Decide for Yourself, Don't Let Biases Decide for You
Strict BMI cutoffs for total ankle arthroplasty (TAA) may unintentionally restrict who gets surgery. A recent study of 1,215 TAA patients from the ACS-NSQIP database (2011–2020) found that applying common BMI eligibility cutoffs (<50, <45, <40, <35) disproportionately affected certain racial, ethnic, sex, and age groups. What they found The analysis revealed notable disparities in eligibility across these demographic groups: The tighter the BMI cutoff, the bigger the di
Dec 11, 20251 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
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 23, 20251 min read
Cutting Down on Medial Gutter Impingement in Total Ankle Arthroplasty (TAA)
by Vince Vacketta The problem: Medial gutter impingement following TAA results in pain and restricted movement, despite the implant being...
Jun 11, 20251 min read
Shoes Matter in Ankle Surgery Gait Analysis
Most gait studies post-ankle surgery are performed with participants walking barefoot, which is not a realistic scenario. A notable ...
Jun 11, 20251 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 30, 20252 min read
The Tipping Point in TAA Has Arrived
by Vince Vacketta, DPM Total ankle arthroplasty (TAA) utilization continues to grow . Looking back and projecting forward helps us better...
Apr 16, 20252 min read
Obesity and Arthroplasty ... Again!
by Vince Vacketta, DPM Beyond a surgeon’s experience and skill, patient selection is critical for the success of total ankle arthroplasty...
Apr 3, 20252 min read
Joint Line Considerations in Total Ankle Arthroplasty (TAA)
by Vince Vacketta, DP M Joint line height has been established as an influential parameter in TAA, with previous research showing that an...
Jan 9, 20251 min read
Sports Activity Following Total Ankle Arthroplasty (TAA): This Again?
by Vince Vacketta, DPM The extent of activity limitations after a TAA is not fully understood. We are aware of activities to avoid, such...
Dec 26, 20241 min read
No Metal? No Problem – an All-Plastic Total Ankle Arthroplasty (TAA)
by Vince Vacketta, DPM As frequently highlighted in FIX, innovation within the foot and ankle orthopedic space continues to flourish both...
Dec 12, 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
Total Ankle Arthroplasty (TAA) versus Ankle Arthrodesis (AA): Insights From Germany
by Vince Vacketta, DPM Another retrospective comparative study has been published, this time using a German insurance database to...
Jul 10, 20241 min read
Pain After Ankle Arthroplasty (AA): Is Conversion to Total Ankle Arthrodesis (TAA) Truly Viable?
Debilitating ankle osteoarthritis (OA) affects a broad demographic of patients. Considerations for procedure selection between AA and TAA...
Jul 2, 20241 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 1, 20231 min read
Preoperative Patient Related Factors and TAR Outcomes
Some patients report poor health-related quality of life after undergoing total hip arthroplasty (THA). Gustafsson et al. conducted a...
May 18, 20231 min read
Crouching (or Limping) Tiger
The world watched Tiger Woods limp off the golf course after setting his 36th record at Augusta National. This time the record was making...
May 4, 20231 min read




