When your child returns to the orthopaedic doctor's office, the cast is usually removed and your child's skin examined. A brace, called an ankle-foot-orthosis, or AFO, may be ordered. If this brace is recommended, you will be given a prescription to have the brace made by an orthotist. Your nurse or physical therapist will discuss where to take the prescription to have the brace made. The brace molding may take place in the operating room shortly after the heel cord lengthening or in clinic at the time of the cast removal.
How to care for your child and the AFO will be discussed with you by the clinic nurse. The back of the cast may be used as a temporary brace until the AFO is available / ready.
Your child may not be able to walk very well immediately, and may have a limp for a while after the cast is removed. Physical therapy may be ordered by your doctor. Usually four to six weeks after the cast has been removed, you will have an appointment with your orthopaedic doctor.