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

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

In a recent retrospective  study , researchers reviewed 282 feet in 180 ambulatory cerebral palsy (CP) patients undergoing calcaneal...

Outcomes for cheilectomy and osteotomies for HR are generally OK, but not great. Are newer treatment approaches worth the squeeze?   The...

by Vince Vacketta, DPM The importance of restoring the native joint line has been well studied in TKA. As surgeons continue to work to...

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

Avascular necrosis of the talus has been a diagnosis vexing foot-and-ankle surgeons for a long time. Real pain and disability with...

Prophecy planning opened up the foot and ankle world to digital planning. Released in 2008, Prophecy showed that the INBONE II implant...

The Evans osteotomy, a lateral column lengthening procedure, has long served as one of the workhorses in the treatment algorithm for...

The Evans osteotomy, a lateral column lengthening procedure, has long served as one of the workhorses in the treatment algorithm for...

For the operative treatment of insertional Achilles tendinopathy with Haglund’s Impingement and Retrocalcaneal Bursitis, protracted...

Elena Neunteufel, MD, et al. case series, "Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy of the Lesser Toes: Clinical,...

Total ankle replacements (TARs) have higher rates of osteolysis than hip or knee replacements. New problem or old problem getting worse?...

“Clinical and Radiographic Outcomes of Percutaneous Chevron-Akin Osteotomies for the Correction of Hallux Valgus Deformity,” a case...

Last week's JB&JS Case Connector Case Report “Early Failure of the Paragon28 Phantom Hindfoot Fusion Nail” by Dr. Elizabeth M. Friedmann...

The promise of bio fixation – fixation that disappears after its useful life – has been an elusive target limited by osteolysis and...

One of the most common musculoskeletal surgeries performed, bunion treatment is big business in the US. There is little consensus,...