Oct 3, 20241 min read
Outcomes in Total Ankle Arthroplasty (TAA) Revision: Can We Correct Our Failures?
by Vince Vacketta, DPM A recent retrospective study  by Wu et al. aims to shed light on outcomes of revision TAA. Between 2008 and 2022,...
Sep 19, 20241 min read
Internal Research Bracing Against Artelon
With new players in the ligament augmentation market, such as In2Bones  BioBrace, and the lasting excitement surrounding Stryker ’s...
Sep 19, 20241 min read
Is Activity Truly Improved Following Total Arthroplasty (TAA)?
Post-operative activity limitations is an important question for both patients following TAA. While several studies have quantified...
Sep 19, 20241 min read
Age and Arthroplasty
With increasing evidence showing improvements in activity and pain following total ankle arthroplasty (TAA), compounded by advancements...
Jul 25, 20241 min read
What's New? Osteochondral Lesions of the Talus (OLT)
Using the general term osteochondral lesions of the talus is a disservice to patients and physicians alike. Individual characteristics...
Jul 11, 20241 min read
Total Ankle Arthroplasty (TAA) versus Ankle Arthrodesis (AA): Insights From Germany
by Vince Vacketta, DPM Another retrospective comparative study has been published, this time using a German insurance database to...
Jul 11, 20241 min read
Platelet-Rich Plasma (PRP) and Ankle Arthritis: What's the Latest?
In 2021, Paget et al. published a study in JAMA Network that involved a randomized clinical trial with 100 patients comparing the...
Jul 11, 20241 min read
The Incredible Shrinking World
Accessing and sharing information has never been easier. Dr. Selene Parekh is doing his part to foster connections for educational...
Jul 2, 20241 min read
Pain After Ankle Arthroplasty (AA): Is Conversion to Total Ankle Arthrodesis (TAA) Truly Viable?
Debilitating ankle osteoarthritis (OA) affects a broad demographic of patients. Considerations for procedure selection between AA and TAA...
Jul 2, 20241 min read
Bone Quality & Total Ankle Arthroplasty (TAA)​
A core principle in major joint arthroplasty is achieving immediate and stable fixation of the implant. This principle also applies to...
Jun 26, 20241 min read
Preventing Medial Tibial Stress Fractures After TAR: New Insights
Gregory Lundeen was the foot and ankle surgeon who first described medial malleolar fractures (MMF) in the context of total ankle...
Jun 26, 20241 min read
Malpractice Litigation and Hindfoot Fusion
by Vince Vacketta, DPM Medical malpractice litigation is an unfortunate aspect of any physician’s or surgeon's practice. Orthopedic...
Jun 26, 20241 min read
Foot Innovate Leadership Conference 2024: Innovative Educational Experience
Foot Innovate held its Leadership Conference in Dallas from June 6-8, 2024. Chairman Mark Easley and the Foot Innovate leadership team of...
Jun 13, 20241 min read
Osteoporotic Ankle Fractures
by Vince Vacketta, DPM Ankle fractures are the third most common fracture among elderly individuals. They often come with extra...
Jun 13, 20241 min read
And the Survey Says ...
The use of technology in orthopedics is influenced by insurance status, location of care, physician preference, and patient factors. So,...
Jun 13, 20241 min read
A Pioneering Material in Soft Tissue Fixation Goes to Stryker
Last week, Stryker announced the signing of a definitive agreement to acquire all of the issued and outstanding shares of Artelon. The...
May 30, 20241 min read
To Stage or Not to Stage, the TAA Dilemma
by Vince Vacketta, DPM Deformity correction in total ankle arthroplasty (TAA) has continued to expand with the advancements in...
May 30, 20241 min read
Trends in TAR Failure
by Vince Vacketta, DPM A recent report from Demetracopoulos et al. offers new insights regarding the incidence and chronology of total...
May 30, 20241 min read
How Long Do I Have to Follow This Patient?
The average follow-up for surgical procedures varies widely and there is limited data to help us make informed decisions. Each visit...
May 2, 20241 min read
A Sticky Subject in Total Ankle Arthroplasty (TAA)
by Vince Vacketta, DPM Cement fixation in TAA is a controversial topic. While the FDA requires the use of bone cement for on-label use of...
May 2, 20241 min read
The Solution to Pollution Is Dilution
In our last FIX, we reported on the surprising result of antibiotic powder not achieving the goal of decreased surgical site infections...
May 2, 20241 min read
Is "NPO After Midnight" Enough Time in the Age of GLPs?
Glucagon-like peptide-1 receptor agonist (GLP-1 RA) use is rapidly increasing in the US, driven by its use for weight management and type...
Apr 18, 20241 min read
Sterile Wounds Seemed Like a Good Idea
Sprinkling some vancomycin powder (vanco) in a wound seems like a reasonable idea. First adopted in total joint arthroplasty, it has...
Apr 18, 20241 min read
Minimally Invasive Surgery (MIS) Training Wheels With First Metatarsal Phalangeal Joint (MTPJ) Fusions
by Vince Vacketta, DPM The indications and utilization of minimally invasive techniques in foot and ankle surgery continue to grow at an...