A Complete Guide To Understanding Triple Arthrodesis Surgery

Triple arthrodesis surgery is a procedure that has been around since the 1920s and is used to treat patients with severe pain due to arthritis and other joint problems. In recent years, this type of surgery has become increasingly popular among medical professionals as an effective way to reduce pain and improve mobility. We’ll also discuss how it differs from other ankle fusion procedures, as well as what to expect during the recovery process.

What is Triple Arthrodesis Surgery?

Arthrodesis is a surgical procedure that involves fusing three joints in the foot: the talonavicular, calcaneocuboid, and subtalar joints. The goal of this surgery is to relieve pain and improve function in the foot. Triple arthrodesis is typically reserved for patients who have failed to respond to non-surgical treatments, such as icing, anti-inflammatory medications, immobilization, and physical therapy.

This surgery is performed by making an incision in the front or back of the foot. The surgeon will then clean out the affected joints and insert metal implants to fuse them together. In some cases, a bone graft may be used to help promote healing. The incision will be closed with sutures or staples and the foot will be placed in a plaster cast or splint. Recovery from triple arthrodesis surgery takes several weeks. During this time, it is important to keep weight off of the foot as much as possible. Physical therapy may be recommended to help regain range of motion and strength in the foot. Most patients are able to return to their normal activities within three to six months.

Indications for Triple Arthrodesis Surgery

– Severe pain in the foot that does not respond to conservative treatment, such as shoe inserts, orthotics, or physical therapy.

– Deformity of the foot that is causing difficulty with walking or standing.

– arthritis in three joints of the foot: the ankle joint, the subtalar joint, and the midtarsal joint.

– a fracture or dislocation in the bones of the foot that has not healed properly.

Contra-indications for Triple Arthrodesis Surgery

There are a few contra-indications to consider before performing triple arthrodesis surgery which include: active infection, Charcot foot, severe hallux valgus deformity, and patients who are non-compliant with post-operative management. Additionally, this procedure should be performed with caution in patients who have diabetes or any other condition that may cause poor healing.

The Procedure of Triple Arthrodesis Surgery

After the patient has been given a general anaesthetic, the surgeon will make an incision in the front of the foot, cutting through the skin and soft tissue. They will then cut through the bone, making an opening in the joint.

The surgeon will then insert metal plates and screws into the bones to hold them in place. Once this is done, they will close up the incision with stitches or staples. The surgery usually takes around two hours to complete. The patient will be required to stay in hospital for a few days afterwards so that their progress can be monitored.

Post-operative Care and Recovery for Triple Arthrodesis Surgery

This usually includes a period of rest and elevation of the foot, as well as ice and over-the-counter pain medication to help with discomfort. Depending on the severity of the surgery, patients may also need to use crutches or a wheelchair for a period of time.

Most patients will start to feel better within a few weeks, but it can take up to three months for all swelling and bruising to subside. Physical therapy may be recommended to help with range of motion and strength. 

Risks and Complications:

-Infection
-Bleeding
-Nerve damage
-Arterial injury
-Stiffness
-Joint instability
-Implant failure or looseness
-Pain

Conclusion

The goal of this guide was to provide medical professionals with a comprehensive understanding of triple arthrodesis surgery. We have discussed the goals, benefits, and risks associated with the procedure as well as patient selection criteria and post-operative care. In addition, we provided an overview of relevant anatomy, indications for surgical intervention and complications that may arise during or after the operation.