Great Toe / Hallux Amputation

Post-operative management of your amputation

Day 0

  • You may have a dressing over your wound. The nursing staff on the ward will provide you with information about how long you will need to wear the dressing and how often it will be changed.
  • If you do not have a dressing the nursing staff will ensure that they monitor your wound carefully to ensure that it is healing well.
  • Your Doctor may recommend that you remain on bed rest for a period of time following your operation. Your physiotherapist will advise you if this is the case.

 

Day 1

  • Once you are permitted to start walking your physiotherapist will provide you with either an aircast boot or heel weight bearing shoe. This will depend upon the instructions of your surgeon.
  • You will be expected to start walking with the physiotherapist as soon as possible.
  • Should you require a walking aid one can be provided unless you already have an appropriate one of your own.

 

Day 2

  • If you regularly use stairs the physiotherapist will practice these with you with the appropriate walking aid prior to discharge.
  • You will be referred to an occupational therapist for assessment if your physiotherapist feels that you may need some support on discharge.

 

Discharge

  • Once home make sure that you rest with your foot elevated to help reduce swelling
  • Only walk when necessary for the first 2 weeks, again to help reduce swelling and promote healing.
  • The nursing staff will advise you as to when your follow up appointment with your surgeon will be.

It may take you a little longer to be discharged if your surgeon advises you need to be on bed rest or if your wound is slow to heal. Your therapists will still make sure that you are able to walk safely before you go home, even if this takes longer than indicated above.

 

Author: Sarah Parker, Anne Knott, April 2013. .