Triple Fusion

Triple fusion (rigid deformity): ST and TN fusion

A triple fusion (or double fusion) is used for a rigid flatfoot deformity correction. It creates hind foot stiffness but relieves inflammatory and impingement pain. It restores mechanical alignment of the foot. Associated procedures including achilles lengthening and associated osteotomies may be necessary

Triple Fusion Surgery
Post Operative Instructions

Cast:

  • You will have a splint on your ankle for 2 weeks following surgery
  • At 2 weeks a solid below knee non walking cas will be then worn for 4-6 weeks
  • At 8 weeks, you will be placed in an aircast, still non weightbearing, and a CT scan will be ordered for 10 weeks post op

Wound:

  • The surgical incision has been closed with sutures
  • Do not get the cast or wound wet for the first two weeks.
  • When showering place a bag over the cast and secure with tape to your leg to avoid the cast and wound getting wet
  • Stitches will be removed at your 2 week appointment
  • After the stitches are removed, you may begin to shower after 2-3 days
  • Do not immerse the foot in water (bath, hot tub, pool) for 6 weeks
  • Do not apply any lotions or creams on the wound for 6 weeks

Weight Bearing:

  • You will be non weight bearing for the first 10-12 weeks while in a splint or cast
  • You will use a mobility device to offload your foot (crutches, walker, stirrup cast)
  • You wiill begin weight bearing at 10-12 weeks post op depending on wound healing

Medications:

  • Pain medication should be used regularly for the first 24-48 hours, when required for the first 1 to 2 weeks, followed by Regular Tylenol

Driving:

  • For right foot surgery you are not permitted to drive until you have completely weaned off the aircast
  • For left foot surgery, please contact your insurance company to see if you are permitted to drive
  • Driving is not permitted while on narcotics

Work:

  • Four to six weeks off from work is recommended for initial recovery
  • If you are able to get to work safely, and will be seated for the majority of the day, you may return to work four to six weeks after surgery. This is assuming you are not taking narcotic pain mediation.
  • From 2-6 weeks sedentary duties is recommended
  • By 12-16 weeks you can gradually return to full duties
  • If your job is physically demanding, return to full duties is usually possible around 3-6 months post operatively

Follow Up:

  • You will have your first appointment 2 weeks after surgery in the Fracture Clinic
  • Your next appointments will be at 6 weeks, 3 months then 6 months post operatively
  • You will have x-rays taken at these appointments

Recovery:

  • It is normal to experience mild to moderate pain, numbness, or tingling for the first 2 weeks following surgery
  • Please come to the emergency department if you are suffering from severe pain
  • You will get back to most of your activities by 6-12 months
  • Swelling often remains for 6-12 months
  • Residual stiffness is a normal consequence of ankle fracture

Physiotherapy: