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International Patient CareTriple Arthrodesis Surgery Hospital by Expert Orthopedics
Triple Arthrodesis at Medicover Hospitals is performed using the open surgical approach. Our orthopaedic team, with qualifications like MS and DNB, specialises in complex foot surgeries. This procedure helps stabilise the foot, leading to improved mobility and reduced pain.
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What is Triple Arthrodesis?
Triple Arthrodesis is a surgical procedure involving the fusion of three joints in the foot: the talocalcaneal, talonavicular, and calcaneocuboid joints. This procedure stabilises the hindfoot (back part of the foot) and reduces pain by eliminating movement in these joints.
This surgery is often needed for conditions like severe arthritis, flatfoot deformity, or foot instability. If left untreated, these conditions can lead to chronic pain and difficulty in walking. Modern surgical approaches for Triple Arthrodesis include minimally invasive techniques and the use of advanced fixation devices to promote healing. These methods aim to improve recovery time and reduce complications.
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Complete Guide To Triple Arthrodesis
Everything you need to know about the procedure, preparation, and recovery
Triple Arthrodesis Surgery Indications
Doctors recommend triple arthrodesis surgery when conservative treatments fail to alleviate severe foot and ankle issues. This procedure is often considered for patients with persistent pain and instability affecting daily activities.
Severe Arthritis
Patients experience chronic pain and swelling in the foot and ankle. X-rays or MRIs show joint degeneration. When medications and physical therapy no longer provide relief, surgery may be needed.
Flatfoot Deformity
Individuals suffer from foot pain and difficulty walking due to collapsed arches. Physical exams reveal significant arch flattening. Surgery is considered when orthotics and exercises fail to improve function.
Foot Instability
Patients report frequent ankle sprains and a feeling of instability. Imaging tests show misalignment or joint laxity. Surgery is an option when bracing and rehabilitation do not restore stability.
Severe Trauma
After a major injury, patients may have persistent pain and deformity. X-rays confirm joint damage or malalignment. Surgery is recommended when healing does not occur with conservative care.
Neuromuscular Disorders
Patients with conditions like cerebral palsy may have foot deformities causing pain and difficulty walking. Clinical assessments show muscle imbalance and joint deformity. Surgery is considered when other treatments do not improve mobility.
How to Prepare for Triple Arthrodesis?
Proper preparation for triple arthrodesis is crucial to ensure a smooth surgery and recovery. This procedure involves fusing three joints in the foot, and being well-prepared can help reduce complications and improve outcomes.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements as advised by your doctor.
- Fasting Guidelines: Fast for at least 8 hours before the surgery if general anaesthesia is used.
- Foot Care: Keep the foot clean and dry. Avoid any lotions or creams on the day of surgery.
- Clothing Choice: Wear loose-fitting clothing to ensure comfort post-surgery.
- Transportation: Arrange for someone to drive you home after the procedure.
- Medication List: Bring a list of all medications with dosages to the hospital.
- Home Preparation: Set up a comfortable resting area with easy access to essentials.
- Mobility Aids: Consider arranging crutches or a walker for post-surgery mobility support.
Triple Arthrodesis Surgery (Step-by-Step)
Overview: Triple Arthrodesis is performed by orthopaedic surgeons. The surgery typically lasts 2-3 hours. It is usually done under general anaesthesia.
- Preparation: The patient is positioned on the operating table. Anaesthesia is administered to ensure the patient is asleep and pain-free.
- Incision: A 10-15 cm incision is made on the outer side of the foot. This provides access to the joints that need fusion.
- Joint Preparation: The surgeon uses a curette to remove the cartilage from the affected joints. This step is crucial for successful fusion.
- Bone Alignment: The bones are aligned in the correct position. Temporary pins may be used to hold them in place.
- Fixation: Screws or plates are inserted to secure the bones together. This ensures stability for proper healing.
- Closure: The incision is closed with sutures or staples. A sterile dressing is applied to protect the wound.
- Recovery: The patient is moved to the recovery area. They are monitored as they wake up from anaesthesia.
Who Performs Triple Arthrodesis Surgery?
Triple Arthrodesis is performed by orthopaedic surgeons. These specialists have expertise in treating complex foot and ankle conditions. They are skilled in surgical techniques to ensure effective joint fusion.
Recovery After Triple Arthrodesis Surgery
Recovery from triple arthrodesis surgery requires patience and adherence to medical advice. Expect a gradual return to normal activities, with a focus on healing and regaining mobility.
Day 1-3:
- Rest and elevate the foot to reduce swelling.
- Use prescribed pain medication as needed.
- Begin with a liquid diet, gradually introducing soft foods like curd and soups.
Day 4-7:
- Continue elevation and start gentle toe movements as advised by your doctor.
- Introduce light meals such as dal-rice or khichdi to maintain nutrition.
- Keep the surgical site clean and dry.
Week 2-4:
- Attend follow-up appointments for suture removal and progress checks.
- Begin partial weight-bearing with crutches if advised.
- Include protein-rich foods like moong dal to aid healing.
Phase 1 (Month 1-2):
- Gradually increase weight-bearing as per doctor's guidance.
- Engage in physiotherapy exercises to improve strength and flexibility.
- Return to work or school may be possible, depending on your progress and job nature.
Phase 2 (Month 3-6):
- Continue physiotherapy and increase activity levels.
- Monitor for any discomfort or swelling during activities.
- Most patients can resume normal activities by the end of this phase.
When to Seek Urgent Help:
- Severe pain unrelieved by medication.
- Signs of infection like redness, warmth, or discharge from the incision.
- Sudden swelling or inability to move the foot.
Benefits of Triple Arthrodesis Surgery
Triple arthrodesis surgery is a procedure aimed at improving foot stability and reducing pain in patients with severe arthritis or deformities.
- Pain Relief: Helps alleviate chronic pain associated with arthritis or deformities.
- Improved Stability: Enhances foot stability, making walking easier and more comfortable.
- Corrects Deformities: Addresses structural deformities, improving foot alignment.
- Increased Mobility: May lead to better mobility and function in daily activities.
Risks and Complications of Triple Arthrodesis Surgery
While triple arthrodesis can offer significant benefits, it is important to be aware of potential risks and complications.
- Common - Infection: Risk of infection at the surgical site.
- Common - Non-union: Bones may not fuse properly, requiring further intervention.
- Rare - Nerve Damage: Possibility of nerve injury leading to numbness or tingling.
- Rare - Blood Clots: Potential for developing blood clots post-surgery.
- Rare - Hardware Issues: Problems with the surgical hardware, such as screws or plates.
- Rare - Joint Stiffness: Stiffness in the foot joints post-surgery.
Cost of Triple Arthrodesis Surgery
The cost of Triple Arthrodesis Surgery at Medicover Hospitals varies depending on the ward category chosen. Prices range from Rs.12,299 to Rs.39,589 across different ward types. The cost is transparent and varies by ward category, ensuring you can choose according to your preference and budget.
We offer insurance and TPA support, accepting CGHS, ESI, and major TPAs, with a cashless facility available for your convenience. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does Triple Arthrodesis cost?
Triple Arthrodesis surgery at Medicover Hospitals ranges from Rs.12,299 to Rs.39,
2. Prices vary based on the type of room and care required. 2. Is Triple Arthrodesis covered under insurance?
Triple Arthrodesis may be covered by CGHS, ESI, and major TPAs. Please contact the hospital for current panel details.
3. Can I walk immediately after Triple Arthrodesis?
Walking is not recommended immediately after Triple Arthrodesis. You will need to use crutches for several weeks to aid recovery.
4. Will I need physiotherapy post-surgery?
Physiotherapy is often necessary after Triple Arthrodesis to regain mobility. It helps strengthen the foot and improve walking ability.
5. Can I wear normal shoes after recovery?
Post-recovery, you may need custom orthotics or supportive shoes. Consult your doctor for recommendations based on your foot's condition.
6. What foods aid recovery after Triple Arthrodesis?
Consuming protein-rich foods like dal-rice and curd can aid recovery. These help in tissue repair and maintaining energy levels.
7. Is swelling normal after Triple Arthrodesis?
Swelling is common after Triple Arthrodesis and can last several weeks. Elevating the foot and using ice packs can help reduce it.
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