Initial Key – Protect the surgical repair, patient is NWB on crutches with a cast for the first 4 weeks.

At approximately 10 days post operative
Wound check and suture removal, splint is removed and cast is applied.

4 weeks post operative
Splint is removed and patient is placed in a cam walker with heel lifts to keep in 15 degrees of plantar flexion.

5 weeks post operative
Patient may begin AROM exercises of the ankle – no resistance.

7 weeks post operative
Patient may begin gentle stretch into dorsiflexion with a towel or strap.

8 weeks post operative
Begin full weight bearing and wean from crutches.

9 weeks post operative
Full weight bearing with a heel lift or heeled shoe, may initiate cycling on stationary bike, weight bearing stretches may be initiated.

12 weeks post operative
Patient can begin resistive exercises.

4 months post operative
Patient can progress to light jogging.

6 months post operative
Patient can initiate return to athletics.