How long does tendon transfer surgery take to work for clubfoot?

A tendon transfer moves a working tendon to a new attachment so it can help correct an imbalance in the foot. A cast, splint, or boot may protect the new position at first. Swelling, weakness, and an unfamiliar walking pattern are expected while the tissues heal.

Later therapy focuses on ankle and foot movement, balance, gait practice, and teaching the transferred muscle its new job. Progress depends on the foot shape, flexibility, muscle control, previous treatment, and whether the transfer remains protected during healing.

Keep the cast, splint, or boot in the position prescribed and follow weight-bearing instructions. Elevate the foot when advised, protect the dressing from moisture, and use crutches or other support until walking is cleared. Do not stretch or strengthen the transferred tendon without guidance.

Attend physiotherapy for gradual gait and balance training. Wear the recommended footwear or brace during the transition, and mention rubbing, pressure areas, increasing stiffness, or difficulty placing the foot safely.

Contact your surgical team for worsening pain, fever, drainage, spreading redness, or a cast or boot that becomes too tight. Seek urgent help if the toes become cold, blue, very pale, or numb. A fall, sudden pop, new deformity, or abrupt loss of the foot position or walking ability should be assessed promptly.

Ask when weight-bearing can increase, when the cast or boot will change, and how to exercise the ankle without stressing the transfer. Clarify which shoes or braces are needed, when driving or work may resume, and what walking changes should prompt an earlier review.