Ankle Fusion

What is ankle fusion?

Ankle fusion, also known as arthrodesis, is a surgical procedure to join the ankle bones together to eliminate motion and pain in the ankle joint. The procedure involves removing the damaged cartilage in the ankle joint and using screws, plates, or other hardware to fuse the bones together.

Why is ankle fusion performed?

Ankle fusion is typically performed when other treatments, such as medications, physical therapy, or braces, have failed to relieve ankle pain and improve mobility. It is often recommended for patients with severe ankle arthritis, deformities, or instability.

What happens during surgery?

During ankle fusion surgery, you will be given general anesthesia or regional anesthesia to numb your lower leg. Your surgeon will make an incision over the ankle and remove any damaged cartilage. Depending on the severity of condition, your surgeon may attempt to do this through key hole surgery. Then, they will position the bones in the correct alignment and use screws, plates, or other hardware to hold them together while they fuse. The incision will be closed with stitches or staples.

What can I expect after surgery?

When you wake up, you will have a plaster splint over your ankle. Do not take this off and do not get it wet. You will be seen 2 weeks after surgery at which time your surgeon will remove your staples and the plaster slab. Your ankle will then be placed in either a fiberglass cast or an Airboot. You will also be given a prescription for painkillers and antibiotics.

After surgery, you will need to wear a cast or boot and avoid bearing weight on the ankle for at least 12 weeks to protect the ankle and promote healing. You will also need to keep your leg elevated as much as possible for several weeks. You may need to use crutches or a walker to get around.

When can I return to work?

The recovery time after a Brostrom procedure can vary from patient to patient depending on the extent of the injury and the type of work you do. In general, most patients can return to work within 3-4 months after the surgery, although some may require more time off if their job involves heavy physical activity or standing for long periods of time.

It is important to follow your surgeon's instructions regarding your post-operative care, including proper wound care, physical therapy, and activity restrictions. Your surgeon may also recommend that you modify your work duties or take time off if necessary to allow for proper healing and rehabilitation.

It is important to remember that every patient is different and recovery times can vary. It is essential to communicate with your surgeon and follow their recommendations to ensure a safe and successful return to work.

What are the risks and complications of ankle fusion?

As with any surgery, ankle fusion carries risks and potential complications, including:

• Infection

• Bleeding

• Nerve damage

• Blood clots

• Failure of the bones to fuse

• Nonunion or malunion of the bones

• Joint stiffness or limited mobility

• Chronic pain

Your surgeon will discuss the risks and benefits of ankle fusion with you before surgery and answer any questions you may have.

Conclusion

Ankle fusion can be an effective treatment for severe ankle pain and instability. With proper care and rehabilitation, most patients can expect to regain function and mobility in their ankle. Your orthopedic surgeon can provide more information and guidance on whether ankle fusion is right for you.