by Vince Vacketta, DPM TTR offers a motion and limb-sparing solution for patients with severe talar pathology. However, there is limited...

Guidelines for managing posterior malleolar fragments (PMFs) in trimalleolar fractures are limited, particularly concerning the fixation...

Stress fractures of the 5th metatarsal (M5) can be frustrating. Unlike other traumatic fractures, stress fractures often lead to...

by Vince Vacketta, DPM Intramedullary fibular nailing (IMFN) offers unique advantages over traditional plate and screw techniques for...

Surgeons often delay ankle fracture surgeries due to swelling, fearing it increases wound complications. However, there are no guidelines...

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

by Vince Vacketta, DPM Researchers conducted a systematic  review   and meta-analysis to compare the effectiveness of PRP injections with...

Published this spring, a study titled “ The Medial Mini-Open Supine Achilles Repair: Outcomes on a Medially Based Mini-Open Technique...

A recent retrospective  review  studied the use of the medial sesamoid, removed via the same incision, as an autograft in first...

Achilles tendon ruptures are common in active adults. While return-to-play stats exist, a recent study specifically focused on...

by Vince Vacketta, DPM What do patients really care about on operation day?   A 24‑hour flash-mob  study  conducted across eight Danish...

Gastrocnemius recession treats isolated gastrocnemius contracture (IGC), improving ankle dorsiflexion. However, recent anatomical...

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 ...

TTC arthrodesis is vital for treating severe hindfoot/ankle issues. Dynamic compression (DC) nails may outperform static compression (SC)...

by Vince Vacketta, DPM The dilemma: Surgical repair for acute Achilles tendon (AAT) rupture or non-operative care? The research: A new...

A growing number of people taking GLP-1 medications, such as Ozempic and Wegovy, are experiencing burning or tingling sensations in their...

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

by Vince Vacketta, DPM Midfoot and 1st metatarsal phalangeal (MTP) fusions are predictable for pain relief, but everyone wants to know if...

Imagine you have the first overall draft pick in the upcoming draft, and you’re eyeing an athlete with a history of chronic ankle...

Despite advancements in modern medicine, naviculocuneiform (NC) fusions still report a  27%  non-union rate. Medial isn’t enough   In a...

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

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 Patient-reported outcomes (PROMs) and functional lifespan (survivorship) are the most common metrics used to...