Triple Arthrodesis
Triple Arthrodesis Surgery in Hawaii
Triple arthrodesis is a surgical procedure used to treat severe hindfoot arthritis, deformity, or instability by fusing three joints of the hindfoot: the subtalar, talonavicular, and calcaneocuboid joints. These joints play a major role in side-to-side motion and foot adaptability.
Triple arthrodesis is typically recommended for patients with painful, rigid deformities—such as advanced flatfoot, cavovarus deformity, post-traumatic arthritis, or neuromuscular conditions—when non-surgical treatments no longer provide adequate relief.
How Surgery Is Performed
Triple arthrodesis involves removing the remaining cartilage from the three hindfoot joints and positioning the foot in proper alignment. The joints are then stabilized with screws, plates, or other fixation devices to allow the bones to fuse into a single, stable construct.
Additional procedures may be performed at the same time to address tendon imbalance, deformity, or alignment issues.
Goals of surgery include:
Eliminating pain from arthritic or unstable hindfoot joints
Correcting deformity and restoring a plantigrade foot
Improving stability and walking tolerance
Preventing progression of deformity and skin breakdown
Recovery After Surgery
Recovery following triple arthrodesis is structured and prolonged, reflecting the extent of fusion and bone healing required.
Typical recovery progression includes:
Initial immobilization with strict non–weight bearing
Gradual progression to partial and then full weight bearing once fusion is progressing
Physical therapy focused on strength, balance, and gait adaptation
Transition to supportive footwear or bracing as needed
Full recovery may take several months. While hindfoot motion is lost, most patients experience significant pain relief and improved stability.
Risks and Considerations
Risks include nonunion, infection, wound complications, nerve irritation, hardware discomfort, and stress on adjacent joints. Loss of hindfoot motion is expected, but this tradeoff is often acceptable given pain relief and improved function. Careful alignment and adherence to postoperative restrictions are essential.
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
