A randomized controlled trial investigated whether the deltoid ligament augmentation (DLA) could replace trans-syndesmotic screw fixation (TSSF).  Study design and results The  study  enrolled 59 patients, including 30 receiving DLA and 29 receiving TSSF, and followed them for one year. The AOFAS score was the primary outcome measure.  Key findings: At one year, both approaches produced equivalent AOFAS scores. At three months, the DLA group showed better AOFAS scores and bet

Hardware removal is a common but costly side of orthopedic and musculoskeletal care. Surgeons and hospitals disagree on allowing...

by Vince Vacketta The problem: Medial gutter impingement following TAA results in pain and restricted movement, despite the implant being...

Most gait studies post-ankle surgery are performed with participants walking barefoot, which is not a realistic scenario. A notable ...

The incidence of a prosthetic joint infection (PJI) in primary total ankle arthroplasty (TAA) has been reported as 2.4%, according to a...

by Vince Vacketta, DPM Total ankle arthroplasty (TAA) utilization continues to grow . Looking back and projecting forward helps us better...

by Vince Vacketta, DPM Beyond a surgeon’s experience and skill, patient selection is critical for the success of total ankle arthroplasty...

A core principle in major joint arthroplasty is achieving immediate and stable fixation of the implant. This principle also applies to...