Dr. Amol Saxena, DPM
Palo Alto Foundation
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Dept. of Sports Medicine
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795 El Camino Real
Palo Alto, CA 94301
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Return to Athletic Activity After Foot and Ankle Surgery: A Preliminary Report on Select Procedures.J of Foot and Ankle Surgery, Vol 39 #2, March/April 2000.
(Published in: Journal of Foot & Ankle Surgery, March/April 2000)
Amol Saxena, DPM, FACFAS, FAAPSM
Department of Sports Medicine
Palo Alto Medical Foundation
795 El Camino Real
Palo Alto, CA 94301
Phone: (650) 853-2943
Fax: (650) 853-6094
Amol Saxena, DPM
One hundred thirty-eight "athletic" patients from the author's practice underwent retrospective review of their foot and ankle surgery that was performed from 1990 to 1997 to evaluate the time to return to activity. Athletes were defined as follows: professional, varsity college and high school, runners amassing more than 25 miles per week, or those involved in regular competition. No recreational athletes were included. Average follow-up for the group as a whole was 49.4 months, (range, 12-108 months). One hundred seventeen of the 138 patients were able to be contacted and/or had been evaluated by September 1998. One hundred thirteen patients considered their surgery a success. All but two patients were able to return to the desired level of performance. Twenty-three of the patients increased their activity level after surgery. Twenty-eight athletes underwent Achilles tendon-related surgery (average follow-up was 44.5 months). Runners undergoing peritenolyses had an average return to activity of 4.0 weeks (range, 3-6 weeks). Patients undergoing Achilles procedure involving bone resection had an average return to activity of 13.8 weeks (range, 10-20 weeks). Forty-four bunionectomy procedures were performed, including 31 first metatarsal osteotomies. The group's average follow-up was 52.9 months (range, 13- 100 months), and average return to activity for the first metatarsal osteotomies was 8.9 weeks. There were 48 rearfoot procedures. Lateral ankle stabilization procedures returned to activity on an average of 10 weeks (range, 7-16 weeks), while excised ossicles (os tibiale extemum, os trigonum) had an average return to activity of 9.1 weeks (range, 8-14 weeks). Seven neuroma patients (via dorsal approach) had a return to activity of 4.0 weeks (range, 2.5-6 weeks), sesamoidectomy 7.5 weeks (range, 4 - 1 0 weeks), and Valenti arthroplasty of 6.5 weeks (range, 4 - 12 weeks), respectively. There were minimal complications. Two patients in the Achilles surgery group required revision surgery. One patient with a bunionectomy had postoperative hallux limitus. Eight patients had symptomatic screws removed. (The Journal of Foot & Ankle Surgery 39(2):114-119, 2000)
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