Wednesday, March 21, 2012

Ruptured Achilles Tendon - Day 24, Post Op Day 12

Staple Removal Day!!

Today Kevin gets his staples removed and getting rid of the splint. It was uncomfortable, loose, and didn't offer much support on the sides. Kevin was very uncomfortable in the splint.
I'm surprised he was in a splint for so long, and not a hard cast right away.

We were hoping for good news, but due to the degree of "shredding" of his Tendon, he has to be in the hard cast longer than normal. Kinda Sucks.  Dr. Smith thinks he'll have to be in a hard cast for at least 6 weeks.
Right now, Kevin will be in a plantar flexion position (about a +30-45 degree angle) for 2 weeks. Then the following 2 weeks he'll slowly move the foot toward neutral position, probably 60 degrees. Then the next 2 weeks into a neutral at 90 degrees. Then Kevin will be able to wear a walking boot and be able to start weight bearing. After, another few weeks in the boot, Kevin will be able to start Physical Therapy.

I was hoping he could start earlier, so thus be closer to walking again. The longer PT gets pushed out, the longer it will be to regain movement. :(

I've studied other Achilles ruptures, and those patients were able to begin PT around 4 weeks after surgery, or as soon as the cast came off, but Kevin probably wont be able to start PT til 8-10 weeks after surgery. :(

Good bye splint!

Ew Staples..

Ew Removing Staples

Removing Staples

Bye Staples

Lots of swelling

Hello Hard Cast.


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