Platelet-rich Plasma (PRP) Outshines Corticosteroids in Long-Term Relief for Plantar Fasciitis
by Vince Vacketta, DPM Researchers conducted a systematic review  and meta-analysis to compare the effectiveness of PRP injections with...
Jul 91 min read
Supine Achilles Repair: Faster Recovery With Comparable Outcome
Published this spring, a study titled “ The Medial Mini-Open Supine Achilles Repair: Outcomes on a Medially Based Mini-Open Technique...
Jul 91 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 91 min read
Achilles Tendon in Navy Personnel: Post-Surgery Expectations
Achilles tendon ruptures are common in active adults. While return-to-play stats exist, a recent study specifically focused on...
Jun 251 min read
Improving Patients' Surgical Experiences
by Vince Vacketta, DPM What do patients really care about on operation day?  A 24‑hour flash-mob study  conducted across eight Danish...
Jun 251 min read
Gastrocnemius Recession: Safety in the Details
Gastrocnemius recession treats isolated gastrocnemius contracture (IGC), improving ankle dorsiflexion. However, recent anatomical...
Jun 251 min read
Cutting Down on Medial Gutter Impingement in Total Ankle Arthroplasty (TAA)
by Vince Vacketta The problem:Â Medial gutter impingement following TAA results in pain and restricted movement, despite the implant being...
Jun 111 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 111 min read
DynaNails Cut Nonunion in Tibiotalocalcaneal (TTC) Fusions
TTC arthrodesis is vital for treating severe hindfoot/ankle issues. Dynamic compression (DC) nails may outperform static compression (SC)...
Jun 111 min read
Achilles Tendon Ruptures: To Fix or Not to Fix?
by Vince Vacketta, DPM The dilemma: Surgical repair for acute Achilles tendon (AAT) rupture or non-operative care? The research: A new...
May 281 min read
The Rise of 'Ozempic Feet': Uncovering a New GLP-1 Side Effect
A growing number of people taking GLP-1 medications, such as Ozempic and Wegovy, are experiencing burning or tingling sensations in their...
May 281 min read
Study Highlights Overcorrection Risk in Lateral Column for CP Patients
In a recent retrospective study , researchers reviewed 282 feet in 180 ambulatory cerebral palsy (CP) patients undergoing calcaneal...
May 281 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 141 min read
Everyone Is Watching
Imagine you have the first overall draft pick in the upcoming draft, and you’re eyeing an athlete with a history of chronic ankle...
May 141 min read
Swing Hard on Naviculocuneiform (NC) Fusions
Despite advancements in modern medicine, naviculocuneiform (NC) fusions still report a 27%  non-union rate. Medial isn’t enough  In a...
May 141 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...
Apr 301 min read
Newer Ideas for Hallux Rigidus (HR)
Outcomes for cheilectomy and osteotomies for HR are generally OK, but not great. Are newer treatment approaches worth the squeeze? Â The...
Apr 301 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 302 min read
Squeezing Revenue Out of Elective Surgery
Elective surgeries account for 39% of hospital reimbursement in the United States, making foot and ankle surgeries particularly appealing...
Apr 161 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 162 min read
The Flow of an Orthopedic Work Week
Dreading Friday night call? It’s for good reason, considering orthopedic trauma does not present in a linear fashion. In fact,...
Apr 161 min read
ASA DEN'AI'LI
Name changes, like the recent reversion of Alaska’s Denali back to its former name, Mount McKinley , are seen as a current form of power...
Apr 41 min read
BMI, ASA, and Total Joints: A Key to Arthroplasty Success
by Vince Vacketta, DPM Joint line height has been established as an influential parameter in TAA, with previous research showing that an...
Apr 41 min read
Rethinking Ankle Fracture Recovery: Let's Put a Spring in Our Step​
When treating ankle fractures, the conventional wisdom typically involves a long, six-week period of non-weight bearing (NWB). But, what...
Apr 41 min read




