GLP-1s: Existential Threat to Arthroplasty Volume
GLP-1s appear to be more than weight loss drugs, potentially offering direct joint protection and dramatically reducing surgical risk. By the numbers Recent research demonstrates significant clinical benefits across multiple measures: 40% of obese patients with known hip arthritis prescribed a GLP-1 showed a reduced risk of hip replacement within one year, based on data from 239,000+ patients. 25% of obese patients with known knee arthritis on a GLP-1 demonstrated a reduce
May 71 min read
Ankle Osteoarthritis and Joint Replacement: Does Injury Cause Matter?
by Vince Vacketta, DPM Does injury type influence how well total ankle replacement restores function? Researchers conducted a biomechanical gait analysis comparing patients with post-fracture arthritis to those with post-sprain arthritis, measuring a nkle motion, walking forces, and step patterns. What the study found Both groups experienced pain relief and improved PROMS. However, biomechanical outcomes differed: Post-fracture arthritis patients showed limited ankle rang
Jan 151 min read
To Infinity and Beyond
For surgeons and patients with end-stage arthritis, the choice between joint replacement and fusion isn’t always clear. A new study offers direct comparison by analyzing 100 INFINITY ® total ankle arthroplasty (TAA) patients (2008-2021) and 200 fusion patients (2013-2021), all with at least one year of follow up. Adults ≥19 years reported outcomes using the Ankle Osteoarthritis Scale, MODEMS, and SF-36, providing a head-to-head look at pain relief and long-term function. R
Nov 26, 20251 min read
A Strict No-Germ Policy for My Total Joints
The incidence of a prosthetic joint infection (PJI) in primary total ankle arthroplasty (TAA) has been reported as 2.4%, according to a...
May 1, 20251 min read
Joint Line Considerations in TAA
by Vince Vacketta, DPM The importance of restoring the native joint line has been well studied in TKA. As surgeons continue to work to...
Nov 2, 20231 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
