Post Operative Program for 1st MTP Fusion
Mobilisation:
Day 1
Mobilise heel weight bearing in protective heeled shoe
Active ankle dorsiflexion (foot up) and plantar flexion (foot down) exercise frequently
Active subtalar movements (foot turned in & out) frequently
Elevate foot above hip height when resting
Week 1
Crutches as required for protected weight bearing
Ankle and subtalar movements to continue regularly
Elevate foot above hip height when resting
Do not allow foot to hang down when resting
Week 2-6
Increase active mobilisation, walking on heel using the protective shoe at all times
Week 6-
Increase active mobilisation, walking on heel using the protective shoe at all times
Weeks 9-
More normal activity to resume including light exercise
Wounds and dressings:
Week 1-2
Leave theatre dressings unless heavily soiled
First outpatient visit (10–14 days post op) remove dressings and trim or remove sutures (bath or shower now permitted)
Week 4
Remove any toe wires
Swelling may persist for between 8 & 12 weeks