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Calcaneus hardware removal

Studies comparing various types of surgeries requiring calcaneus screws reported hardware removal frequencies of 9% to 47% secondary to clinically significant heel pad pain 8, 9, 11, 12, 13, 14, 15. Screw removal surgery generates important costs, in addition to being undesirable for patients 13, 14 Location: oregon, usa. Posts: 1. HELP - Calcaneus Hardware removal. 2 years post-op. Hello ~. It's been almost 2 years since I had bilateral calcaneus surgery. I have plates and screws in both feet. Rehab has gone well and I'm able to walk around fine, although I cannot run without stiffness and pain. Every morning my ankles are stiff and achy. Hardware can be removed if it is painful or associated with an infection, or if your bone didn't heal as hoped, which may require new hardware to be placed. The goal of the procedure is to safely remove the hardware without causing damage to the surrounding soft tissues. These tissues often are scarred from previous surgery At this point, having gained access to the planta aspect of the calcaneus, an ostectomy was performed with osteotome as well as power rasp to remove the painful planta calcaneal malunion fragments. There were rasped smooth and the pressure was thus removed from this weighbearing surgace About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators.

Risk Factors for Removal of Calcaneus Screws: A

Hardware removal: It was something like 9 months post ORIF, but my memory is a bit vague on that. I went through ORIF, recovery, and PT. During PT it was discovered that I had also suffered previously undiagnosed tendon damage. Not a real big deal, but I had a second surgery to repair that Here are 10 indications for hardware removal after fracture fixation: Reason #1: IRRITATED TENDONS. If a tendon is in constant contact with a plate, screw, or pin, the constant rubbing can lead to pain and discomfort. Reason #2: A LOOSE SCREW. Loose screws don't happen often. But occasionally a screw can back out, unscrew, and irritate.

Foot & Ankle Problems: HELP - Calcaneus Hardware removal

  1. Symptomatic Hardware and Implant Removal Compartment Syndrome Calcaneus fractures are the most common fractured tarsal bone and are associated with a high degree of morbidity and disability. keep all hardware away from the corner of the incision
  2. ent and may need to be replaced. Edited October 21, 201
  3. Right calcaneus hardware removal. Removal of painful hardware from calcaneus. Triple arthrodesis with internal fixation. 4 screws are removed. 4 staples and screw are inserted back into the calcaneus. * Images purchased from this web site may only be used to support one legal case per license
  4. or discomfort
  5. calcaneal scew removal . By fireislander37740 | 1 post, last post I also had, at the same time as the screw removal, a torn tendon repair (big toe) and several bone spurs removed. Just wondering is anyone has had such a big dressing put on after hardware removal. My foot is feeling the best it has in months and now I am all wrapped up again.
  6. Percutaneous removal of 7.3 mm cannulated screw from Calcaneal. Procedure performed by Dr. Patrick DeHeer with Hoosier Foot and Ankle. Practice is located... Percutaneous removal of 7.3 mm..
  7. Removal of Hardware. Post Operative Instructions. Cast: You will have a small dressing following surgery. You will be able to begin walking in a regular shoe right after surgery (preferably a sandal or loose shoe to accommodate any swelling) Wound: The surgical incision has been closed with sutures. Do not get the dressing or wound wet for the.

Dr. Foreman: The calcaneal spurs have nothing to do with the fracture, surgery or hardware removal. The findings in the bone where the plate and screws were are typical following a fracture, surgery and then hardware removal. Unfortunately, I can't diagnose the source of your pain without examining the foot and ankle The indications and clinical necessity for routine hardware removal after treating ankle or distal tibia fracture with open reduction and internal fixation are disputed even when hardware-related pain is insignificant. Thus, we determined the clinical effects of routine hardware removal irrespective of the degree of hardware-related pain, especially in the perspective of patients’ daily.

Hardware Removal FootCareM

All consecutive adult patients who had their plate and screws removed following the operative treatment of a closed uni- or bilateral intra-articular calcaneal fracture using a stainless steel nonlocking calcaneal plate between 2000 and 2011 were included Removal (Taking out or off a device from a body part. If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out the device is coded to the root operation REMOVAL.) Ø Medical and Surgical Q Lower Bone Day 167+, Surgery #2, Hardware Removal. DSC01510_72. Originally uploaded by megalitz. So here I am, right after the second surgery to remove the huge painful screw from my heel. And after looking at it I realized I shouldn't feel like a wuss for being in so much pain. That thing is enormous, and really shouldn't be inside your body, or sticking. Early surgery is also often recommended for an avulsion fracture. Although uncommon, a piece of the calcaneus can be pulled off when the Achilles tendon splits away from the bone (avulsion). For this type of fracture, emergent surgery can decrease the risk of injury to the skin around the Achilles tendon

No correlation was found between entry position of screw and subsequent hardware symptoms. Conclusions: Calcaneal osteotomies have high union rates regardless of fixation method. Fixation using a headed screw is associated with a high rate of secondary screw removal A calcaneal osteotomy comprises of making a cut across the heel bone and shifting it toward the inside (medial) or outside (lateral). The heel bone called the calcaneus is the main bone that lies in the heel of the hindfoot. When the heel is observed from behind, it is generally situated in line with the leg In more severe cases, the entire surgical may become compromised and require a removal of hardware and any infected tissue or bone. Osteomylelitis is a severe deep-wound infection that affects the bone, and the calcaneus is particularly vulnerable following this type of injury The calcaneus is the heel bone. Fractures or breaks of the calcaneus commonly occur after a fall from a height or car accident. Treatment of these fractures may require surgery. The goal of heel fracture surgery is to restore the shape of the heel bone as close to normal as possible

Because of the need for hardware removal, a lateral incision was used in the seven previously-treated fractures. A posterolateral incision was used in the five cases of untreated calcaneal fracture. Iliac crest grafting was performed in four cases-three open reduction cases and one neglected fracture case Although techniques using calcaneus screws have shown high union rates, posterior heel pain due to prominent hardware at the posterior and plantar aspect of the calcaneal tuberosity seems to be a significant complaint that often leads to hardware removal In 71% of the patients that underwent elective hardware removal because of pain, reported a decrease of their complaints after hardware removal. These patients had a mean pain VAS (visual analog scale) of 7.0 (±2.1) before hardware removal and a mean VAS of 3.9 ±2.8 after hardware removal. This was a significant pain reduction Duration of Physical Therapy. You can expect to start physical therapy a few weeks after your hardware removal surgery. ROM and strength gains can usually be made quickly, and within 4 to 6 weeks you should nearer to your preoperative level of function. 13 . Every injury is different and everyone heals at different rates

Question - ostectomy of calcaneus and hardware removal

Unpredictable results when removed solely for pain relief and even less so for function. Orthopaedic hardware symptoms can be common and some hardware may require removal. Epidemiology. Incidence. 5-16% overall. large geographical variation. common sites of hardware removal. olecranon tension band wiring: 30-61% The purpose of a plate and screws (or any metal hardware) in fracture treatment. A plate is a flat piece of metal made of titanium or stainless steel that has holes in it. The plate fits on the surface of a fractured bone and screws are placed through the holes in the plate to hold the plate to the bone. Plate removal surgery is done. NadesBentley Mon 21-Nov-16 09:00:47. Hi, i had a bad ankle break like 5 months ago, had the surgery and screws, plates etc inserted, non weight bearing for 3.5 months. Eventually, with the use of both crutches i started walking then just over a month, i was scheduled for the hardware removal surgery. It's 11 days now since the second surgery.

calcaneal osteotomy, hardware removal - YouTub

  1. Reporting Multiple Units of Hardware Removal. According to AMA's CPT Assistant (June 2009), reporting the removal of hardware CPT codes multiple times is indicated only when fixation device(s) are removed from separate fractures at different anatomical sites or for two fractures that are considered noncontiguous on the same bone (such as a proximal and distal fracture site)
  2. Hardware removal is usually done because of problems caused by the implant, such as pain or infection. How do they put screws in bones? In an external fixator, metal pins or screws are placed into the bone through small incisions into the skin and muscle. The pins and screws are attached to a bar outside the skin
  3. Dr. Arnold Beresh answered: Surgery: Surgical removal of old hardware with correction of non union and placement of new hardware... U.S. doctors online now Ask doctors free. NY. A female asked: Procedure for removal of broken hardware in area of non fused calcaneus? 1 doctor answer • 1 doctor weighed in. Share. Dr. Arnold Beresh answered.

The hardware had significantly affected my mobility, and had started causing me a lot of pain recently (the plate and screws were rejecting, barely covered by soft tissue anymore - you could feel the head of the screws and the edge of the plate) so my surgeon agreed to remove the hardware. I just had the removal surgery on March 1st and it was. Billing the 20680 code more than once is only appropriate when hardware removal is performed in a different anatomical site unrelated to the first fracture site or area of injury. * Removal of Hardware from Ankles has its own procedure code, code 27704 for the Removal of an Ankle Implant, which should be used instead of the 20670 or 20680 code ABSTRACT Although techniques using calcaneus screws have shown high union rates, posterior heel pain due to prominent hardware at the posterior and plantar aspect of the calcaneal tuberosity seems to be a significant complaint that often leads to hardware removal Technical considerations for the medial displacement calcaneal osteotomy, including the use of multiple smaller screws, provided for a lower rate of hardware removal and likely decreased long-term. Educators and Students: freely download thousands of medical animations and illustrations when your school library subscribes to the SMART Imagebase

Removing Hardware After Foot Surgery St

I made the decision pretty early on that the hardware was coming out. In October 2013, at my last checkup with my ortho, he agreed to the removal and on 11/2/13 I had the alien hardware removed. That afternoon, 4 hours after coming home from surgery, the difference was miraculous ABSTRACT Although techniques using calcaneus screws have shown high union rates, posterior heel pain due to prominent hardware at the posterior and plantar aspect of the calcaneal tuberosity seems to be a significant complaint that often leads to hardware removal. The purpose of the present study was to identify the clinical and radiologic risk factors associated with calcaneus screw removal Percutaneous removal of 7.3 mm cannulated screw from Calcaneal. Procedure performed by Dr. Patrick DeHeer with Hoosier Foot and Ankle. Practice is located. Case 3 involved calcaneal osteomyelitis associated with open reduction and internal fixation of a calcaneal fracture. Treatment consisted of raising the lateral flap, removal of hardware, debridement of cortical bone, bone biopsy, and primary wound closure (Figs. 21.13, 21.14, 21.15, and 21.16). Case 4 involved a decubitus Achilles tendon wound.

  1. Universal Screw Removal System Simple and affordable. Compare to Synthes.* Manages most hardware removal needs. Designed to remove solid and cannulated screws during trauma, hip, knee, and arthroscopy procedures. Use for removal of stripped hex, buried, and partial screws and screw heads
  2. surgery: calcaneal fracture surgery and implant removal below the knee. PART I CALCANEAL FRACTURE SURGERY The calcaneus, which means heel in Latin, can be considered a lever that transfers most of the body weight from the lower limb to the ground and from the forefoot to the lower leg
  3. imally invasive 2-point-distractor method was used in 85.8% (n = 182) of all operatively managed calcaneal fractures (n = 212) in our department
  4. uted calcaneal fractures. Foot Ankle Int. 1996;17(2):61-70. Buckley R, Leighton R, Sanders D, et al. Open reduction and internal fixation compared with ORIF and primary subtalar arthrodesis for treatment of Sanders type IV calcaneal fractures: a randomized multicenter trial
  5. The calcaneus is the heel bone. Fractures or breaks of the calcaneus commonly occur after a fall from a height or car accident. Treatment of these fractures may require surgery. The goal of heel fracture surgery is to restore the shape of the heel bone as close to normal as possible. Restoration of normal alignment and contour is considered the.

If a Haglund's deformity of the heel and retrocalcaneal bursa were removed, then code 28118, Ostectomy, calcaneus, should be reported. If additional work other than for exposure was performed on the Achil-les tendon, then that service would be reported as 28200, Repair, tendon, flexor, foot; primary or secondary, with-out free graft, each tendon The calcaneus is made up of a superior articular surface comprising three articulating facets—a posterior, middle and anterior. The sustentaculum tali is a medial bony projection supporting the neck of the talus. The sinus tarsi is a calcaneal groove comprising the anterior and middle facet and the talar sulcus Removal Bilateral imp w/no replace: $890: Removal and replace bil. Imp: $1148: Bilateral Inverted Nipples: $985: Remove Unilateral Implant: $710: Breast Lift (BBL) $1650: Bilateral donut Mastopexy w/ BBA: $1625: Unilateral: $925: Breast Reduction: $2415: Blephsplasty Uppers: $1210: Blephsplasty Lowers: $1210: Blephsplasty Pair: $1435.

A calcaneus fracture is a heel bone fracture. It is a rare type of fracture but has potentially debilitating results. Traditionally, a burst fracture of the calcaneus was known as Lovers Fracture as the injury would occur as a suitor would jump off a lover's balcony (axial loading) to avoid detection.[1 1) Removal of two 4.0 cannulated screws from the distal aspect of the right great toe. 2) Bone biopsy, distal tuft of the distal phalanx, right great toe. 3) Culture for culture and sensitivity same site. 4) Avulsion of right great toenail. We charged CPT 11730 (nail avulsion), CPT 20680 (removal of buried, deep, hardware) & CPT 2022 driven or rigid. Heel height and width should be assessed, especially if the patient has a history of calcaneal fracture. Heel position and rearfoot motion should be evaluated in the gait examination as well. If the symptoms are diffuse and the source of the pain is hard to clearly identify, diagnosti Fractures of the calcaneus: open reduction and internal fixation from the medial side a 21-year prospective study. Operative Compared with Nonoperative Treatment of Displaced Intra-Articular Calcaneal Fractures. A Prospective, Randomized, Controlled Multicenter Trial. Open Fractures of the Calcaneus: Soft-Tissue Injury Determines Outcome Publication date: July-August 2018 Source:The Journal of Foot and Ankle Surgery, Volume 57, Issue 4 Author(s): Mathieu Angers-Goulet, Philippe Beauchamp-Chalifour, Nathalie Laflamme, Marc Bouchard, Mélissa Laflamme Although techniques using calcaneus screws have shown high union rates, posterior heel pain due to prominent hardware at the posterior and plantar aspect of the calcaneal.

Hardware Removal: The Most Difficult Orthopedic Surger

Hardware CPT Codes. Late effect of hardware or graft (996.4) Removal of implant; superficial, eg, buried wire, pin or rod) separate procedure removal hardware (20670) Removal of implant; deep, eg, buried wire, pin, screw, metal band, nail, rod or plate) removal of hardware (20680) Implant removal, elbow joint (24160) Implant removal, radial. The calcaneal displacement osteotomy is a procedure frequently used by foot and ankle surgeons for hindfoot angular deformity. Traditional techniques use compression screw fixation that can result in prominent hardware. While the results of the procedure are generally good, a common concern is the development of plantar heel pain related to prominent hardware. The primary purpose of this study. Nucleus Medical Media is a U.S. business that creates and licenses medical illustrations and animations. For a free proposal on your next medical project of any size, contact the company with the largest staff of graduate-degreed medical animators in the world Miller 31 reported infections in 2.2% of 1841 patients after inhospital foot and ankle surgery, and Stevens 41 reported a 5.3% infection rate. Hugar et al 21 reported infections in 1.35% of patients after outpatient foot surgery. The influence of managed care has increased the importance of the economic impact of infections after surgery

Z47.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM Z47.2 became effective on October 1, 2020. This is the American ICD-10-CM version of Z47.2 - other international versions of ICD-10 Z47.2 may differ. Type 1 Excludes The calcaneal displacement osteotomy is frequently used by foot and ankle surgeons to correct hindfoot angular deformity. Headed compression screws are often used for this purpose, but a common complication is postoperative plantar heel pain from prominent hardware. We evaluated hardware removal rates after calcaneal displacement osteotomies and analyzed technical factors including screw size.

High incidence of post-operative infection after ‘sinus

Hardware Removal (Aftercare Instructions) - What You Need

  1. the calcaneus. The CPT code for calcaneal osteotomy, 28300, uses the word osteotomy in the singular not plural; thus, it would appear that two osteotomies should support two units of 28300 (osteotomy; calcaneus [e.g., Dwyer or Chambers type procedure], with or without internal fixation)
  2. BQ2J0ZZ Computerized Tomography (CT Scan) of Right Calcaneus using High Osmolar Contrast. BQ2J1 Low Osmolar. BQ2J1Z None. BQ2J1ZZ Computerized Tomography (CT Scan) of Right Calcaneus using Low Osmolar Contrast. BQ2JY Other Contrast. BQ2JYZ None. BQ2JYZZ Computerized Tomography (CT Scan) of Right Calcaneus using Other Contrast
  3. HELP - Calcaneus Hardware removal. 2 years post-op Nov 24, 2009 Your difficulties could be due to many causes starting from an improper gait, scar tissue, tendon problems, joint angles being off and of course the hardware ..
  4. Consequently, the mean time from index fracture surgery to hardware removal was 23.6 (range 7 to 240) months. Mean pain scores were significantly lower after hardware removal overall and for ankle and tibial fractures, both after fixation with plates or screws, and among patients with preremoval pain scores of 3 or less (Table 2)
  5. A retrospective review was performed of 47 consecutive patients who underwent an Evans calcaneal osteotomy between October 1, 2013, and October 1, 2016. Data were collected and analyzed based on age, sex, laterality, and the need for hardware removal

About 18 per cent of the 73 operative cases ended up having more surgery beyond the initial surgery to repair the fracture. The reasons for the second operation varied from infection to removal of hardware to ankle fusion for persistent pain. Eighteen per cent might seem high, but other studies report complications as high as 52 per cent MB BULLETS Step 1 For 1st and 2nd Year Med Students. MB BULLETS Step 2 & 3 For 3rd and 4th Year Med Students. ENT BULLET

Calcaneus Surgery ORIF Success Stories

Removal of hardware, left foot. 2. Bone biopsy, left first metatarsal bone. 3. Shortening osteotomies, left second and third metatarsals. Description of Procedure: The patient was brought to the operating room and placed on the operating table in a supine position. Following the administration of intravenous sedation, an infiltrative block of 0. fusion patients (hardware removal or conversion of ORIF to fusion) Treatment: Missed injuries •Arthrodesis for late/subacute presentations or cases of severe •Bilateral heel raise, single leg eccentric lower •Single leg heel raise from standing •Bilateral leaning heel raises, single leg eccentri

Hardware Removal and Recovery - When Is A Good Time And Is

  1. Hardware removal is surgery to take out devices used to hold your broken bones together while they heal. These devices may include pins, screws, plates, or wires. You may need hardware removed because you have pain or an infection. Hardware in young children may need to be removed to prevent problems with bone growth
  2. e out unless it was really problematic. The issue was, the more active I became, the more of an issue it was
  3. If your heel bone (calcaneus) gets fractured, either due to a traumatic injury or as a result of chronic overuse or repetitive stress, recovery can be a long and difficult process. However, you can maximize your chances for a good recovery by following your doctor's advice and doing a rehab program with a physical therapist

Calcaneus Fractures - Trauma - Orthobullet

After removal of the hardware wait at least 12 weeks before participating in contact sports. A further fracture can occur through the screw holes. It takes a number of months for the bone where the plate was removed to regain its strength. Bottom line therefore to the question. Only 50 percent had relief, concluding that hardware removal should not be performed merely for pain relief, and that careful consideration should be made as to expected outcomes before undergoing the procedure. Another potential complication of ankle fracture surgery is the development of painful retained hardware The benefits of hardware removal in patients with pain or discomfort after fracture healing of the ankle: a systematic review protocol. Thune A, Hagelberg M, Nåsell H, Sköldenberg O BMJ Open 2017 Aug 11;7(8):e014560. doi: 10.1136/bmjopen-2016-014560

Open Reduction Internal Fixation of Patella | Doovi

Painful Hardware - FootEducatio

The present study evaluated locking plate fixation compared with screw fixation in the medial displacement calcaneal osteotomy procedure, measuring the outcomes and rate of hardware removal. The procedure was performed on 30 patients, 31 times, with 17 undergoing single screw fixation and 14 undergoing locking plate fixation Hardware: Can go either way. Depends on if the hardware is bothersome after you heal the fracture. Depends on if the hardware is bothersome after you heal the fracture. Plates and screws are used to hold the bones in place til..

Medivisuals Subtalar Fusion Surgery - Part I Medical

Right calcaneus hardware removal — Medical Art Work

The hardware removal rate following calcaneal screw fixation ranges from 11% to 50%. [1] [2][3][4][5] Hardware removal is not without economic impact, increased hospital costs, and risk to the. The hardware-related pain, ankle joint stiffness, discomfort on ambulation, and patient satisfaction were evaluated before and at least 6 months after hardware removal. Pain score before hardware. Hardware removal - extremity. Surgeons use hardware such as pins, plates, or screws to help fix a broken bone, torn tendon, or to correct an abnormality in a bone. Most often, this involves bones of the legs, arms, or spine. Later, if you have pain or other problems related to the hardware, you may have surgery to remove the hardware The metal in your Foot after bunion surgery. We get asked all the time if the screws in the foot will set off metal detectors and the answer is simply no. Think about this, there are metal buttons on your pants, and zippers and those don't set it off either. The fact is, those machines are designed to measure quantity Foot & Ankle. Advanced Filtering. Anatomy Forefoot Midfoot Rearfoot Soft Tissue/Sports Med. Procedure 1st Metatarsal Closing Wedge Osteotomy 1st Metatarsal Opening Wedge Osteotomy 1st MTP Fusion Achilles Tendon repair Akin Osteotomy Ankle Arthroplasty Ankle Fracture Ankle Fusion Calcaneal Fracture Calcaneal Osteotomy Calcaneal Valgus Deformity.

Transform osteomyelitis caused by MRSA - BiocompositesLecture 15 parekh lisfranc

Painful Hardware After Foot Surgery Roseville Foot Surgeo

Dr. Vohra specializes in fluoroscopy for invasive diagnosis. Fluoroscopy is a medical imaging procedure that produces moving real-time images of the internal structures within the foot and ankle to help diagnose and treat a wide range of conditions affecting the joints, ligaments, and many other conditions Second surgical procedures included hardware removal in 3 cases and debulking of a free flap placed during the initial treatment in one case. Outcome of Subtalar Arthrodesis After Calcaneal. hardware removal and only three patients were dissatis ed with hardware removal, one of whom initially complained of ankle pain from posttraumatic ankle arthritis. Among all patients, ( %) said they would be willing to undergo hardware removal surgery again under similar circum-stances, and (%) said they would recommend removal surgery to others Fractures of the calcaneus often produce a varus deformity of the tuberosity. This varus alignment, in conjunction with the alterations of the morphology of the calcaneal body and subtalar joint, produces excessive strain on the peroneal tendons and abnormal stresses through the ankle and hindfoot

calcaneal scew removal Injuries, Fractures and Burns

4,649. 83. 223. I too removed my heel shifter long ago. Never use it, love the space. Kept my shifter to the inside for the added space and cut off a spark plug boot just the right size to slide on the exposed shaft. No money spent, no Kury-thingy. I also moved my floorboards forward 1.5 to allow some leg room. Bodeen, Apr 13, 2015 The calcaneus, also called the heel bone, is a large bone that forms the foundation of the rear part of the foot. The calcaneus connects with the talus and cuboid bones. The connection between the talus and calcaneus forms the subtalar joint. This joint is important for normal foot function. The calcaneus is often compared to a hardboiled egg. I broke my left calcaneus, shattered my right calcaneus VERY badly, broke my right tibia and femur, had 5 pelvic fractures, 4 broken ribs, multiple jaw fractures, and bilateral temporal fractures. I'm about 6 months out from my accident now, but I'm still dealing with the trauma-- both emotional and physical Background: Calcaneal osteotomy has been used to successfully treat both valgus and varus hindfoot deformities. Pain associated with implanted hardware may lead to further surgical intervention for hardware removal. Headless screws have been used to reduce postoperative hardware-associated pain and accompanying hardware removal, but data.

28: Proximal Tibial Bone Defect Treated with IntentionalOrthopedic Surgery: Diseases Of The Musculoskeletal System

Bone spurs of the heel are commonly identified on a xray. The spur develops from progressive strain on the plantar fascia at the attachment onto the heel bone - resulting in a heel spur. Heel spurs also occur in people without heel pain, and may be normal findings. While it may feel like the pain is due to walking on the heel spur, it does. Cast removal. Once the cast is removed, If you're healing is progressing, you're given a walking boot that includes a heel lift to prop your foot and ankle into the right position. You still use crutches anytime you need to bear weight on your foot. You may also start mild rehabilitation exercises at this point A fractured calcaneus or broken heel bone tends to be an extremely disabling injury . Surgical treatment is warranted for calcaneus fractures which are displaced or open in nature as these fractures result in damage to the internal structures of the foot, which may also need to be repaired. The recovery time for severe or displaced and open fractures of calcaneus or heel bone is usually more. The Arthrex SpeedBridge repair is an innovative soft-tissue fixation device used in the treatment of Achilles injuries. While standard anchor fixation of the tendon creates only a single point of compression directly over the anchor, the SpeedBridge repair enables an hourglass pattern of FiberTape ® suture to be laid over the distal end of the tendon Darco heel wedge shoes & Heel weight bearing for 8 weeks Foot elevation 7 to 10 days Follow-up: 2 weeks Wound check & ROS at plaster room Wednesday P.M. clinic 6 weeks Foot AP & Lat radiographs Removal of K wires from lesser toes Toe alignment splint till 3 months postop and up to 6 months night tim