Arthrodesis (Joint Fusion)

What Is Joint Fusion Surgery (Arthrodesis)?

Joint fusion surgery (also known as arthrodesis surgery) literally involves the “fusion” of bones in the joint (ankles, spine, hip, etc).  It is recommended to relieve persistent pain in these areas which may also be compounded by other symptoms like swelling, catching, clicking, instability or “giving way” of the joint.  Arthrodesis surgery often results in the elimination of the actual joint itself.  As a result, the joint might lose flexibility, but in most cases, it can bear weight better.  In addition, pain and swelling tend to subside.    

Joint fusion surgery can be performed either under local, epidural, regional, or general anesthesia depending on the area of operation.  Usually the procedure takes an hour to perform and involves a hospital stay for several days afterwards.  Often, the fused joint is placed in a plaster or a special lightweight thermoplastic cast after the operation.   

Once the effects of anesthesia wear off, patients are encouraged to become mobile and active to avoid deep vein thrombosis and joint stiffness.  Physiotherapy, stretching, and stair exercises are often prescribed.  Patients are usually discharged within 24-48 hours after a joint fusion operation.