The goal of this type of surgery is to fuse or glue together (arthrodesis) 2 joints of the back of the foot (ankle and subtalar joint).
It is a very useful operation to correct various types of deformity of the ankle as well as certain types of arthritis of the back of the foot.
This type of surgery prevents the up and down movement (dorsiflexion and plantarflexion) of the foot and ankle as well as the side to side movement (inversion and eversion) of the back of the foot which will no longer be present.
Usually however for most patients who require a TTC, most of this side to side movement has already been lost.
An intermedullary nail inserted through the bottom of the heel or a combination of screws and plates are inserted to hold the joint together while the fusion occurs. Once the joint is fused the hardware is not necessary but is rarely removed.
Following the arthrodesis, a return to activity and exercise is important which is made easier with physical therapy and regular exercise.
With this particular type of surgery often being a salvage procedure the foot will feel very stiff and although exercise is encouraged this will have to be tailor made to the movement available within the hind foot and will be discussed with therapist post operatively.
In addition to this, carefully designed physical therapy program, your shoes and what you put in them are also important.
An orthotic arch support which will fit in your shoe, and go from shoe to shoe OR the sole of the shoe will be modified to a rocker bottom which facilitates walking in a heel toe fashion and is important for your recovery.
The orthotic support will be made by 1 of my orthotists following a computer analysis of the pressure of the foot.