patient Information
Important information for patients

General information Foot and Ankle Diagnosis and Treatment:

www.footeducation.com | orthoinfo.aaos.org/menus/foot.cfm

Information on smoking:

http://www.aofas.org/footcaremd/how-to/foot-health/pages/how-smoking-affects-healing.aspx


Important information prior to Surgery

Noodsaaklike inligting voor operasie

This information is intended to provide you with additional information about your proposed treatment and assist you in making an informed choice. Information specific to your own planned operation will be discussed.

  • Do I have a choice with regard to my anaesthetic for foot surgery? +

    You should discuss your preferences with the Anesthetists.

  • What will I wear on my foot after my operation? +

    We provide most patients with a special post-operative shoe or a cast after their foot surgery which will accommodate the bandages.

  • Will I be in a cast after surgery or have to use crutches? +

    This will depend on the type of surgery you have had. You will be told beforehand if crutches or a cast are required following your surgery. Our physiotherapists will teach you how to safely use crutches if necessary. They can also be purchased from us.

  • What do I need to do before I come in for my operation? +

    Once you have decided to have surgery, you will be provided with an admission form for the hospital via email. Please complete and forward to address provided or to your pre-admission at the hospital.

  • Can I eat before having surgery? +

    If your surgery is scheduled for the morning, you have to eat your last meal before midnight the previous evening. If you are scheduled for the afternoon, your last meal must be before 7:00 on the morning of the surgery.

  • What will happen on the day of my operation? +

    • When you arrive you will be welcomed by the pre-admission department who will have somebody escort you to your room
    • The consent form will be counter signed, and you be able to ask any further questions.
    • The surgery site will be marked and you will confirm on the location of your surgery
    • My physiotherapist will go through use of crutches before and after
    • The anaesthetists will talk to you about your anaesthetic and general health.
      • Cape Gate Anaethetists - DR MORKEL , SLABBERT OR VILJOEN
      • Northern Anaesthetic Practice - DR LEERKAMP or DR COETZEE
    • We will make you comfortable in the ward. The anesthetist will consult with in the ward and prescribe premedication to help with any anxiety.
  • What will happen after I have my operation? +

    • Once back in your room each of the team will see you again and make sure you are comfortable.
    • A special post-operative shoe will be applied to the foot, if needed.
    • You can eat once you feel well enough or awake and you will be provided with a welcome drink after a period of fasting.
    • We will talk to you about the operation and answer any questions.
    • X-rays are usually taken in theatre so you do not need to schedule further appointments.
    • If you stay in overnight we will of course make your staff comfortable and provide for your hospital needs.
    • The Physiotherapist will be guiding you to mobilise as soon as it is safe.
    • You will be discharged when it is safe to do so. This will depend on the complexity of the surgery and your mobility. We expect you to have someone stay with you overnight. You cannot drive and we prefer to escort you to a car by wheelchair for your own safety
  • Can I go home the same day? +

    Some foot surgeries can be done as day case surgeries. This means that you are able to go home the same day, but it will depend on the complexity of the surgery.

  • What happens after discharge? +

    Do not remove the bandage after surgery. The incision sites will be stitched closed and should be kept dry for two weeks. Stitches will be removed 10 days later.

  • What happens if I have a problem after my operation? +

    You will be provided with postoperative instructions, and useful information including any contact numbers for the ward. Contact the office for any queries during office hours. Our surgeons private numbers will be provided for afterhours queries, after surgery has been performed.

    When should you be worried?

    • If you feel unwell and have a temperature.
    • New onset of pain that is progressive.
    • If your toes become blue or you are unable to move them.
    • Blister like pain and rubbing under the cast/boot
    • Discharge, wetness or bad smell under bandages, cast.

    If you are able to return to our offices, it is ideal in case we need to arrange other services (Monday to Friday 8:00 – 17:00).

    We will always try to see you as soon as possible. If we are not available, we will inform you of another colleague (orthopedic surgeon) that will be on standby. We try to cover all aspects by planning ahead.

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We hope this information has answered most of your questions about your proposed operation. Please discuss any concerns with us before you agree to surgery.