Pendulum Metal Hypersensitivity: What Are We Missing?
Metal hypersensitivity affects 10-15% of foot and ankle patients, usually presenting with an eczematous-type rash overlying metallic implants and representing a type IV delayed hypersensitivity reaction. Relevance of jewelry allergy A history of jewelry or contact allergy is an important clue. Research shows that 60% of patients with prosthesis-related hypersensitivity (PRH) patients had a known contact allergy – 25.7% to metals and 34.6% to other substances. In a patch test
Oct 151 min read
Are Biointegrative Fixations (OSSIO) in Ankle Replacements Safer than Traditional Hardware?
Hardware removal is a common but costly side of orthopedic and musculoskeletal care. Surgeons and hospitals disagree on allowing...
Jul 231 min read
Cutting Down on Medial Gutter Impingement in Total Ankle Arthroplasty (TAA)
by Vince Vacketta The problem:Â Medial gutter impingement following TAA results in pain and restricted movement, despite the implant being...
Jun 111 min read
Total Ankle Arthroplasties (TAA) Tibia Talk
by Vince Vacketta, DPM Patient-reported outcomes (PROMs) and functional lifespan (survivorship) are the most common metrics used to...
Apr 302 min read
Exactech Declares Bankruptcy
Exactech, founded by orthopedic surgeon Dr. Bill Petty in 1985, evolved into a big player in the orthopedic space, achieving revenues of...
Oct 30, 20241 min read
Tibial Component Micromotion: Spikes, Arcs, and Keels, Oh My!
by Vince Vacketta, DPM Aseptic loosening due to implant micromotion and poor osseointegration remains a major challenge for minimal...
Oct 16, 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,...
Oct 2, 20241 min read
The Debate Is Over, Right?
Fusion of the great toe reigns supreme over joint replacement for first metatarsophalangeal joint arthritis. Case closed, right?...
May 4, 20231 min read




