Arthrodesis (Bone Fusion) at Raleigh Orthopedic

What is a Bone Fusion Procedure?

Bone fusion, or arthrodesis, is a surgical procedure that permanently joins two bones together, limiting movement and alleviating pain. The procedure is usually performed in weight-bearing joints such as the ankles, wrists, fingers, and spine, although it may also be used in the hips, knees, and other areas. During surgery, the orthopedic surgeon removes damaged cartilage and bone in the affected joint, allowing the targeted bones to heal together as one solid structure. This process prevents painful movement and restores stability in the damaged joint, making arthrodesis an effective solution for conditions where joint motion causes chronic pain or dysfunction. 

Joint pain and mobility issues can significantly impact a person’s quality of life. For individuals suffering from severe arthritis, joint deformities, or instability, arthrodesis can be a life-changing procedure. At our Raleigh Orthopedic Surgery Centers in Raleigh and Panther Creek, our expert surgeons provide advanced bone fusion procedures to reduce pain and support healthier movement for patients in Wake County and beyond.

When is Bone Fusion Surgery Needed?

When you visit one of our specialists at Raleigh Orthopaedic, your care team will work to provide an accurate diagnosis and determine the best next steps for your care. We strive to utilize conservative treatment options whenever possible, but if surgery is required, your doctor will be happy to answer any questions you have. Since bone fusion eliminates joint movement, it is typically reserved for cases where mobility is already severely compromised or where movement itself is the source of pain. Arthrodesis is usually recommended for patients with:

  • Severe Arthritis: When cartilage in a joint wears down completely, bone-on-bone friction can cause extreme pain and stiffness.
  • Joint Deformities: In cases of misalignment due to injury or congenital conditions, fusion can improve joint structure and function.
  • Joint Instability: If a joint has become too weak to support body weight, a fusion procedure can restore strength and prevent further complications.
  • Failed Previous Surgeries: If joint replacement or other treatments have not relieved symptoms, arthrodesis may be the best solution.
  • Trauma-Related Damage: Severe fractures or dislocations can lead to chronic pain and instability, requiring surgery to restore proper alignment.

What are the Benefits of Joint Fusion for Orthopedic Patients?

Arthrodesis is an effective solution for individuals suffering from persistent pain and joint dysfunction. While joint fusion does limit movement in the affected joint, the trade-off is typically worthwhile for individuals suffering from debilitating pain and instability. Some key benefits of this procedure include:

  • Long-Term Pain Relief: By eliminating movement in the damaged joint, fusion significantly reduces or eliminates chronic pain.
  • Improved Stability and Function: The fused bones create a solid, stable structure that can bear weight more effectively.
  • Increased Mobility in Other Joints: While the fused joint no longer moves, nearby joints can function better without pain interference.
  • Avoidance of Total Joint Replacement: For some patients, fusion may be a more suitable alternative to artificial joint replacement.
  • Lower Risk of Complications: Unlike joint replacements, which may require future revisions, a successful fusion is usually a permanent solution for joint pain.

Fusion of Bones at Raleigh Orthopaedic Surgery Center

At Raleigh Orthopaedic’s Wake County surgery centers, our skilled orthopedic specialists offer advanced bone fusion operations using cutting-edge techniques and minimally invasive methods whenever possible. We want our patients to be active participants in their care, and encourage each patient to ask questions and bring up concerns in order to support a successful outcome. Here’s what to expect before, during, and after your arthrodesis procedure at Raleigh Orthopaedic.

Before Your Arthrodesis Procedure

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Once surgery is raised as a potential treatment option for your orthopedic pain or condition, your surgeon will discuss the procedure in detail, including expected outcomes, risks, and recovery expectations. Prior to surgery, you will undergo a comprehensive physical evaluation, including: 

  • Medical History Review: Your surgeon will assess your symptoms, previous treatments, and overall health to ensure that surgery is the best next step for you.
  •  Imaging Tests: X-rays, MRIs, or CT scans help determine the extent of joint damage and the best approach for fusion.
  • Preoperative Preparation: You may need to stop certain medications, adjust your diet, and prepare for temporary mobility limitations after surgery.

During Your Bone Fusion Procedure

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Arthrodesis is performed under general or regional anesthesia. The duration of the surgery varies based on the joint being treated but usually lasts between 1 and 3 hours. Depending on the severity of your condition, your surgeon may use one of the following fusion techniques:

  • Bone Grafting: Bone tissue (from your own body or a donor) is placed between the bones to promote fusion.
  • Fixation with Screws, Plates, or Rods: These stabilizing devices hold the bones in place while they heal together.
  • Minimally Invasive Techniques: Some fusions can be performed using small incisions and arthroscopic assistance to minimize tissue damage.

After Your Bone Fusion

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Post-surgery, patients are monitored in the recovery area before being discharged. Your surgeon will provide detailed post-operative instructions, which you should follow closely to support a successful recovery. Adhering to your recovery instructions and staying in contact with your care team will ensure that your surgical experience is a success from beginning to end. Considerations to keep in mind after bone fusion include:

  • Pain Management: Medications will help control discomfort as the bone heals.
  • Limited Mobility: You may need crutches, a walker, or a brace to avoid putting weight on the fused joint as it heals.
  • Physical Therapy: After the initial healing period, physical therapy can help strengthen surrounding muscles and improve overall joint function.

How Long Does Recovery from Arthrodesis Take?

Recovery time following bone fusion surgery varies depending on the location of the fusion and the patient’s overall health. Your surgeon will monitor your healing through follow-up appointments and imaging studies to ensure that the bones are fusing properly. In general, patients can expect the following recovery timeline:

  • Initial Healing: Takes around 6-12 weeks, during which movement restrictions and protective devices (like a cast or brace) are required.
  • Rehabilitation: Can last anywhere from 3 to 6 months, depending on the joint involved and individual recovery progress.
  • Complete Bone Fusion: May take several months to a year, depending on the body’s healing response.

Outpatient Orthopedic Surgery in Wake County

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At Raleigh Orthopaedic, we proudly provide personalized treatment plans to ensure the best possible outcomes, catering each procedure to the patient’s specific needs and lifestyle. Whether you need an ankle fusion, spinal fusion, or wrist arthrodesis, our specialists deliver expert care with advanced surgical approaches. If you are suffering from chronic joint pain, arthritis, or joint instability, arthrodesis may be the solution you need. Contact your nearest Raleigh Orthopaedic location today to schedule an appointment and learn more about how we can help you.