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

Arthroscopic assisted anterior talo-fibular ligament (ATFL) reconstruction with InternalBrace™ augmentation

N. Gogi, B. Ayaswamy, E. Alderton, L. McPartlin, R. Limaye

Background: Lateral ankle sprain are the commonest ankle injuries comprising up to 85% of all ankle injuries. The usual mode of injury is twisting / sports injury. The ATFL is the commonest involved structure, though the Calcaneo-fibular ligament (CFL) and Posterior Talo-fibular ligament (PTFL) may be also involved in some.  Most of them are successfully treated conservatively, however, 20 – 30% may land up with chronic instability. Anatomical repair has been the mainstay of treatment but has longer recovery period with occasional recurrence. We present our study which involved anatomical repair (Modified Brostrom Gould) with InternalBrace™ augmentation.
 

Methods: Our study was a retrospective, single centre study comprising of 72 patients over a period of 2 years. The patients included had failed conservative therapy at 6 months post injury. Only adult patients with no previous ankle surgery / injury were included. Sixty-one patients fulfilled our inclusion criteria, with an average age of 37.5 (14.7 SD) years, predominantly females 42 (68.8%). Mode of injury was almost all due to simple twisting / sports injury and time to surgery was on an average of 14.1 months. Mean follow up was 14.6 (6-30 months).
 

Results: The visual analogue scores for pain improved from 6.3 (1.1SD) to 1.7 (1.4SD) and the MOXFQ from 62.1 (9.2 SD) to 18.2 (20.4 SD), both statistically significant. Patient subjective satisfaction was ‘Good – Excellent’ in 54 (88.5%) patients with most achieving pre-injury activity level at 12.5 (2.3SD) weeks. We had 5 patients with complications – 2 had persistent instability (BMI >40 + Hypermobility), 1 had infection, 1 had Complex Regional Pain Syndrome and 1 failed due to re-injury.
 

Conclusion: We conclude that Arthroscopic assisted ATFL reconstruction with InternalBrace™ augmentation is a reproduceable, safe and successful procedure for lateral ankle instability and significantly reduces the rehabilitation times for patients.

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BOFAS Hosted Events

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.

 

 

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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