Triple Arthrodesis

Based in the heart of NY, Advance Foot and Ankle Solutions offers the best facility for performing triple arthrodesis, while catering to all other various foot and ankle problems. Look no further when you can have direct access to the globally acclaimed specialist team of foot and ankle surgeons, supervising & managing your triple arthrodesis with diligence and dedication. 

Advance Foot and Ankle Solutions support team is absolutely attentive to your requirements related to triple arthrodesis. Call & book an appointment right away for professionally diagnosed, treated and empathetically cured foot and ankle issues, to lead a wholesome, enviable lifestyle.

Triple Arthrodesis: Overview By Your Podiatric Doctor

Triple Arthrodesis is a process whereby the surgical fusion of the talocalcaneal (TC), talonavicular (TN), and calcaneocuboid (CC) joints in the hind foot that allow for side-to-side movement of the foot, is performed to relieve foot pain and other associated problems. It is a commonly performed procedure for chronic tendon ruptures and partial foot dislocations caused due to serious injury, arthritis and genetic effect.

This surgery is most often undertaken after all other non-surgical methods do not relieve your symptoms satisfactorily and have been finally exhausted, as stated below:

  • Bracing
  • Physical Therapy
  • Strapping & Taping
  • Steroid Injections
  • Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

Surgeons try their best to avoid bone fusions, but sometimes pain and deformity are so severe that this procedure offers the best option of producing a less painful foot with better alignment. The triple arthrodesis is a time-tested, durable procedure even if restricts the sideways movement of the affected foot to a considerable degree. Tendon balancing and bone grafting procedures are performed with this surgery to attain improved results.

Triple Arthrodesis: Signs & Indications

Triple arthrodesis is indicated for the following conditions and situations:

  • Rheumatoid Arthritis (RA)
  • Degenerative Arthritis
  • Posttraumatic Arthritis
  • Chronic Pain
  • Severe Valgus Deformities
  • Collapsing Pes Planovalgus Deformity
  • Varus Foot Deformities
  • Severe Flatfoot
  • Abnormal Inter-Bone Connections
  • Excessively High Foot Arches
  • Joint Instability
  • Advanced Tibialis Posterior Tendon Dysfunction
  • Tarsal Coalition
  • Cavus And Cavovarus
  • Talipes Equinovarus
  • Neuromuscular Disease
  • Mueller-Weiss Disease

Triple Arthrodesis: Contraindications

Triple Arthrodesis is not indicated and should be best avoided under the following circumstances:

  • Underage, Growing Patients
  • Chronic Smokers & Tobacco Users
  • Suffering From Active Infection
  • Having Poor Healing Potential

Triple Arthrodesis: The Procedure Outlined

  • Two incisions are generally required for this procedure, one incision on each side of the foot.
  • Certain tendons and ligaments or cartilage would be dissected in order for the surgeon to reach the desired zone.
  • An imaging device called a fluoroscope is used so that the surgeon is able to make the proper dissections or place any necessary screws or pins.
  • Within each joint cartilage is removed, bony surfaces roughened, and defects filled.
  • Bone graft is taken from the knee.
  • The foot is repositioned to recreate an arch and balance it beneath the leg.
  • Tendon balancing is performed.
  • Once all three joints have been prepared, they are put into place and hardware is fixated to stabilize the reconstruction and promote healthy fusion.
  • The surgeon confirms proper position of the bones via an X-ray.
  • Then all incisions are closed and covered with bulky dry sterile dressings.

Triple Arthrodesis: The Postsurgical Care

  • The foot is kept elevated while lying in the bed.
  • No weight on it at all for the first two weeks to minimize swelling and allow skin healing.
  • To lessen post-operative pain, the nerves around the knee or ankle may be numbed with medication.
  • Intravenous antibiotics are administered to prevent contacting infection.
  • Stitches may be removed two to three weeks after surgery.
  • After signs of healing are noted, progressive weight bearing is allowed.
  • Full weight bearing typically takes three months.
  • A removable boot may be used in the place of a cast.

Triple Arthrodesis: The Associated Complications

  • Bacterial Infection
  • Wound Breakdown
  • Gradual Development Of Arthritis In Other Foot Joints
  • Degenerative Joint Disease
  • Delayed Union Due To Being An Extremely Delicate Process
  • Delayed Wound Healing Due To Edema
  • Damage To Nerves Due To Injury
  • Avascular Necrosis
  • Blood Clot Formation
  • A Bad Reaction To The Anesthesia
  • Stiffness & Numbness Near The Incision

Triple Arthrodesis: Its Advantages

  • Reasonable pain Relief
  • Improved Stability
  • Correction In Deformity
  • Better Alignment
  • Significant Improvement In Gait
  • Properly Fitting Normal Footwear
  • Allow For Easier Standing And Walking
  • Widely Accepted & Established Technique