Arthrodesis of Foot and Ankle – artroskopicheskaya surgery

Description arthrodesis of the foot and ankle

Артродез – соединение вместе двух костей, forming joint. After the operation, the joint loses mobility. When arthroscopic surgery intervention performed via small incisions in the surgical site. Arthrodesis may be performed simultaneously for multiple joints.

The reasons for performing arthrodesis of the foot and ankle

Ankle arthrodesis is done to relieve pain in the ankle, если неправильно зарос перелом лодыжки, pain associated with arthritis, of infection or the presence of a defect.

Satisfactory results, including good pain relief, is achieved in most patients. Most of them can wear ordinary shoes, but some need special shoes.

Complications of arthrodesis of the foot and ankle

Complications are rare, but no operation ensures no risk. Before, how to perform arthrodesis, you need to know about possible complications, which may include:

• The inability of the joint compound;
• Poor alignment of the joint, onset of pain and / or gait izmeneneniya;
• The need for reoperation;
• Infection;
• Bleeding;
• Nerve Damage.

Factors, that may increase the risk of complications:

• Smoking;
• Infection;
• Chronic diseases;
• Steroids.

How is artroskopicheskaya arthrodesis surgery of the foot and ankle?

Preparing for Surgery

Some non-surgical procedures can correct the problem, so the operation may not be necessary. These may include medication, injection, wearing special shoes or physiotherapy. The patient is carefully examined, to determine the general health and any risk factors.

• A week before the surgery may need to stop taking some medicines:
  • Aspirin or other anti-inflammatory drugs;
  • Blood thinners, eg, clopidogrel (Plaviks) or warfarin;
• The day before the operation can take only a light meal. On the day of surgery can not eat anything;
• It is necessary to prepare for the return home from the hospital after surgery.

Anesthesia

The doctor may use the following types of anesthesia:

• Общая анестезия – пациент будет спать;
• Спинальная анестезия – анестезия вводится ​​непосредственно в позвоночник; the lower part of the body does not perceive pain.

Description arthrodesis surgery of the foot and ankle

Arthroscopic surgery is performed through small incisions. Through one of the incisions, the doctor inserts a thin arthroscope with a camera, connected to a television monitor. Other instruments are entered into the joint through the adjacent sections. There are many ways to secure the two bones together so, that they no longer move relative to each other (eg, Screws).

Around the thigh is wrapped zhgyt, to cut off the blood supply, that the operation has been performed in a bloodless field. From the negative effects zhgutovaniya feet do not hurt.

В некоторых случаях врач может перейти на открытую операцию артродеза, which provides for implementation of a long cut on the foot and ankle.

Immediately after surgery

Shin rigidly fixed and suspended. The patient is administered pain medication.

How long does the surgery?

The operation takes 2-5 hours.

Will it hurt?

Anesthesia will prevent pain during surgery. After the procedure may feel some discomfort.

The time spent in hospital

In the absence of complications during hospitalization is 2-4 day.

Care after surgery arthrodesis of the foot and ankle

Recovery time can take up to four months. Throughout the recovery time leg should be in a cast. After the operation to be performed by medical personnel. We need to ask him, where you can swim, take a shower or to expose the surgical site to water.

It is necessary to go to the hospital in the following cases

• There was bleeding or discharge from the incision (s). This can manifest itself as painting or plaster bandages fiksiruschey;
• There are signs of infection, including fever and chills;
• Inability to relieve pain using painkillers;
• Cough, breathlessness, chest pain, or severe nausea and vomiting;
• Numbness, tingling, or discoloration of the legs.