In this LIVE conversation, Jeff Dikis and Leland Jaffe discuss their experiences with hammer toe surgeries and the challenges they face. They touch on the topic of Cavus foot deformity and the different surgical approaches to treat it. They also briefly mention the use of tendon transfers in chronic ankle instability patients with Cavus foot deformity. In this part of the conversation, Dr. Dikis discusses the clinical implications and practical application of treating cavus foot deformity. He explains the importance of evaluating the patient's goals and considering non-surgical options before proceeding with surgery. They share their thoughts on gastrocnemius recession and the use of different techniques for the procedure. The conversation then transitions to the topic of ankle fractures in older patients, emphasizing the need to consider the patient's activity level and functional goals when deciding on surgical intervention. In this part of the conversation, the hosts discuss the importance of critically analyzing X-rays to determine the severity of fractures and the appropriate treatment. They emphasize the need to understand stability and instability in fractures and how it affects treatment decisions. They also discuss the challenges of non-weight bearing treatment options for elderly patients and the potential risks of falls. The conversation then transitions to the technique and tips for inserting a fibular nail, including the importance of wire starting placement, reduction of the fracture before nail insertion, and the potential for fibular shortening. The hosts also mention the possibility of future live episodes with call-in guests.