Midfoot Denervation: A Faster, Reliable Alternative to Fusion?
by Vince Vacketta, DPM A new longitudinal study, Stable Long-term PROMIS Outcomes After Deep Peroneal Nerve Neurectomy for Midfoot Arthritis, found that deep peroneal nerve (DPN) neurectomy provided durable pain relief at six-year follow-up. These results support it as a viable motion-preserving alternative to midfoot arthrodesis in carefully selected patients. Key findings Nearly half of patients (47%) achieved clinically meaningful pain improvement. Pain relief was maintain
Jul 301 min read
Total Ankle Arthroplasty (TAA) v. Ankle Arthrodesis (AA) Lower Reoperations and Costs at Two Years
by Vince Vacketta, DPM A national database study published last month compared outcomes between two surgical treatments for end-stage ankle arthritis: primary TAA and AA. The analysis included 69,627 propensity-matched patients in each group. The study found that TAA was associated with better outcomes and lower healthcare costs compared with arthrodesis: Reoperations, Revisions, and Reoperations: The overall reoperation rate was 3.1% after TAA compared with 7.7% after arthr
Jun 41 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 Noninvasive Bone Stimulators Still a Thing?
Noninvasive bone growth stimulators use electrical or magnetic fields and ultrasonic signals to promote bone growth in conjunction with...
Jul 14, 20221 min read
