Also known as ankle arthrodesis, the surgery is usually done to treat severe degenerative ankle arthritis.

During ankle fusion surgery, inflamed cartilage is removed and ankle bones are fastened together.

This will decrease pain, but there are side effects such as limited mobility.

Man on crutches in hospital

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It also explains alternatives to ankle fusion surgery.

What Is Ankle Fusion Surgery?

Ankle fusion surgery involves fusing ankle bones into one piece to relieve pain.

The surgery is done withlocal or spinal anesthesia.

Benefits of Ankle Fusion Surgery

Pain relief is the goal of ankle fusion surgery.

Blood work may also be done.

You will then have anesthesia, which might be local anesthesia with anerve blockor spinal anesthesia.

This will involve an injection of medication that prevents you from feeling pain in your ankle.

is used to maintain surgical placement of the individual ankle bones.

After surgery, bone cells grow, fusing individual ankle bones into one structural unit.

The hardware isn’t needed after bone fusion is completea process that will take weeks or months.

The procedure is otherwise the same as that performed arthroscopically.

Risks and Complications

Ankle fusion surgery comes with several risks you should consider.

This can cause severe pain and disability requiring surgical revision.

If you have a drain, it will be monitored for concerns such as excess bleeding or infectious fluid.

You will likely have to remain in the hospital for a day after your procedure.

This can be uncomfortable or painful for a few seconds, but pain medication isn’t typically necessary.

Over time, the bone will grow to fill the space that the hardware once occupied.

This includes instructions on wound care, pain control, and management of swelling.

You will most likely have to stay off your feet for eight to 12 weeks after your surgery.

Thereafter, you will be able to walk while wearing a boot or cast to protect your ankle.

Physical therapy may also be recommended.

A splint or other supportive foot rig may help you avoid these issues.

When Is Emergency Medical Attention Needed?

Seek emergency medical attention if you have:

These issues can signal a severe infection or a blood clot.

However, you’re able to walk as long as it doesn’t cause discomfort.

Other Options for Ankle Pain

Other options can help achieve the goals of ankle fusion.

Ankle Replacement Surgery

Ankle replacement surgeryis an option that’s often weighed against ankle fusion surgery.

On the other hand, ankle replacement surgery is often recommended if you want to maintain joint flexibility.

Johns Hopkins Medicine.Ankle Fusion.

Johns Hopkins Medicine.Ankle fusion.

2017 Feb;38(2):232].Foot Ankle Int.

2016;37(9):938-943. doi:10.1177/1071100716648736