The CORE Institute announced that Victor E. Nwosu, DPM joined its provider team on December 2, 2013. He will primarily be practicing in their Southfield clinic location.
Victor E. Nwosu, DPM Joins CORE Institute

Dr. Nwosu (pronounced Wo-su) is a fellowship-trained foot and ankle surgeon. He obtained subspecialty training at the American Health Network in Indianapolis, Indiana. He specializes in total ankle replacement, reconstruction of the forefoot and hindfoot, arthroscopy, sports medicine, circular frames, and trauma. He is certified and experienced with use of INBONE, Salto-Talaris and S.T.A.R. total ankle replacements.
Prior to his fellowship, Dr. Nwosu completed his podiatric surgical residency at the St. John Macomb/Oakland Hospital in Michigan. He received multi-disciplinary training in orthopedic surgery, general surgery, internal medicine, vascular surgery, reconstructive plastic surgery, emergency medicine, infectious diseases, and diabetic limb salvage. In 2012, he was named surgical resident of the year. Prior to receiving his medical degree from the Temple University School of Podiatric Medicine in Philadelphia, Dr. Nwosu served in the Navy. He was a Combat Surgical Technician and Hospital Corpsman during Operation Iraqi Freedom. He was awarded the Navy and Marine Corps Achievement Medal and Sailor of the Quarter.
“We are excited to expand the sub-specialties offered at The CORE Institute – Michigan, ” said David C. Markel, M.D., market president at The CORE Institute, in the December 9, 2013 news release. “Our community will not only have continued access to best-in-class orthopedic care, but access to fellowship-trained foot and ankle care by Dr. Nwosu. With this expansion, we demonstrate our continued dedication to providing excellence in patient care across Michigan based on our Excellence through Evidence platform.”
Dr. Nwosu, the only fellowship-trained podiatrist in the state of Michigan, told OTW, “I am excited to join this team of best-in-class surgeons and expand our subs-specialty orthopedic services. In my position with The CORE Institute, I will be providing complete foot and ankle services/care that will include: total ankle replacements, reconstruction of the forefoot and hindfoot, arthroscopy, sports medicine, circular frames, and trauma. I look forward to serving everyone in our community.”

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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