Advanced Foot and Ankle Orthopedics

👨‍⚕️ SURGEON'S INSIGHT with Dr. Rajiv Shah Successful foot & ankle fusion is not just about achieving stable fixation — meticulous preparation of the joint surface also plays a critical role in bone healing. A key technique is perforating the articular surface with multiple K-wires in different directions to systematically create multiple channels across the fusion site. Why use K-wires instead of a drill? 🔹 K-wires can help pull bone material out of the perforation sites, whereas drilling may push material inward. 🔹 Multiple perforations can help improve vascular access to the underlying bone. 🔹 Controlled perforation encourages bleeding from the bone surface, creating a more favorable biological environment for fusion. When combined with precise joint preparation and stable fixation, these principles can help optimize the biological environment for successful foot & ankle fusion. 👣 Advancing Foot & Ankle Care Through Evidence-Based Surgery. 📍 Dr. Rajiv Shah | Senior Foot & Ankle Surgeon 📚 Sharing surgical insights, innovations, and expert perspectives. #DrRajivShah #FootAndAnkleSurgeon #SurgeonsInsight #FootFusion #AnkleFusion Aug 25, 2026