Mid foot fusion
Posted , 4 users are following.
Had a mid foot fusion over 2 weeks ago and had my stitches out and cast applied yesterday. I have my foot elevated very high but as soon as I put it down my toes go dark dusky purple until I put them back up again. The cast doesn't feel overly tight and I have no pain or throbbing in my calf and my toes are still warm. Any advice please. Thank you.
0 likes, 6 replies
angela78631 michelle65897
Posted
jp66967 michelle65897
Posted
This is demonstrated by the ready reversal by elevating the foot. This engorgement is associated with prevention of the "calf pump" which returns venous blood to the general circulation. The venous pump is immobilised by below knee casts, "moon boots" and similar, and is one reason that high casts and boots are to be condemned when applied unnecessarily. A below knee cast is unnecessary in the management of mid foot fusions.
michelle65897 jp66967
Posted
is there anything I can do to keep myself safe from DVT please?
thank you.
jp66967 michelle65897
Posted
However, depending on your age and other factors you might be at risk of a DVT. Keeping the limb elevated might help prevent a DVT, but even that is uncertain.
Do you have an elasticised stocking under your cast? Are you taking short chain heparin?
If not, you should discuss your fear with your surgeon.
(This is yet another reason why below knee casts need to be applied judiciously).
In any event my best wishes - if you feel that I can help in any other way, please write...
michelle65897 jp66967
Posted
i am having Dalteparin injections daily, but have no TED stocking on either leg which I thought was strange.
I will never take my mobility for granted ever again.
kind regards. Michelle.
smab97 michelle65897
Posted