Arthritis Surgeries of the Foot and Anklepedmin2020-02-19T23:16:19+00:00
Arthritis Surgeries of the Foot and Ankle
If arthritis doesn’t respond to nonsurgical treatment, then arthritis surgeries of the foot and ankle might be considered. The choice of surgery will depend on the type of arthritis, the impact of the disease on the joints, and the location of the arthritis. Sometimes more than one type of surgery will be needed.
Surgery performed for arthritis of the foot and ankle include arthroscopic debridement, arthrodesis (or fusion of the joints), and arthroplasty (replacement of the affected joint).
Arthroscopic surgery may be helpful in the early stages of arthritis. A flexible, fiberoptic pencil-sized instrument (arthroscope) is inserted into the joint through a series of small incisions through the skin.
The arthroscope is fitted with a small camera and lighting system, as well as various instruments. The camera projects images of the joint on a television monitor. This enables the surgeon to look directly inside the joint and identify the problem areas.
Small instruments at the end of the arthroscope, such as probes, forceps, knives, and shavers, are used to clean the joint area of foreign tissue, inflamed tissue that lines the joint, and bony outgrowths (spurs).
Arthrodesis or Fusion
Arthrodesis fuses the bones of the joint completely, making one continuous bone. The surgeon uses pins, plates and screws, or rods to hold the bones in the proper position while the joint(s) fuse. If the joints do not fuse (nonunion), this hardware may break.
A bone graft is sometimes needed if there is bone loss. The surgeon may use a graft (a piece of bone, taken from one of the lower leg bones or the wing of the pelvis) to replace the missing bone.
This surgery is typically quite successful. A very small percentage of patients have problems with wound healing. These problems can be addressed by bracing or additional surgery.
The biggest long-term problem with fusion is the development of arthritis at the joints adjacent to those fused. This occurs from increased stresses applied to the adjacent joints.
Arthroplasty or Joint Replacement
In arthroplasty, the damaged ankle joint is replaced with an artificial implant (prosthesis).
Although not as common as as total hip or knee joint replacement, advances in implant design have made ankle replacement a feasible option for many people.
In addition to providing pain relief from arthritis, ankle replacements offer patients better mobility and movement compared to fusion. By allowing motion at the formerly arthritic joint, less stress is transferred to the adjacent joints. Less stress results in reduced occurance of adjacent joint arthritis.
Ankle replacement is most often recommended for patients with:
Advanced arthritis of the ankle
Destroyed ankle joint surfaces
An ankle condition that interferes with daily activities
As in any joint replacement surgery, the ankle implant may loosen over the years or fail. If the implant failure is severe, revision surgery may be necessary.
The Orthopedic physicians at Peninsula Bone & Joint Clinic provide conservative treatment options for Foot & Ankle conditions and injuries.
Conservative Treatment Options
Non-Operative Achilles Tendon Treatment
Non-Operative Ankle Sprain & Strain Treatment
Non-Operative Ankle Fracture Treatment
Non-Operative Ankle Arthritis Treatment
Dr. Todd Kim ~ Orthopedic Surgeon
“Although I treat many patients with similar orthopedic injuries, I believe that the best outcomes for patients result from individualized treatment plans. Not every injury is the same. And to be sure, every patient has his or her own goals. Whether your hope is to return to a high level of competitive sports or to be able to walk your dog without pain, forming the best treatment plan requires excellent communication and trust with your surgeon. I am committed to listening and working with you to find the best treatment approach for your injury and lifestyle.”
Dr. Todd Kim is an Orthopedic Surgeon specializing in complex and traditional shoulder, elbow, knee and ankle conditions and treatments.
Foot & Ankle Treatment Highlights
Innovative Implant Design
Stryker STAR Total Ankle Replacement implant is utilized by Dr. Todd Kim providing ankle replacement patients with innovative implant technologies.
Responsive Implant Technology
The Stryker STAR Ankle Replacement Implant is the only mobile bearing total ankle replacement available in the US.
Peninsula Bone & Joint Clinic
The Orthopaedic physicians at Peninsula Bone & Joint Clinic provide comprehensive services to all members of the family.