Podiatry

Foot Bone Fusion (Arthrodesis)

Permanent joining of bones to stabilize painful or arthritic foot joints.

Permanent joining of bones to stabilize painful or arthritic foot joints.

What is Foot Bone Fusion?

Arthrodesis eliminates painful motion in diseased joints by removing cartilage and uniting bones with hardware until they fuse. Common sites include the hindfoot (subtalar, talonavicular, calcaneocuboid), midfoot (Lisfranc joints), and tarsometatarsal joints. Performed under general or regional anesthesia.

What to expect after Foot Bone Fusion?

  • Splint/CAM boot with strict non–weight-bearing for 6–8 weeks
  • Elevation and ice to control swelling; keep dressing dry
  • Gradual progression to partial and full weight-bearing as X‑rays show fusion
  • Physical therapy for gait, balance, and strength after immobilization
  • Return to desk work 2–3 weeks; manual labor may require 10–12 weeks or more
  • Full fusion may take 8–12 weeks (sometimes longer)
  • Long-term: stiffer but more stable, pain‑reduced foot

Why is it performed?

  • To relieve pain from severe arthritis or deformity
  • To correct instability or collapse (flatfoot, Charcot changes)
  • To improve alignment and walking mechanics
  • When bracing, injections, and medications fail

Risks and Considerations

  • Nonunion or delayed union requiring bone stimulation or revision
  • Infection or hardware irritation
  • Nerve irritation or complex regional pain syndrome (CRPS)
  • Adjacent joint stress leading to later arthritis

Early detection is important for managing the condition and preventing further complications.

Schedule a consultation today.

FAQs

Will fusion limit my activities?
High-impact sports may be limited; walking and cycling are usually comfortable.
About 8–10 weeks depending on fusion progress.
Sometimes—autograft or allograft to enhance healing.
Once weight-bearing and reaction times are normal—often 6–8 weeks for the right foot.
Rarely; hardware is small.

Doral Health & Wellness Foot & Ankle Department

Doral Health & Wellness Podiatry provides comprehensive foot and ankle care. Our experienced podiatrists offer a range of services, including diagnosis and treatment of foot and ankle conditions, sports injuries, diabetic foot care, and custom orthotics. We are dedicated to helping you achieve optimal foot health and mobility.

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