Togay Koç / 30 May 2022 / Categories: Abstracts, 2022, Poster Access to the talar articular surface without osteotomy to treat osteochondral lesions of the talus using autologous membrane induced chondrogenesis (AMIC) and autologous bone graft M. Farndon, J. Sharpe Introduction: Recent cadaveric studies appear to provide conflicting opinions regarding possible access to some zones of the talar articular surface without the use of an osteotomy and / or ligament release in the approach. We report a series of cases involving AMIC treatment of larger osteochondral lesions of the talus (OLT) without use of osteotomy or release in talar zones potentially considered inaccesible (zone 4 medially and zone 6 laterally). Methods: 18 consecutive cases involving potentially inaccessible talar zones were retrospectively identified. All had undergone open treatment of OLT via mini arthrotomy with subsequent autologous bone grafting & AMIC. No osteotomies or ligament releases were performed. Extra-articular distraction was used in all anterior approaches, though no posterior approaches. Pre-op MR scans imaging were reviewed by a single experienced MSK radiologist; zonal involvement, area, volume and AMADEUS (Area Measurement Depth & Underlying Structures) score was recorded in each case. Results: There were 8 female and 10 male patients with a mean age of 45 years (range 16 to 84). 13/18 (72%) OLT were medial (zone 4) and 5/18 (28%) were lateral (zone 6). The mean AMADEUS score was 46 (range 10 to 65). The mean area was 189mm2 (range 91 to 345) and the mean volume of cystic defects was 423mm3 (range 180 to 728). All 18 OLT were accessed without osteotomy or ligament release to allow thorough curettage / debridement / nanofracture / autologous bone grafting and AMIC treatment. The approaches utilised were posteromedial 3/18, anteromedial 10/18 and anterolateral 5/18 respectively. None have required further intervention at mean FU 3.2 years from index scan (range 0.4 to 5.2). Conclusion: Larger OLT in zones 4 and 6, including those with a significant cystic component, can be accessed safely and treated without the need for malleolar osteomy or ligament release. Print 438 Tags: ApproachesBiologicsOsteochondral Lesion Documents to download P12 Talus OCL AMIC(.pdf, 279.91 KB) - 674 download(s)
24Feb2025 BOFAS Principles Course - Woodford Green, London 24/02/2025 - 25/02/2025 Read more 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 2024. Venue - London Chigwell Prince Regent Hotel, Woodford, Chigwell, Woodford Green IG8 8AE Documents to download BOFAS-Course-Programme--Woodford-Green-London-2025(.docx, 31.87 KB) - 425 download(s) Read more
3Apr2025 BOFAS Minimally Invasive Surgery Course 03/04/2025 - 04/04/2025 Read more BOFAS Minimally Invasive Surgery Course Course Venue - Keele Anatomy and Surgical Training Centre, Keele University Staffordshire. This first BOFAS principles course has been designed as a collaborative project of the Education Committee of the Society with the help of expert surgeons experienced in percutaneous surgery. It is designed to teach high level percutaneous surgery, with a strong focus on hands on cadaveric lab exposure with 70% of the course time spent in the lab, one cadaveric specimen per delegate and a delegate to faculty ratio of 2:1 to allow for good, supervised instruction. The course fee is heavily subsidised by Industry, includes 2 nights’ accommodation at Courtyard by Marriott Hotel, Keele, plus a course dinner at Keele Hall, Keele University, and as such is one of the best value independent cadaveric courses in the field. Following the ethos of all BOFAS instructional courses, the course will be conducted in an informal and interactive environment, to facilitate good discussions with faculty throughout the event. Documents to download BOFAS-MIS-Brochure-2025(.pdf, 4.29 MB) - 162 download(s) Read more
28Apr2025 BOFAS Diabetic Foot Principles Course - Milton Keynes 2025 28/04/2025 Read more BOFAS Diabetic Foot Principles Course - Milton Keynes 2025 The BOFAS Diabetic Foot Principles Course is an exciting new course designed for Orthopaedic trainees and consultants. Click here to register. Documents to download BOFAS-Course-Programme-2025(.docx, 169.12 KB) - 194 download(s) Read more
29Apr2025 BOFAS Diabetic Foot Advanced Course - Milton Keynes 2025 29/04/2025 Read more BOFAS Diabetic Foot Advanced Course - Milton Keynes 2025 The BOFAS Diabetic Foot Advanced Course is an exciting new course designed for Orthopaedic trainees and consultants. Documents to download BOFAS-Advanced-DIabetic-Course-Programme-2025(.pdf, 152.54 KB) - 143 download(s) Read more
3Jul2025 Basic Skills Foot and Ankle Arthroscopy Course - open for applications 03/07/2025 Read more 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 Documents to download Basic-Course-2025-Programme-draft(.pdf, 3.19 MB) - 34 download(s) Read more
4Jul2025 Advanced Skills Foot and Ankle Arthroscopy Course - applications open 04/07/2025 Read more 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 Documents to download Advanced-Course-2025-Programme-draft(.pdf, 3.29 MB) - 31 download(s) Read more
11Nov2024 Australian Orthopaedic F&A Society 11 November 2024 Read more Australian Orthopaedic F&A Society The Australian Orthopaedic Foot & Ankle Society is seeking expressions of interest from BOFAS Members interested in joining their 2026 annual meeting in Singapore. Documents to download 2026-AOFAS---SINGAPORE---SAVE-THE-DATE---EOI(.pdf, 3.24 MB) - 210 download(s) Read more