CPT® Code 28715

Arthrodesis of the ankle, specifically referred to as a triple arthrodesis, is a surgical procedure aimed at fusing three critical joints in the foot: the talocalcaneal, talonavicular, and calcaneocuboid joints. This procedure is typically indicated for patients suffering from severe conditions such as arthritis, avascular necrosis of the bones that form the ankle joint, or complications arising from previous surgeries like failed total ankle arthroplasty. Additionally, it is performed to correct deformities resulting from trauma, congenital anomalies such as untreated clubfoot, or deformities associated with neuromuscular diseases. The surgical approach involves making lateral and medial longitudinal incisions just below the ankle to access the joints. The articular cartilage is meticulously removed to prepare the joint surfaces for fusion, and the position of the hindfoot is corrected to restore proper alignment and function. Stabilization of the joints is achieved through the use of screws, wires, or staples, and autogenous bone grafts may be utilized to enhance the fusion process. This procedure is essential for restoring mobility and alleviating pain in patients with significant joint dysfunction in the hindfoot.