Will I Need Crutches After PTTD Surgery? What to Expect

Yes, you’ll need some type of mobility aid after PTTD surgery. How long you need it—and whether you’ll use traditional crutches or alternatives—depends on your specific procedure and healing progress.

Weight Bearing Status: What It Means

Your surgeon will assign one of three weight-bearing statuses after surgery:

Non-Weight Bearing (NWB)

This means no weight at all on your surgical foot. You’ll be on crutches, a knee scooter, or an iWalk. This is the most common restriction after PTTD surgery and typically lasts 6 to 8 weeks.

Partial Weight Bearing (PWB)

You can put limited weight on your foot—often 25% to 50% of your body weight. You’ll still need crutches or a walker for support. This phase usually spans weeks 4 to 8.

Weight Bearing as Tolerated

You can put as much weight as pain allows. This typically begins around 6 to 8 weeks post-op, once initial healing has occurred.

Your surgeon will tell you exactly which restriction applies to you.

Crutch Alternatives Worth Considering

Traditional crutches are hard to use and tire you out. Here are alternatives many people find easier:

• Knee scooter: You kneel on a padded platform and roll around. Much more stable than crutches and less exhausting.
• iWalk (hands-free crutch): A prosthetic-like device that attaches to your thigh. Lets you walk almost normally while keeping your foot off the ground.
• Wheelchair: Useful if you need to go longer distances or have other mobility issues.

Tips to Prepare

• Get equipment before surgery — Don’t wait until you get home from the hospital
• Practice beforehand — If using crutches or an iWalk, practice before your surgery so you’re not learning while recovering
• Modify your home — Remove rugs, add grab bars in the bathroom, and keep frequently used items at waist level
• Consider one-story living — If possible, set up recovery space on the first floor to avoid stairs

How Long You’ll Need Mobility Aids

For most PTTD surgeries:

• Weeks 1-4: Non-weight bearing with crutches or scooter
• Weeks 4-8: Transition to partial weight bearing
• Weeks 8-12: Weight bearing as tolerated, often with a walking boot
• Beyond 12 weeks: Usually walking normally, though some people need a cane temporarily

Your timeline may vary based on your specific surgery and healing rate.

The Bottom Line

Plan on using crutches or a mobility aid for at least 6 to 8 weeks after PTTD surgery. Consider investing in a knee scooter or iWalk to make your recovery easier. Talk to your surgeon about which weight-bearing status applies to you, and get your equipment before surgery day.