However, double arthrodesis required a shorter operative time, making it a reasonable alternative for carefully selected patients without significant calcaneocuboid joint (CCJ) involvement. While triple arthrodesis is standard, double arthrodesis has been proposed as an alternative. Patients who underwent double or triple arthrodesis for rigid AAFD in our department from April 2013 to December 2019 were retrospectively reviewed. Double arthrodesis may be considered a reasonable alternative in appropriately selected patients without significant CCJ involvement. https://doi.org/10.1186/s12893-026-04014-8Keywords:Double, Arthrodesis, Viable, Alternative, Triple Arthrodesis, Selected Patients, Wang, C., Li, X., Dong, S.