The Orthobullets Podcast Foot & Ankle | Ankle Arthrodesis
Dec 25, 2025
Dive into the intricacies of ankle arthrodesis! The discussion includes indications like post-traumatic arthritis and instability. Surgical approaches are explained, with a focus on arthroscopic versus open methods. Hear about the pros and cons of various fixation options and the significance of tibiotalocalcaneal fusion for complex conditions. The risks of complications such as nonunion and nerve injury are addressed, along with long-term issues like subtalar arthritis. Lastly, discover the optimal fusion position for maintaining normal gait!
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Ankle Fusion Defined And Approaches
- Ankle arthrodesis fuses the tibiotalar joint and treats end‑stage ankle arthritis.
- It can be performed open or arthroscopically depending on deformity and exposure needs.
Choose Approach By Deformity
- Use arthroscopic arthrodesis only when deformity is minimal.
- Choose a transfibular open approach when deformity requires wider exposure and bone graft access.
When To Use Retrograde Nail (TTC)
- Consider a retrograde intramedullary nail (TTC) for combined ankle and subtalar disease or Charcot.
- The lateral transfibular approach provides dual joint access and local autograft for extensive talar pathology.