BOFAS Abstracts Archive

You can search for abstracts by using the search bar below.
Alternatively you can browse through podium and poster presentations by selecting the year and / or type below. You can further refine your search using tags or use the search bar.

Search

RSS Abstracts 518 Expand/Collapse
- RSS 2013 64 Expand/Collapse
  - RSS Poster 24 Expand/Collapse
  - RSS Podium 40 Expand/Collapse
- RSS 2014 36 Expand/Collapse
  - RSS Podium 36 Expand/Collapse
- RSS 2015 49 Expand/Collapse
  - RSS Poster 20 Expand/Collapse
  - RSS Podium 29 Expand/Collapse
- RSS 2016 45 Expand/Collapse
  - RSS Poster 18 Expand/Collapse
  - RSS Podium 27 Expand/Collapse
- RSS 2017 40 Expand/Collapse
  - RSS Poster 15 Expand/Collapse
  - RSS Podium 25 Expand/Collapse
- RSS 2018 47 Expand/Collapse
  - RSS Poster 22 Expand/Collapse
  - RSS Podium 25 Expand/Collapse
- RSS 2019 48 Expand/Collapse
  - RSS Poster 25 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2021 15 Expand/Collapse
  - RSS Poster 10 Expand/Collapse
  - RSS Podium 6 Expand/Collapse
- RSS 2022 46 Expand/Collapse
  - RSS Poster 23 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2023 46 Expand/Collapse
  - RSS Poster 23 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2024 40 Expand/Collapse
  - RSS Poster 18 Expand/Collapse
  - RSS Podium 22 Expand/Collapse
- RSS 2025-Jan 42 Expand/Collapse
  - RSS Poster 20 Expand/Collapse
  - RSS Podium 22 Expand/Collapse

Categories: Abstracts, 2025-Jan, Poster

Surgery for 1st MTP joint arthritis - outcomes from the BOFAS registry

S Jha, L Mason, N Makwana, E Wood, BOFAS Registry Collaborative

¹University Hospitals of Leicester NHS Trust, Leicester
²University of Liverpool, Liverpool University Hospitals NHS Foundation Trust, Liverpool
³The Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry
⁴Countess of Chester Hospital, Chester
⁵BOFAS

Introduction: Symptomatic 1st MTP joint arthritis is common (7.8% prevalence reported in adults over 50 years in the UK [1]). Established surgical treatments include 1st MTPJ fusion, 1st MTPJ arthroplasty and 1st MTPJ cheilectomy Utilising BOFAS registry to evaluate outcomes from these treatments has the advantage of providing high volume cohort observational data from the UK population.

Methods: A BOFAS registry database analysis was performed to identify all patients who had undergone surgery for 1st MTPJ arthritis. Demographic data and functional scores (MOXFQ/VAS) at baseline and 12 months post-operative were evaluated.

Results: 1508 1st MTPJ fusions, 28 1st MTPJ arthroplasties and 218 1st MTPJ cheilectomies were identified. The 1st MTPJ cheilectomy group demonstrated a significantly lower baseline (p<0.001) for MOXFQ/VAS scores compared to the other cohorts, although this was lower than the MCID [2, 3]. 35.71% in the 1st MTPJ Arthroplasty cohort, 26.15% in the 1st MTPJ Cheilectomy cohort and 16.46% in the 1st MTPJ fusion cohort had complete data collection allowing comparison of PROM score difference at 12 months. 1st MTP fusion and 1st MTPJ cheilectomy groups demonstrated both a statistical and clinically significant improvement in all MOXFQ/VAS components at 12 months. There was significantly greater improvement in MOXFQ/VAS scores in the 1st MTPJ fusion group and 1st MTPJ Cheilectomy group compared to the 1st MTPJ Arthroplasty cohort.

Conclusion: Acknowledging the limitations of our analysis due to low follow-up rate, our data suggests 1st MTPJ fusion and 1st MTPJ arthrodesis lead to greater improvements in functional outcome than 1st MTPJ arthroplasty. We note the relatively low numbers of MTPJ arthroplasty patients in our data-set which may lead to bias; we therefore recommend and encourage surgeons performing this procedure to submit registry data to allow ongoing evaluation.

Print

Tags: Hallux Rigidus

Documents to download

P2-Shilpa-Jha(.pdf, 291.73 KB) - 17 download(s)

Click thumbnail below to view poster / thumbnail:

Archive of Abstracts