Is "NPO After Midnight" Enough Time in the Age of GLPs?
Glucagon-like peptide-1 receptor agonist (GLP-1 RA) use is rapidly increasing in the US, driven by its use for weight management and type...
May 1, 20241 min read
Sterile Wounds Seemed Like a Good Idea
Sprinkling some vancomycin powder (vanco) in a wound seems like a reasonable idea. First adopted in total joint arthroplasty, it has...
Apr 17, 20241 min read
Minimally Invasive Surgery (MIS) Training Wheels With First Metatarsal Phalangeal Joint (MTPJ) Fusions
by Vince Vacketta, DPM The indications and utilization of minimally invasive techniques in foot and ankle surgery continue to grow at an...
Apr 17, 20241 min read
Science and Clinical Experience Total Talus Replacement (TTR)
The total talus is in every foot and ankle discussion on challenging ankle problems. This innovative technology, approved under a...
Apr 17, 20241 min read
Talar Avascular Necrosis: Replace, Don't Fuse
by Vince Vacketta, DPM Management of global avascular necrosis (AVN) of the talus is a challenging problem with limited surgical options,...
Apr 3, 20241 min read
Primary Fusion Vs. ORIF LisFranc
Since the 2006 landmark Coetzee study that favored primary fusion, the topic has been a point of debate at foot and ankle meetings. In...
Apr 3, 20241 min read
The Philosophy of Unloading Cartilage
Unloading an arthritic medial compartment of a varus knee with a high tibial osteotomy has been a common practice for years. Hantes et...
Apr 3, 20241 min read
Evolving the Treatment of Flat Foot Away From Triple Fusion
by Vince Vacketta, DPM Is there anything with less consensus than treatment algorithms for progressive collapsing foot deformity (PCFD)?...
Mar 20, 20241 min read
Tipping Point
A tipping point refers to a point in time when a group rapidly and dramatically changes its behavior by widely adopting a previously rare...
Mar 20, 20241 min read
A Better, Cheaper Achilles Tendon
by Calvin J. Rushing, DPM Open surgery to repair the Achilles tendon surgery faces high rates of wound-healing complications, prompting...
Mar 20, 20241 min read
Platelet Rich Plasma (PRP): The Evolving Story
In a study published in Cartilage in 2022, Liang et al. found that co-transplanting PRP and stem cells into a knee joint can induce stem...
Mar 7, 20241 min read
Motion Is Medicine
by Vince Vacketta, DPM Casting and bootwalker post-operative protocols are designed to load share our reconstructions until the tissue...
Mar 7, 20241 min read
Lesser Toe Alignment After Bunion Surgery
By Calvin J. Rushing, DPM Hallux valgus deformity often presents with spectrum of concurrent pathology, including valgus (lateral)...
Feb 22, 20241 min read
Awl-fun Results With BMS and OCLs
by Vince Vacketta, DPM Bone marrow stimulation/micro fracture (BMS) has been a longstanding technique within orthopedics and remains a...
Feb 22, 20241 min read
Fracture Risk Up 200%
As Americans continue their obsession with pickleball, the injury statistics continue to impress. In fact, bone fractures related to...
Feb 22, 20241 min read
Power of Minimally Invasive Surgery (MIS) Systems
by Sammy Short Many companies focused on foot and ankle have their versions of a MIS bunion system offering jigs, screws, instruments,...
Feb 8, 20241 min read
How Young Is Too Young?
by Vince Vacketta, DPM Major joint arthroplasty was, for many years, was considered a technology only accessible to patients who were 60...
Feb 8, 20241 min read
Joint Contact Forces in Chronic Ankle Instability (CIA)
It has long been postulated that arthritic progression in the ankle can relate to repetitive trauma, but there is limited empirical data...
Feb 8, 20241 min read
No Hardware Needed: MIS Tailors Bunionette Surgery
by Calvin J. Rushing, DPM In a recent study published in Foot & Ankle International, Ramlawi et al. examined the outcomes of MIS Tailors...
Jan 25, 20241 min read
Meeting Season Is On
Gone are the days when you could sample foot and ankle content from different meetings. In 2024, the American Academy of Orthopedic...
Jan 25, 20241 min read
Ankle Fracture Season Is Upon Us
by Vince Vacketta, DPM Now that winter season is in full swing, it's time to talk about ankle fractures. While mastering the syndesmosis...
Jan 25, 20241 min read
Data Driven Results Support TAA
In their concise JBJS December 2023 report, "Two to Five-Year Outcomes of Total Ankle Arthroplasty with the Infinity Fixed-Bearing...
Jan 11, 20241 min read
Patient Age and Big Toe Arthritis
by Vince Vacketta, DPM First metatarsophalangeal joint (MTPJ) fusion remains the gold standard for surgical management of hallux rigidus....
Jan 11, 20241 min read
Big Move Into Foot and Ankle by Henry Schein
Henry Who? Henry Schein is a power player in the world of dentistry. With an impressive 2022 sales of $12.6 billion. It is also...
Jan 11, 20241 min read




