BOFAS News & Events

This pages lists all the latest news and upcoming events.

 

To access 'Foot Print' (the BOFAS Bulletin) please click here (members only)

 

Latest News

Togay Koç
/ Categories: Abstracts, 2022, Poster

A cohort study of union following subtalar fusion dependent on the presence of an adjacent ankle fusion

T. Jennison, J. Dalgleish, S. Taher, C. Chadwick, C. Blundell, M. Davies, H. Davies

Introduction: Subtalar fusion is the surgical treatment of subtalar arthritis. There is a concern that subtalar fusions may have a higher non-union rate if there is an adjacent ankle fusion. The aim of this cohort study was to determine the rates of union for subtalar fusions with and without an adjacent ankle fusion. Secondary outcomes were to assess risk factors for non-union.

Methods: A retrospective cohort study of all patients that underwent a subtalar fusion in a single centre between 2010 and 2020. The primary outcome of union was determined based on bridging callous on radiographs. Chi squared test and Mann-Whitney tests compared differences in demorgaphics and risk factors for non-union between groups. A logistical regression model was performed to determine risk factors for non-union.

Results: There were 18 patients with an adjacent ankle fusion and 53 patients without. There were no significant differences in demographics between the two groups. Overall 46 (86.8%) of those without an ankle fusion fused, compared to 8 (44.4%) of those with an ankle fusion above (p=0.000). On multivariate logistic regression an adjacent ankle fusion was the only significant risk factor for non-union. When taking account of other risk factors for non-union the odds ratio of union of the subtalar joint with an ankle fusion present 0.1753 (95% CI 0.0449 - 0 .6843) compared to a subtalar fusion with a native ankle joint (P=0.012). 9.4% of patients without an ankle fusion underwent a revision subtalar fusion compared to 44.4% of those with an ankle fusion (P=0.001).

Conclusions: Patients undergoing a subtalar arthrodesis with an adjacent ankle fusion have a significantly increased risk of non-union compared to those with a native ankle. Patients with a previously fused ankle need counselling about the high risk of non-union and additional surgery.

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BOFAS Hosted Events

This courses is designed to develop and extend the knowledge and skills of training foot and ankle surgeons. Techniques of arthroscopic surgery of the joints, ligaments and tendons of the ankle and foot will be presented and demonstrated. Basic Skills covers the more common procedures which a foot and ankle surgeon would be likely to need. Delegates will be given ample time to develop their skills in each of the areas listed below using cadaver limbs. Questions and case presentations will be encouraged with an expert and interactive faculty.

Anterior ankle
Posterior ankle 
Haglund’s surgery
Sub-talar joint
Tendoscopy
Arthroscopic Ankle fusion
1st MTP joint

 

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This courses is designed to develop and extend the knowledge and skills of established foot and ankle surgeons. Techniques of arthroscopic surgery of the joints, ligaments and tendons of the ankle and foot will be presented and demonstrated. Advanced Skills covers some more advanced and emerging techniques. Delegates will be given ample time to develop their skills in each of the areas listed below using cadaver limbs. Questions and case presentations will be encouraged with an expert and interactive faculty.

1st MTP joint
Arthroscopic lateral and medial ligament repair FHL transfer
Peroneal groove and Tibialis posterior
Tarsal coalition excision
Sub-talar fusion
Chopart joint fusion

 

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BOFAS Principles Course Taunton

These courses are aimed at Higher Surgical Trainees / ST3 onwards and are designed to teach the core of Foot and Ankle surgery in an informal and interactive environment. The emphasis is on clinical examination cases, discussion groups and typical day-to-day clinic scenarios. Although not an exam preparation course, content is taught to the standard expected in the FRCS(Tr & Orth) exam; that of a day-one non-specialist orthopaedic consultant. Applications will open on 1st September 2023.

Venue - Taunton (TBC)

 

 

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BOFAS Supported Events

Other Upcoming Events / Courses