Subchondral insufficiency (SI) of the knee manifests as pain, with imaging showing edema in the femur or tibia. SI represents bone failure beneath cartilage in early to moderate osteoarthritis, and current surgical options are limited short of joint replacement. A February 2025 study introduces a novel structural solution adapted from construction engineering: a "rafter" arrangement of biointegrative, fiber-reinforced nails designed to internally support the failing bone. Raf

We all want an effective approach to improve outcomes with osteochondral lesions of the talus. CBMA, rich in stem cells and cartilage-promoting factors, has emerged as a potential solution, but clinical evidence remains limited. A systematic review of 15 studies (PubMed, Scopus, Cochrane) examining functional and pain outcomes after CBMA-assisted surgical treatment of osteochondral talus lesions in adults. CBMA improved pain and function across multiple applications – standa

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

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

by Vince Vacketta, DPM Corrective wedges are a useful tool for deformity correction and arthrodesis during reconstructive surgery. In...

It might be time to step up to the plate with synthetic bone biologic stimulation. The evolution of these materials has been a real...

A prospective radiographic review by Seif El Masry et al. examined 44 patients who underwent a minimally invasive bunionectomy (MIB)...

A core principle in major joint arthroplasty is achieving immediate and stable fixation of the implant. This principle also applies to...

High on potential, grinding out market share, with research support slowly catching up. Burr-based osteotomy With ever-expanding options...

Big Sky and AOFAS. The intimate setting of Big Sky, Montana hosted the AOFAS winter meeting last month. Designed as a smaller meeting in...

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...

There is nothing like syndesmotic injuries to inspire debate between the orthopedic trauma and foot and ankle communities. Screw...

in People With Peripheral Neuropathy Historically, surgeons have avoided using tibial half pins in circular external fixation for the...

Autologous matrix-related chondrogenesis (AMIC) technique consists of bone marrow stimulation via microfracture, autograft filling of...