Foot Surgery
Disclaimer: This fact sheet is for education purposes only. Please consult with your doctor or other health professional to make sure this information is right for your child.
There are many different bony procedures that your child may need to correct deformities in the foot. Possible procedures include:
- Lateral column lengthening
- Calcaneal osteotomy
- Subtalar Arthrodesis
- Big toe fusion
A "K-wire" is often used to stabilise the bones in these procedures. A K-wire is approximately the thickness of a ballpoint pen cartridge. It is inserted in the foot with a small portion protruding so that it can be easily removed when the bones are healed. This is usually done in clinic by the orthopaedic surgeon. It is a small procedure which may be uncomfortable but does not usually cause pain.
Weight bearing
4-6 weeks of non-weight bearing is usually prescribed. Weight bearing is only allowed after the removal of the K-wires.
Plasters
Short leg casts from below the knee down to the toes will also protect and cover the protruding K-wires.
Orthoses
Ankle foot orthoses (AFOs) may be required after the casts are removed. AFOs commonly need to be worn all the time for the first 3 months, after which your surgeon will inform you of how often you will need to wear them.
Special instructions
Nil
Equipment
Your child may need crutches or a walking frame (if they do not already have one) to assist with their walking. This will be arranged during your child’s hospital stay. A wheelchair and perhaps a commode to help with toileting may also be required. Speak to your Occupational Therapist for further recommendations and assistance.
© The Children's Hospital at Westmead - 1997-2010
This document was published on Thursday, 11 February 2010.
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