What is ankle fusion?
Ankle fusion, also known as ankle arthrodesis, is a surgical procedure aimed at alleviating chronic pain and instability in the ankle joint. It involves permanently joining the bones of the ankle to eliminate motion between them. This is commonly done to treat severe arthritis or irreparable damage to the ankle. The fusion helps stabilize the joint, reduces pain, and allows for better weight-bearing activities. Although the procedure limits ankle motion, patients typically experience significant improvements in their quality of life, with reduced discomfort and improved mobility.
Ankle fusion indications
Ankle fusion is typically recommended for patients who suffer from:
- Severe ankle arthritis: Often caused by osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis that results in chronic pain, stiffness, and difficulty walking.
- Failed ankle replacement: When a previous ankle replacement surgery is no longer effective, fusion may be a better solution.
- Ankle deformities: In cases of significant misalignment or deformity that affects the function and stability of the ankle.
- Chronic instability: Due to ligament damage or other conditions that cause persistent ankle instability.
- Severe trauma: In cases where the ankle joint is severely damaged due to fractures or other traumatic injuries.
- Infection in the joint: When infections cause irreversible damage to the ankle joint.
How does Dr Abramson perform ankle fusion?
Dr Michael Abramson carries out ankle fusion utilizing state-of-the-art surgical methods with an emphasis on precision and patient care. The procedure begins with a detailed evaluation, including imaging techniques like X-rays or CT scans, to assess the ankle joint’s condition and strategize the surgery effectively. Under general or spinal anaesthesia, Dr Abramson makes an incision around the ankle to access the joint. He then meticulously removes damaged cartilage and inflamed tissue from the joint surfaces, preparing the tibia, fibula, and talus bones for fusion. The bones are realigned to their optimal position to ensure proper weight-bearing after the fusion is completed.
(arthroscopic fusion is also sometimes used, if the situation and deformity allows it)
Dr Abramson uses screws, plates, or rods to stabilize the bones and maintain their alignment during the healing process. In some cases, bone grafting may be utilized to promote bone growth and facilitate fusion. After the surgery, the ankle is placed in a cast or boot, and patients are advised to avoid putting weight on the foot for several weeks. Dr Abramson provides detailed post-operative care instructions and may recommend physical therapy to support recovery and restore function. His meticulous approach aims to achieve lasting pain relief and improve overall mobility for his patients.