Second Metatarsal Shortening With First MTP Fusion: Is it Necessary?
by Vince Vacketta, DPM To examine whether adding a second metatarsal shortening (Weil) osteotomy is truly needed to address transfer metatarsalgia in patients undergoing first MTPJ arthrodesis, a new study compared outcomes between patients who had first MTPJ fusions alone and those who received the fusion combined with a second metatarsal Weil osteotomy. Study results A second metatarsal Weil osteotomy is not needed Pain and functional outcomes were similar between both gro
Nov 26, 20251 min read
Medial Sesamoid Autograft in 1st MTP Fusion
A recent retrospective review studied the use of the medial sesamoid, removed via the same incision, as an autograft in first...
Jul 9, 20251 min read
Does a Fusion End the Athlete's Career?
by Vince Vacketta, DPM Midfoot and 1st metatarsal phalangeal (MTP) fusions are predictable for pain relief, but everyone wants to know if...
May 14, 20251 min read
The Gloves Are Off
David (niche bunion company Treace Medical Concepts ) takes on Goliath ( Stryker Corporation ) with a newly announced lawsuit , alleging...
Oct 30, 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




