Arthrodesis: Frequently Asked Questions
What is an Ankle Arthrodesis?
Arthrodesis is defined as the surgical fusion of a joint. Triple arthrodesis involves the fusion of the calcaneocuboid, talonavicular, and talocalcaneal ( i.e. subtalar) joints in the hind foot with bone graft material and internal fixation ( e.g.. cannulated screws, bone staples).
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Why is Ankle Arthrodesis necessary?
Today, orthopaedic surgeons perform triple arthrodesis procedures for correction of marked varus or valgus deformities from residual clubfoot, cerebral palsy, and Charcot's joint disease (i.e. neuropathic arthropathy of hind foot); chronic acquired flatfoot from end - stage posterior tibial tendon ruptures; and arthritic conditions of hind foot.
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What are the Possible Complications of Ankle Arthrodesis?
Although uncommon, complications do occur occasionally during or following diagnostic and surgical ankle arthrodesis. They include infection, phlebitis ( inflammation of a vein), excessive swelling or bleeding, blood clots, and damage to blood vessels and nerves. On rare occasions, the small instruments break during the operation. There are also risks associated with the anaesthetic, both during its administration and after the arthroscopy.
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How Important are Exercises for Ankle Arthrodesis Surgery?
Exercises are very important, as most of the ankle's strength comes from the muscles surrounding it and not from the tendons or ligaments. You will not harm the ankle by doing strengthening exercises as recommended by your surgeon or physiotherapist. These should be performed according to directions.
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Is there Discharge Instructions for Ankle Arthrodesis Surgery?
Patients will be provided a discharge instructions sheet provided by the surgeon that instructs patients on how to look after their wounds, what activities they should avoid, and which exercises they should do to aid in their recovery. At a follow-up visit the surgeon will inspect the incisions, remove sutures, and discuss the rehabilitation program.
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Should I expect a lot of Swelling after an Ankle Arthrodesis?
Some swelling is to be expected and it may actually increase gradually for the first two to three days. If the bandage feels tight you should re-apply it more lightly and elevate the leg to reduce the swelling. Apply ice packs for 20 to 30 minutes every few hours may help to reduce the swelling and act as pain relief as required. If it persist contact your surgeon if you have any concerns.
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How long does it take to Recover from Ankle Arthrodesis Surgery?
The amount of surgery required and recovery time will depend on the joint problem. Recovery time varies markedly from patient to patient. Not all arthroscopies are the same. Occasionally, during ankle surgery, the surgeon will discover that the disease or injury cannot be treated adequately by arthrodesis surgery alone. Ankle Arthrodesis is a more extensive "open" operation. ...
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Is there anything I can do long term to look after my Ankle Arthrodesis?
Maintaining a normal body weight , low impact exercises and a healthy diet.
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Will I need Crutches after Ankle Arthrodesis Surgery?
Weight bearing is not usually possible after ankle arthrodesis surgery. Crutches or some form of weight support may be recommended by your surgeon depending on the operation. Once pain eases it is important to gradually increase weight bearing on the leg.
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