Removal of the fixators is a small operation, and patients can usually go home the same day. After the external devices are removed, the frequency of follow-up is once a month for the first 2 to 3 months. This usually takes 1 to 2 months after removal. Most patients begin weight bearing 2 months after removal. Therefore, the total time in a wheel chair is between 4 and 5 months for 2 to 3 inches of lengthening.
Physical therapy continues, mostly to regain full ankle motion and foot push-off strength.
This can take several more months. Therapy is required only 3 days a week after removal, but daily home exercises are recommended. Future removal of the rods is recommended. This is not critical and can be done at any time once the bones are fully healed. We generally perform this approximately 1 year after the lengthening is completed.