BOFAS News & Events

This pages lists all the latest news and upcoming events.

 

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Latest News

Togay Koç
/ Categories: Abstracts, 2025-Jan, Poster

Fat Transfer for Plantar Heel Pain: A Case Series

G Lafford, S Nour, S Wharton

Background: Plantar heel pain (PHP) affects 4-7% of the population [1]. It encompasses a range of different pathologies [2]. Heel fat pad atrophy is thought to be the second leading cause of PHP [3]. Atrophy of the heel fat pad leads to decreased cushioning over the calcaneus. The associated pain can be disabling and lead to reduced mobility and social isolation. This case series describes how fat transfer can alleviate symptoms of PHP.

Methods: Twenty-one procedures of fat transfer were performed using the Coleman technique [4] for PHP between 2013 and 2023. All surgical candidates had clinical and/or radiological evidence of heel fat pad atrophy and suffered from intractable PHP. Other pathologies, including plantar fasciitis, were excluded prior to surgery. All surgical candidates undertook the Manchester-Oxford Foot Questionnaire (MOXFQ) Patient Reported Outcome Measure prior
to surgery and at 3 months postoperatively.

Results: The mean preoperative MOXFQ Index score was 71.3 (SD 8.1). The mean postoperative MOXFQ score was 35.9 (SD 15.7). The reduction in mean MOXFQ Index score was 35.9. Paired t-testing revealed a statistically significant reduction in the MOXFQ index score (p < 0.0001). There were no cases of reoperation. There were no recorded postoperative complications.

Conclusions: This case series study highlights the potential efficacy of autologous surgical fat transfer in alleviating intractable PHP associated with heel fat pad atrophy. This case series is limited by its small sample size and long study window. Despite initial and promising results, further research evaluating a larger cohort is warranted.

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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