Ankle Fusion Surgery in Spain

Treatment and Cost

7

Total Days
In Country

2 No. Travelers

3 Day in Hospital

4 Days Outside Hospital

Treatment cost starts from

USD 22000

Hospitals

About the Ankle Fusion Surgery

What is Ankle Fusion Surgery

Ankle fusion operation, also known as ankle arthrodesis, is a surgical procedure conducted to close the joint space by joining the bones that make up the ankle joint.

Your ankle joint is an articulation of three bones. These three bones are known as the tibia, fibula, and the talus. During ankle fusion operation, the cartilage covering the bony surface of the ankle joint is scraped off. The diseased part of the bones is also trimmed.

Next, the newly exposed bony surface of the tibia and the talus are placed in close contact. Additionally, they are compressed using screws. New bone formation takes place in and around the joint resulting infusion of the bones into a single bone.

Candidates for Ankle Fusion Surgery

Ankle fusion operation is recommended for patients experiencing unbearable pain during the ankle movement. The pain may result because of the following reasons:

  • Joint wear and tear
  • Rheumatoid arthritis
  • Post-traumatic arthritis
  • Infection in or around the joint
  • Neuromuscular disease
  • Failure of previous non-surgical treatment

Not all patients with the aforementioned conditions are always suitable for ankle fusion. Patients with the following characteristics are not suggested to undergo this surgery:

  • Insufficient quantity and quality of bone
  • Severe deformity in the leg
  • Vascular diseases that prevent proper healing

How is Ankle Fusion Surgery performed?

During the surgery, you are given either local anaesthesia or sedation to numb the entire ankle area. The doctor makes a small cut on the lateral side of the ankle through the skin so that the joint can be seen clearly. If more visibility is needed, the doctor makes an extra cut in the front of the ankle.

The doctor then uses a saw to remove the articular cartilage on the surface of the joint bones. The diseased bone is removed, exposing the healthy part of the bone. The healthy bone surfaces are compressed using large screws. The bones join naturally through deposition of bone material as is the case with natural fracture healing.

Sometimes, a doctor may place an artificial bone graft or a bone grafted from your fibula to ensure fast healing of the bony surfaces. Before placing the screws, the doctor carefully positions the ankle to ensure maximum movement possible. The ankle is placed at 90 degrees to the lower leg and the heel is slightly outwards. Then the skin is brought back in place and sutured together.

Recovery from Ankle Fusion Surgery

Ankle fusion recovery time depends on how seriously you take the following precautions after the surgery:

  • You need to keep the leg raised and give yourself cold compression to avoid swelling.
  • You may sometimes feel tingling sensation early in the morning once you put your leg down. This is because sudden rush of blood towards the ankle when you change the position from an elevated position.
  • You should take pain medicines as directed by your doctor.
  • You should come back to the hospital 10 to 15 days after the surgery to get the stitches removed.
  • You will have to carry the splint for 6 to 12 weeks.
  • Your doctor will put you on a no-weight bearing program for 6 to 12 weeks. This period can be extended if your doctor finds that healing is not fair enough.
  • You will be advised to go ahead with gentle physiotherapy after removal of splints to prevent stiffness in joints.

Alternate treatment options:

Arthroscopic ankle fusion surgery: This procedure is similar to the open ankle fusion surgery. However, the incision is very small and the entire procedure is carried out by inserting an instrument that has a camera attached to one end. It helps the doctor clearly view the interior cartilage and bones. Faster recovery and healing are the two advantages of this approach.

Ankle joint replacement: During this procedure, the entire ankle joint is replaced. The advantage of this technique over ankle fusion is that it retains complete movement of the ankle.

Ankle Fusion Recovery Time

  • The minimum time that it takes to recover from fusion recovery is between 12 to 15 weeks.
  • During the first 6 to 8 weeks, you are not supposed to put any weight on the ankle. If you do anything like that, it may disturb the natural healing of the joint.
  • During 8 to 10 weeks of a recovery period, your doctor will advise you to get an X-ray done. If the healing is good, you will be allowed to conduct the light physical activity with the help of cast boots.
  • During 10 to 12 weeks, you can increase the physical activity, but you will be asked to take help of supportive ankle devices.

Patient Stories

Frequently Asked Questions

What is the health care infrastructure of Spain / Why should opt for Spain as a destination for your medical treatment?
Spain has a uni payer healthcare system. This means that there is universal coverage for most of the expenses (excluding prescription drugs). One might have to wait for quite some time to avail of elective procedure treatment in Spain. Non-European travelers must have valid health insurance coverage to benefit from the hospitals in Spain. One can also avail of it on a residency visa. The private insurance system helps you to avail the benefits at monthly costs. The taxes in Spain are comparatively lower than those of other European countries. Hence, one can surely opt for this country for medical treatment.
What are the conditions of the hospitals in Spain? Are they JCI certified? What is the quality of the support staff in the hospitals?
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety. Here are a few JCI certified hospitals in Spain :
  • Vithas Xanit International Hospital
  • Grupo Hospitalario Quirónsalud
  • Centro Médico Quironsalud Teknon
  • Hospital General de Catalunya
  • Instituto de Microcirugía Ocular (IMO Barcelona)
  • Sanitas Hospitales
  • Guttmann Institute
  • Instituto Balear de Oftalmología (IBO)
Are the doctors/surgeons in Spain of the best quality?
The hospitals in Spain are based on “el sistema national de salud” which provides high-quality care and medical centres, that is, “centros de salud”. This system has public and private healthcare systems, often within the same level. Since many countries send ex-pats here, one can even find an English speaking doctor very easily. Most doctors are adequately skilled and can handle the cases.
What is the process for obtaining a medical visa in Spain?
One has to apply for a Schengen Visa to gain entry into Spain for a medical purpose. The required documents when applying for a Schengen Visa for Medical Treatment are as follows:
  1. Visa application form.
  2. Two photos.
  3. Valid travel document/passport.
  4. A copy of your passport's data page.
  5. Roundtrip flight reservation.
  6. Travel Medical Insurance.
  7. Proof of accommodation
What support services does MediGence provide in Spain?
MediGence has been praised on a global scale for the list of services they provide. Apart from the listed services, the staff and the guides are adorned for their customer interaction, impromptu assistance, and various other assistance related guidance throughout the tour. Thus, the list of services provided by MediGence are:
  • Insurance query related guidance
  • In-detail guidance till completion of the medical tour
  • Visa Assistance
  • Free airport to hospital transfer
  • On-Ground Support
  • Teleconsultations
  • Accommodations Assistance
  • Rehabilitation and recovery services
Which are the best cities in Spain for medical treatment?
Spain has many cities like Madrid, Barcelona, Valencia, and Pamplona that have some of the best hospitals in Spain. Madrid has good hospitals for general and reproductive health facilities. Barcelona has hospitals specializing in child healthcare.

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