Foot and Ankle Arthritis Surgery in Wake County

Debridement is a minimally invasive surgical procedure designed to clean the joint by removing damaged cartilage, inflamed tissue, and bone spurs that are contributing to pain and restricted movement. It is often recommended for patients with mild to moderate arthritis who still have some healthy cartilage remaining. During the procedure, the surgeon uses small instruments inserted through tiny incisions to clear the joint of problematic tissue. Debridement is typically performed on an outpatient basis, meaning most patients return home the same day. Following surgery, patients can expect some initial swelling and discomfort, which is managed with medication. Physical therapy plays an important role in recovery, helping patients regain strength and mobility in the foot and ankle. While debridement does not halt the progression of arthritis, it can effectively reduce pain and improve joint function, often delaying the need for more extensive procedures.

Ankle arthroscopy is a minimally invasive procedure that allows our surgeons to both diagnose and treat problems inside the ankle joint using a small camera called an arthroscope. During the procedure, the arthroscope is inserted through a small incision in the ankle, transmitting images to a monitor and guiding the surgeon as they address issues such as bone spurs, inflamed tissue, loose bodies, or cartilage damage. Ankle arthroscopy typically results in less post-operative pain, shorter recovery times, and smaller scars compared to traditional open surgery. Most patients can return home the same day. Recovery time varies depending on the extent of the procedure, but patients typically begin weight-bearing with support within a few weeks and gradually progress through a structured physical therapy program. Our goal is to help you regain full function and return to your normal activities as safely and quickly as possible.

Foot or ankle fusion surgery, also called arthrodesis, is a procedure that permanently joins bones together to reduce friction and relieve pain. Before surgery, your doctor will review your imaging results, discuss your medical history, and provide detailed preparation instructions. Arthrodesis can be performed under general or regional anesthesia. Incisions are made around the ankle joint, damaged cartilage and bone are removed, and screws or plates are inserted to join the affected bones together. From there, fasteners are secured and the incisions are closed. Foot or ankle fusion can also be performed arthroscopically, depending on the extent of arthritis and other specific considerations. Most patients can return home the same day, with the ankle secured in a brace or boot to promote healing. The bones will then fuse over a few months, making the ankle stronger and more stable.

Total ankle replacement (TAR) is a joint-preserving surgical option for patients with advanced ankle arthritis who wish to maintain joint motion. During the procedure, the damaged surfaces of the ankle joint are replaced with prosthetic components — typically a metal and plastic implant — designed to replicate the natural movement of a healthy ankle. Total ankle replacement is ideal for active patients who want to preserve as much range of motion as possible. Compared to fusion, TAR allows for more natural gait mechanics and places less stress on adjacent joints. Recovery involves a period of immobilization followed by progressive weight-bearing and physical therapy to rebuild strength and balance. Most patients experience substantial pain relief and improved function. Our foot and ankle surgeons will help you determine whether total ankle replacement is the right option based on your bone quality, activity level, and overall health.