Double Arthrodesis
Double Arthrodesis Surgery in Hawaii
Double arthrodesis is a surgical procedure used to treat painful hindfoot arthritis or deformity by fusing two of the three major hindfoot joints, most commonly the subtalar and talonavicular joints. This approach preserves the calcaneocuboid joint while still providing significant correction and pain relief.
Double arthrodesis is often selected when pathology is limited to two joints and full triple arthrodesis is not necessary.
How Surgery Is Performed
Double arthrodesis involves removing cartilage from the two affected hindfoot joints and positioning the foot in optimal alignment. The joints are stabilized using screws and/or plates to allow solid fusion.
The specific joints fused depend on the pattern of arthritis or deformity. Additional procedures may be performed to optimize alignment and balance.
Goals of surgery include:
Eliminating pain from arthritic hindfoot joints
Correcting deformity while preserving uninvolved joints
Restoring a stable, plantigrade foot
Improving walking tolerance and function
Recovery After Surgery
Recovery after double arthrodesis is similar to other hindfoot fusion procedures and focuses on protecting bone healing.
Typical recovery progression includes:
Initial immobilization with non–weight bearing
Gradual progression to protected and then full weight bearing as fusion heals
Physical therapy focused on strength, balance, and gait mechanics
Transition to supportive footwear or bracing as needed
Full recovery often takes several months. While some hindfoot motion is lost, many patients experience substantial pain relief and improved stability.
Risks and Considerations
Risks include nonunion, infection, wound complications, hardware irritation, nerve injury, and progression of arthritis in remaining joints. Careful alignment and compliance with postoperative protocols are key to successful outcomes.
Office Location
30 Aulike St. Suite 201
Kailua, HI 96734
Contact Information
scheduling@windortho.net
(808) 261-4658
Surgical Facilities
Castle Medical Center
Windward Surgery Center
