery is long and tough but now at 16 months post op, I can say that it was worth it

 
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Old 12-01-2011, 12:56 AM   #4
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Re: Questions about PTT transfer and Calcaneal osteotomy

Well, just to show how different it is with each Dr. I'll post my experience. I went home right after the surgery with a nerve block and some hydrocodone and I was fine. Best two weeks of my life as for once I didn't have ANY pain in my body anywhere. I weaned myself off the painkiller in about 2 weeks after surgery. I may not have needed it that long. I was in a splint, then cast for 8 weeks, then in a boot for less than a week (until I was comfortable with a shoe) and out of work for 5 months. But I'm a teacher. Had the surgery in April which butted into summer vacation. No way I could have returned to work before 4 months though. Learning to walk after was surprisingly difficult.

Good luck to you and keep us posted!
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Old 12-01-2011, 01:46 PM   #5
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Re: Questions about PTT transfer and Calcaneal osteotomy

Thank you so much. This was very helpful.

 
Old 12-01-2011, 07:20 PM   #6
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Re: Questions about PTT transfer and Calcaneal osteotomy

Mine was also a little different but it worked just fine for me. I had my surgery as outpatient-arrive at 10am, surgery at 1pm, released around 7pm. I was sent home with Tylenol muscle relaxant, naproxen and hydromorphine. I did not have a nerve block and was put out completely. Pain was the worse in post op until they upped the dosage twice. I got a quick IV for a little bit of nausea that took care of it really fast. I was wired that night for some strange reason. Wide awake until about 5am but not really in much pain, just awake-enough to watch tv and play on the internet. My surgeon stressed staying ahead of the pain with the meds, even if I wasn't hurting a lot, he wanted me to take it every 4-6 hours which I did. I was off meds after about a week, maybe 10 days most. I woke up in a plaster cast which was removed 7 days later then moved into a fibreglass cast. I had 4 of these over 10 weeks of non weight bearing. Mine was different in the sense that the screws in my heel were purposely left sticking out about 2 inches, re-bandaged each cast change then re-casted. Stitches were removed at week 3. I had the screws removed with a drill at 10 weeks then moved into an aircast for about 4-5 weeks.

 
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