Triple Fusion

What is triple fusion?

Triple fusion, also known as triple arthrodesis, is a surgical procedure aimed at stabilizing and relieving pain in the foot by fusing three key joints. This operation is typically performed to address severe arthritis, trauma, or deformities that affect the subtalar joint, the calcaneocuboid joint, and the talonavicular joint. The goal of triple fusion is to create a stable, pain-free foot by fusing these joints into a single, solid structure, thus eliminating the movement between them.

 

Triple fusion indications

Triple fusion is indicated in cases where patients experience:

  • Severe joint arthritis: When arthritis causes significant joint pain, stiffness, and deformity in the foot, triple fusion can help alleviate these symptoms.
  • Traumatic injuries: Severe foot injuries or fractures that do not heal properly or lead to chronic pain may require triple fusion for stabilization.
  • Foot deformities: Conditions such as flatfoot or other deformities that disrupt normal joint function and cause pain or instability may benefit from this procedure.
  • Chronic pain: Persistent foot pain that has not responded to conservative treatments, such as physical therapy or medications, may indicate the need for surgical intervention.

 

How does Dr Abramson perform triple fusion?

Dr Michael Abramson performs triple fusion with a highly detailed and patient-focused approach. The procedure begins with a comprehensive preoperative assessment, including imaging studies and a physical examination to evaluate the extent of joint damage and identify the best surgical strategy. The surgery is done under general or regional anesthesia, with an incision typically made on the side or top of the foot to access the three affected joints: the subtalar, calcaneocuboid, and talonavicular joints. Dr Abramson carefully removes the damaged cartilage from these joints, preparing the bone surfaces to ensure successful fusion.

Next, Dr Abramson uses bone grafts or synthetic materials to promote bone fusion, securing the joints with advanced fixation techniques such as screws or plates to hold the bones in place while they heal. After the fusion is completed, the incision is closed, and the foot is bandaged or placed in a cast to protect the surgical site. Dr Abramson provides detailed post-operative care instructions, including weight-bearing restrictions and rehabilitation protocols, to support optimal recovery. Follow-up visits are scheduled to monitor healing, ensuring that the fusion progresses as expected, with adjustments made to the treatment plan as needed. Dr Abramson’s meticulous technique in triple fusion allows him to address severe foot conditions, alleviating pain and restoring stability.

FAQ’s

What are the potential risks and complications of triple fusion surgery?
As with any surgery, triple fusion carries potential risks and complications, including infection, bleeding, non-union or malunion of the fused joints, nerve damage, and stiffness. Dr Abramson takes extensive precautions to minimize these risks and will discuss any specific concerns or potential complications during the preoperative consultation.
How long will I need to stay off my foot after surgery?
The duration of time off your foot will vary depending on individual healing and recovery. Generally, patients are advised to avoid weight-bearing activities for several weeks to months. Dr Abramson will provide specific guidelines on when it is safe to resume weight-bearing and return to normal activities.
Will I need physical therapy after the surgery?
Yes, physical therapy is often recommended as part of the recovery process to help restore range of motion, strength, and function in the foot. Dr Abramson will work with you to develop a rehabilitation plan tailored to your needs, and a physical therapist will guide you through exercises and activities to support your recovery.