Arthrodesis (Joint Fusion)

Treatment

Treatment

What is Foot Joint Fusion?

Foot joint fusion, also known as arthrodesis, is a surgical procedure that permanently joins two or more bones in the foot. This surgery is often performed to treat severe arthritis, deformities, or instability in the foot that do not respond to conservative treatments. By fusing the bones, the procedure eliminates the joint’s movement, thereby reducing pain and improving stability.

Arthrodesis (Joint Fusion)

When is Joint Fusion for Arthritis Necessary?

Joint fusion for arthritis is necessary when other treatments, such as medications, physical therapy, or less invasive surgeries, fail to provide relief. It is typically recommended for patients with severe pain, significant joint deformity, or instability that interferes with daily activities. Joint fusion may also be considered when arthritis has caused extensive damage to the joint, making other surgical options less effective.

Benefits of Foot Joint Fusion for Arthritis

Foot joint fusion offers several advantages for patients suffering from severe arthritis. Here are some key benefits:

Pain Relief

Joint fusion can significantly reduce or eliminate pain caused by arthritis.

Improved Stability

By fusing the bones, the procedure provides greater stability to the affected foot.

Enhanced Function

Patients often experience improved foot function, allowing them to perform daily activities with less discomfort.

Long-Term Solution

Joint fusion provides a permanent solution for severe arthritis, reducing the need for additional surgeries.

Arthrodesis (Joint Fusion)

Risks and Complications of Foot Joint Fusion

While foot joint fusion can provide benefits, it is important to be aware of the potential risks and complications associated with the surgery. These include:

  • Infection: There is a risk of infection at the surgical site, which may require additional treatment.
  • Nerve Damage: There is a small risk of nerve injury during the procedure, which can cause numbness or altered sensation.
  • Nonunion: In some cases, the bones may not fuse properly, leading to a nonunion that may require further surgery.
  • Reduced Mobility: The procedure eliminates joint movement, which can lead to reduced flexibility in the foot.
Arthrodesis (Joint Fusion)

Preparing for Foot Joint Fusion Surgery

Proper preparation is important for a successful foot joint fusion surgery. Key steps include:

  • Medical Evaluation: Undergo a thorough medical examination to ensure you are fit for surgery.
  • Medications: Inform your doctor about any current medications. Some may need to be adjusted or discontinued.
  • Fasting: Follow pre-surgery instructions, which typically involve fasting for several hours before the procedure.
  • Home Preparation: Arrange for help at home, as you may need assistance with daily tasks while you recover.
Arthrodesis (Joint Fusion)

The Foot Joint Fusion Procedure

During foot joint fusion surgery, the procedure is broken down into several steps:

The surgeon makes a cut over the affected joint to access the bones.

The damaged cartilage is taken out.

The bones are moved into the correct position.

The bones are held together with metal plates, screws, or rods.

The cut is closed with stitches.

A cast or boot is put on to protect the foot while it heals.

Arthrodesis (Joint Fusion)

How Long Does Foot Joint Fusion Surgery Take?

Foot joint fusion surgery typically takes between 2 to 3 hours, depending on the complexity of the procedure and the number of joints being fused.

Arthrodesis (Joint Fusion)

Recovery After Foot Joint Fusion

Recovery after foot joint fusion surgery involves a period of immobilisation to allow the bones to heal. Patients will need to keep weight off the affected foot for several weeks, using crutches or a walker to assist with mobility. Pain and swelling are common during the initial recovery phase, but these can be managed with medications and proper care.

Recovery Timeline

The recovery timeline for foot joint fusion surgery involves several phases, each with its specific milestones:

  • Initial Weeks: The foot will be immobilised in a cast or boot, and weight-bearing will be restricted. Pain and swelling are common. 
  • 4-6 Weeks: Gradual weight-bearing might begin with the aid of crutches or a walker. Follow-up visits with your surgeon will be scheduled to monitor progress. 
  • 6-12 Weeks: Increased mobility and physical therapy may be introduced to help strengthen the foot and improve range of motion. 
  • 3-6 Months: Most patients can resume normal activities, though complete recovery and return to high-impact activities might take up to a year.

Post-surgery care

Proper post-procedure care is important for a smooth and successful recovery after foot joint fusion surgery:

  • Follow-Up Appointments: Regular check-ups with your surgeon to monitor the healing process and ensure proper recovery. 
  • Medication: Take prescribed pain relievers and antibiotics as directed to manage pain and prevent infection. 
  • Wound Care: Keep the surgical site clean and dry, following your doctor’s instructions to avoid complications. 
  • Physical Therapy: Attend all recommended physical therapy sessions to aid in the recovery process and restore full function.
  • Lifestyle Modifications: Avoid smoking and maintain a healthy diet to promote optimal healing.
Arthrodesis (Joint Fusion)

How Much Does Foot Joint Fusion Cost In Singapore?

The recommended surgeon’s fee for joint fusion at a private hospital ranges from $8,393 – $12,208. This can vary depending on the complexity of the condition. Do note that this does not include the hospital fee, which will depend on your choice of medical facility and ward.

Dr Derek Park:
Foot Specialist in Singapore

Dr. Derek Park is a foot specialist in Singapore, experienced in treating various foot conditions. With a commitment to providing personalised and effective care, Dr. Park ensures that each patient receives tailored treatment to address their specific needs and achieve the best possible outcomes.