Midfoot Fusion

What is midfoot fusion?

Midfoot fusion, also known as midfoot arthrodesis, is a surgical procedure designed to fuse the bones in the midfoot to relieve pain and restore function. The midfoot consists of the bones located between the forefoot and hindfoot, specifically the navicular, cuboid, and cuneiform bones. This procedure is typically performed to treat conditions that lead to joint degeneration or instability in this region of the foot.

Midfoot fusion aims to stabilize the midfoot by permanently joining the affected bones using plates, screws, or other fixation devices. This fusion eliminates painful movement at the affected joints and can significantly improve overall foot function.

 

Midfoot fusion indications

Midfoot fusion is indicated for a variety of conditions, including:

  • Rheumatoid arthritis: A chronic inflammatory disorder that can lead to joint deformities and pain in the midfoot.
  • Post-traumatic arthritis: Arthritis resulting from previous fractures or injuries in the midfoot.
  • Charcot foot: A condition where the bones in the foot weaken and collapse due to nerve damage, often seen in diabetic patients.
  • Midfoot fractures: Complex fractures that involve multiple bones and cannot heal properly with conservative treatment.
  • Flatfoot deformity: A condition where the arch of the foot collapses, leading to pain and instability in the midfoot.
  • Failed conservative treatment: When non-surgical methods such as physical therapy or orthotics have not provided adequate relief.

 

How does Dr Abramson perform midfoot fusion?

Dr Michael Abramson performs midfoot fusion with a precise and personalized approach tailored to each patient’s unique condition. The procedure begins with a thorough preoperative assessment, including physical examinations, X-rays, and sometimes CT scans, to accurately diagnose the extent of the midfoot issue. Based on this evaluation, Dr Abramson develops a detailed surgical plan, selecting the appropriate fixation devices and surgical techniques.

During the surgery, which is conducted under general or regional anaesthesia, Dr Abramson makes an incision over the midfoot to access the affected joints. He prepares the bone surfaces by removing damaged cartilage and aligning the bones to ensure optimal fusion. Advanced fixation devices, such as plates, screws, or external fixators, are then used to stabilize the bones in their corrected position. This stabilization is crucial for allowing the bones to heal and fuse together properly.

Following the procedure, Dr Abramson provides comprehensive post-operative care instructions, including guidance on weight-bearing, wound care, and physical therapy. He schedules regular follow-up visits to monitor the healing process and ensure that the fusion is progressing as planned.

FAQ’s

Will I need to make any lifestyle changes after surgery?
You may need to make temporary adjustments, such as using assistive devices like crutches or a walker and modifying your activities to avoid putting weight on the foot. Long-term lifestyle changes may involve incorporating physical therapy exercises and managing any underlying conditions that contributed to the need for surgery.
How can I manage pain after midfoot fusion surgery?
Dr Abramson will prescribe pain medications and provide recommendations for managing discomfort. It is important to follow these instructions carefully and report any severe or persistent pain to your healthcare provider.
When can I resume normal activities after midfoot fusion surgery?
The timeline for resuming normal activities varies based on individual healing and the specific nature of the surgery. Most patients can return to light activities within a few weeks, but full participation in high-impact activities may take several months. Dr Abramson will provide guidance on when it is safe to resume different activities based on your recovery progress.