Triple Arthrodesis and Internal Fixation

1. What is Triple Arthrodesis?
Triple arthrodesis is a reconstructive foot surgery that permanently fuses three hindfoot joints: the subtalar, talonavicular, and calcaneocuboid joints. The goal is to create a stable, well-aligned hindfoot.

2. When is Triple Arthrodesis recommended?
It may be recommended for severe painful arthritis, rigid flatfoot or cavovarus deformity, major hindfoot instability, post-traumatic deformity, or certain neuromuscular conditions when conservative treatment has failed.

3. What is the role of internal fixation?
After the joint surfaces are prepared and positioned correctly, screws, plates, or other fixation devices are used to hold the bones securely together. This maintains alignment while the bones heal and fuse.

4. How is the procedure performed?
The surgeon exposes the affected joints, removes damaged cartilage and prepares the bone surfaces for fusion. The joints are positioned in an appropriate alignment, bone graft may be used when required, and internal fixation is applied to maintain stability.

5. Which joints are fused?
The three joints are the subtalar joint, talonavicular joint, and calcaneocuboid joint. Fusing these joints reduces painful movement and stabilizes the hindfoot, although some foot motion is permanently reduced.

6. How long does the surgery take?
The operation commonly takes around 2–4 hours, although complex deformities or additional procedures may require longer. Hospitalization and recovery depend on the patient's condition and surgical complexity.

7. What are the benefits of Triple Arthrodesis?
Potential benefits include significant reduction in hindfoot pain, correction of deformity, improved foot stability, and improved ability to walk and bear weight. The procedure is intended to provide durable structural stability rather than preserve joint movement.

8. What are the risks and complications?
Possible complications include infection, wound-healing problems, nerve or blood-vessel injury, blood clots, hardware irritation or failure, malalignment, non-union or incomplete fusion, and development of arthritis in neighboring joints over time.

9. Why consider India for Triple Arthrodesis?
India has experienced orthopedic and foot-and-ankle surgeons, modern imaging and surgical facilities, advanced fixation systems, and rehabilitation services. Treatment costs can also be comparatively competitive for international patients.

10. How can Medavelle help?
Medavelle can coordinate medical-record and imaging review, identify an appropriate orthopedic foot-and-ankle specialist and hospital, obtain an indicative treatment plan and quotation, and assist with hospital and travel coordination for international patients.