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

by Vince Vacketta, DPM   Today is the first official day of Spring, bringing an increase in sports activities and, consequently, more LF injuries. Even in 2025, the management of LF injuries remains a topic of debate among foot and ankle surgeons. Common controversies include choosing between primary arthrodesis (PA) and open reduction and internal fixation (ORIF), as well as the role of routine hardware removal.  PA vs. ORIF and return to sport (RTS) A recent  systematic rev