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Old 02-25-2009, 07:22 PM   #2
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Re: Having Brostrom Procedure in a week - what should I expect?

Hi, MonktonGreen, welcome to the foot board. Sorry I haven't answered you before now.

If he is using a cadaver tendon, that might be closer to a Christman-Snook surgery. Brostrum is usually repairing the existing ligaments. He might be using the donor tissue due to your hypermobility, or maybe your ligaments are just too badly damaged.

Right after the surgery, you will be in a half-shell type cast called a surgical splint. It allows room for swelling. For at least the first week, you want to have your foot propped way up above your head all day and all night. It will reduce the swelling and also your pain. Putting an ice pack on top of the cast (wrap it to prevent leaks!) and one behind the knee can also help. These, plus friends and good TV, are the best non-drug pain management techniques.

You will then be in a regular hard cast for a few weeks, and non weight bearing in a removable boot for a few weeks after that. Then, you will gradually return to walking. There will be physical therapy. Work hard.

The prescription painkillers: Take them. Trust me, take them. At least for the first couple days, take them on schedule whether you think you need them or not. It's much easier to keep the pain under control than wait until it becomes unbearable and then try to bring it down. Do not be afraid of addiction, despite the media, addiction in a person with no history of addiction who takes them as prescribed when really needed is very rare.

Make sure that you have food in your house. You will be on crutches, and it will be very uncomfortable to be vertical, even for a minute or two. TV dinners or premade foods are your friends.

Check the house. Can you get from bed to couch to fridge to bathroom on crutches? Remove any furniture in the way. Throw any throw rugs in the closet so they don't trip you.

Will you be home alone? It would be good to have someone around at least part of the day for the first week or so.

Look up cast covers for showering and something called a knee scooter. You might also want a shower chair.