Synesmotic Stocking Stuffer
by Vince Vacketta, DPM As winter sets in, for many of us, both snow and your patients may be falling. ‘Tis the season to review some recent literature on ankle fractures. Center-center clamp placement study : CT quality reduction without the hassle? The study was a cadaveric investigation designed to identify the optimal position for clamp placement on fluoroscopy. It found that a fluoroscopic “center-center” view for clamp placement accurately aligns with established CT-b
Dec 11, 20251 min read
Spring Is Here: Lisfranc (LF) Updates
by Vince Vacketta, DPM Today is the first official day of Spring, bringing an increase in sports activities and, consequently, more LF injuries. Even in 2025, the management of LF injuries remains a topic of debate among foot and ankle surgeons. Common controversies include choosing between primary arthrodesis (PA) and open reduction and internal fixation (ORIF), as well as the role of routine hardware removal. PA vs. ORIF and return to sport (RTS) A recent systematic rev
Mar 19, 20251 min read
A Bone to Pick With Allograft Wedges
by Vince Vacketta, DPM Corrective wedges are a useful tool for deformity correction and arthrodesis during reconstructive surgery. In...
Feb 6, 20251 min read
Did Synthetic Bone Grafts Just Hit a Home Run?
It might be time to step up to the plate with synthetic bone biologic stimulation. The evolution of these materials has been a real...
Nov 13, 20241 min read
Well, I Didn't See That Coming
A prospective radiographic review by Seif El Masry et al. examined 44 patients who underwent a minimally invasive bunionectomy (MIB)...
Oct 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...
Jul 2, 20241 min read
MIS Bunions
High on potential, grinding out market share, with research support slowly catching up. Burr-based osteotomy With ever-expanding options...
Apr 20, 20231 min read
Back Together
Big Sky and AOFAS. The intimate setting of Big Sky, Montana hosted the AOFAS winter meeting last month. Designed as a smaller meeting in...
Feb 9, 20231 min read
Poor Bone Quality Alert
DXA is a poor measure of extremity bone quality. Using indirect measures of bone quality like DXA is not an accurate way to predict bone...
Oct 20, 20221 min read
Direct Ligament Repair in Syndesmotic Injury
There is nothing like syndesmotic injuries to inspire debate between the orthopedic trauma and foot and ankle communities. Screw...
Aug 10, 20221 min read
Concentric Placement of Tibia Half Pins Reduces Risk of Stress Fractures With External Fixation
in People With Peripheral Neuropathy Historically, surgeons have avoided using tibial half pins in circular external fixation for the...
Jun 30, 20221 min read
The Bone, the Cartilage – Which Is It?
Autologous matrix-related chondrogenesis (AMIC) technique consists of bone marrow stimulation via microfracture, autograft filling of...
Jun 30, 20221 min read




