Arthroscopic Ankle Arthrodesis

When chronic ankle pain, stiffness, or instability limits your ability to walk or enjoy daily activities, advanced surgical solutions may help restore your quality of life. Arthroscopic ankle arthrodesis is a minimally invasive technique designed to relieve pain, improve stability, and help patients return to more active living. 

At the Orthopedic Foot & Ankle Center in Greater Columbus, our specialists provide advanced care for complex ankle conditions. Contact us today to explore the best treatment options for your needs.

Do I Need Surgery?

Visiting an orthopedic surgeon doesn’t mean that surgery is necessary. Our orthopedic doctors always prefer to use non-surgical procedures to treat injuries.

What Our Patients Say

Surgery and recovery going as expected. Staff and scheduling are very accommodating. So far so good 👍.” — Korrina D.

What is Arthroscopic Ankle Arthrodesis?

Arthroscopic ankle arthrodesis, often called ankle fusion, is a surgical procedure where the ankle joint is fused to eliminate painful motion caused by an arthritic joint, severe injury, or severe deformity. Unlike open surgery, this technique uses small incisions and specialized instruments to reach and prepare the bony surfaces for fusion.

During the procedure, surgeons remove remaining cartilage from the joint surfaces and position the ankle bones so they heal together as a single unit. The result is a fused ankle that no longer causes the grinding pain associated with ankle arthritis but still allows movement in surrounding joints, such as the subtalar joint.

Who May Benefit From Ankle Arthrodesis?

Arthroscopic ankle arthrodesis is recommended for patients who:

  • Have advanced ankle arthritis, causing persistent pain
  • Have a history of ankle injuries that have damaged the joint surfaces
  • Cannot undergo total ankle replacement due to poor bone quality or other factors
  • Experience severe deformity or instability in the ankle
  • Have failed to respond to non-surgical treatments
 

For individuals requiring reconstructive surgery, this procedure may be an important option to restore function and reduce pain. In many cases, patients who have tried braces, medications, injections, and activity modifications but still have disabling symptoms may benefit from ankle fusion surgery.

A man’s ankle being bandaged after ankle fusion in Ohio.

Preparation for Arthroscopic Ankle Arthrodesis

Before surgery, your orthopedic surgeon will perform a detailed examination, review imaging studies, and discuss your medical history. Preparation may involve:

  • Stopping certain medications or supplements
  • Completing pre-operative lab tests
  • Planning your recovery space at home
  • Learning how to use crutches or a walker
 

Smoking cessation is strongly recommended, as nicotine can slow bone graft healing and reduce the success rate of fusion surgery.

Arthroscopic Ankle Arthrodesis Procedure

This minimally invasive technique is typically performed under general or regional anesthesia. Small incisions are made to insert a camera and specialized tools into the ankle.

Steps may include:

  1. Removing the remaining cartilage from the ankle joint
  2. Preparing the bony surfaces to encourage healing
  3. Positioning the ankle bones for optimal alignment
  4. Using screws or plates to hold the bones together while they fuse
  5. Placing a bone graft, if needed, to promote fusion
 

Because the approach is less disruptive to surrounding tissue compared to open surgery, patients may experience less pain, a lower risk of infection, and a quicker recovery time.

Recovering from Ankle Arthrodesis

Following arthroscopic ankle arthrodesis, patients typically wear a cast or boot and use crutches to avoid putting weight on the ankle for several weeks. A gradual return to walking begins once X-rays confirm that the bones are fusing correctly.

Key recovery steps include:

  • Elevating the ankle to minimize swelling
  • Attending follow-up visits for imaging and wound checks
  • Beginning gentle movement exercises for nearby joints to maintain joint motion
  • Transitioning from non-weight bearing to partial and then full weight bearing under medical supervision
 

Most patients experience a significant reduction in pain, improved stability, and the ability to resume low-impact activities once healing is complete.

Risks and Complications

While arthroscopic ankle arthrodesis has a high success rate, risks include:

  • Infection
  • Delayed bone healing or nonunion
  • Nerve irritation
  • Blood clots
  • Persistent pain in the ankle or subtalar joint
  • Hardware-related discomfort

Your surgeon will discuss these risks with you and take steps to reduce complications, including careful surgical planning and post-operative monitoring.

Why Choose Us for Advanced Ankle Care?

At Orthopedic Foot & Ankle Center, we understand that every patient’s ankle condition is unique. Our team specializes in advanced surgical and non-surgical treatments for ankle injuries, deformities, and arthritis, including ankle fusion surgery and total ankle replacement. 

With a commitment to precise technique and compassionate care, we guide you from diagnosis through recovery to help you return to the activities you love. If ankle pain is holding you back, contact us today to schedule a consultation and discover whether arthroscopic ankle arthrodesis is right for you.

Medically reviewed by Roberto A. Brandão, DPM, FACFAS

Our Specialists

TERRENCE M. PHILBIN, DO

Board Certified Orthopedic Surgeon

CHRISTOPHER F. HYER, DPM

Board Certified, Fellowship Trained Foot & Ankle Surgeon

PATRICK E. BULL, DO

Board Certified Orthopedic Surgeon

MARK A. PRISSEL, DPM

Board Certified, Fellowship Trained Foot & Ankle Surgeon

RANDALL C. THOMAS JR., DPM

Board Certified Foot & Ankle Surgeon

COREY J. GRIFFITH, DPM

Board Certified Foot & Ankle Surgeon

JUSTIN R. HUDSON, DPM, CWS

Board Certified Podiatric Surgeon and Wound Specialist

LYNETTE R. MEHL, DPM

Board Certified Podiatric Physician, Clinical Podiatrist

SARAH ABSHIER, DPM, CWS

Clinical Podiatrist, Certified Wound Specialist

ROBERTO A. BRANDÃO, DPM

Board Certified, Fellowship Trained Foot & Ankle Surgeon
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