Ankle Fusion
People who have severe ankle arthritis with failed non-surgical treatments can consider an ankle fusion treatment. However, risk factors can include poor bone quality, impaired nerve function, poor blood supply, severe limb deformity.
Pain: Worsened by movement, often constant.
Stiffness: Limited range of motion in the ankle.
Swelling: Persistent swelling around the ankle joint.
Difficulty Walking: Pain and stiffness make mobility challenging.
The Symptoms:
Wear and Tear: Breakdown of cartilage due to age or overuse.
Previous Injuries: Fractures, sprains, or trauma to the ankle.
Inflammatory Conditions: Rheumatoid arthritis or other autoimmune disorders.
The Causes:
Physical Exam: Assessment of pain, swelling, and joint movement.
Imaging Tests:X-rays, MRI, or CT scans to evaluate joint damage.
The Diagnosis:
This treatment also includes non-surgical practices such as medications, physical therapy, or orthotics to ease symptoms before considering surgery.
Surgical Treatments
Surgical:
Ankle Fusion Surgery:
Procedure: Fusing the tibia and talus bones using screws/plates.
Recovery: 10-12 weeks with no weight-bearing, followed by gradual return to activity.
Risks: Infection, nonunion, increased stress on other foot joints.
Alternative:
Total ankle replacement may be considered based on patient lifestyle and goals.
Post-Surgery Considerations
Recovery Time: 6-12 weeks before weight-bearing is allowed.
Physical Therapy: Helps regain strength and mobility.
Long-Term Outlook: Significant pain relief but limited ankle motion; possible increased stress on other foot joints.
Non-surgical:
Anti-inflammatory medications.
Steroid injections.
Braces and specialised footwear.
Walking aids