Togay Koç / 08 July 2022 / Categories: Abstracts, 2015, Podium Revision total ankle replacement to a hind-foot fusion with a nail; the experience from Leeds A.A. Ali, P. O'Connor, N. Harris Introduction: We present a series of 23 total ankle replacements revised for balloon osteolysis and aseptic loosening with a hind-foot fusion nail without the use of bone graft. This is the largest series of total ankle replacements revised to a hindfoot fusion with a nail presented in the literature. Methods: Initial assessment involved investigations to rule out infection and a CT scan of the ankle to assess the size of cysts. Patients underwent surgery in a single stage procedure. The surgery involved excision of the fibula and preparation of the sub-talar joint through a lateral incision; removal of the implant and preparation of the talar and tibial surface with flat cuts through an anterior incision and safe excision of the medial malleolus aided by a medial incision. The prepared surfaces were then compressed and fixed using a Biomet Phoenix Nail. Patients were then followed up to assess for clinical and radiographic union. Results: This study involved 18 male and 4 female patients with an average age of 67. All patients had AES ankle replacements (Biomet) in-situ, undergoing revision surgery for aseptic loosening with balloon osteolysis. At a mean follow up of 13.9 months, 96% (22/23) of ankles achieved osseous union across the tibio-talar joint with 1 patient achieving a partial union. 91% (21/23) of patients achieved union across the subtalar joint with 2 patients identified as having a non-union. 1 patient with a subtalar non-union suffered a broken nail and required revision surgery. The only other identifiable complication was a single patient sustained a stress fracture at the proximal tip of the nail, which was treated conservatively. Conclusions: We believe this method is a reliable and reproducible method of achieving osseous union following a failed total ankle replacement without using graft. Although patients may have a leg length discrepancy, none have requested leg lengthening. Print 386 Tags: SalvageHindfootTAR
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) - 473 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) - 295 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) - 288 download(s) Read more
20Oct2025 BOFAS Principles Course Taunton 20/10/2025 - 21/10/2025 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 2023. Venue - Taunton (TBC) Documents to download BOFAS-Course-Programme--Taunton-2025(.docx, 31.88 KB) - 499 download(s) Read more
15May2025 Oswestry Cartilage Meeting 15/05/2025 - 16/05/2025 Read more Oswestry Cartilage Meeting 15-16th May, 2025 Keele Hall, Keele University Registration fee £250 (PhD Students £125) - closing: 31st March Further information & Registration Documents to download 2025_Keele_Cartilage_Symposium_Flyer_2025__1_(.pdf, 434.4 KB) - 94 download(s) Read more
5Jun2025 2nd Annual London Orthopaedic Meeting 05/06/2025 - 06/06/2025 Read more 2nd Annual London Orthopaedic Meeting 5th-6th June 2025 The Chicago Booth London Conference Centre, London, UK Read more
7Jun2025 World Orthopaedic Concern UK 07/06/2025 Read more World Orthopaedic Concern UK WOC is a charitable organisation and is a specialist society of the British Orthopaedic Association promoting orthopaedic education and care in developing countries. If you are interested in global orthopaedic initiatives, then click for more information. Documents to download 2025_WOC_conference_poster_FINAL(.pdf, 1.14 MB) - 95 download(s) Read more
7Jun2025 World Orthopaedic Concern UK 07/06/2025 Read more World Orthopaedic Concern UK WOC is a charitable organisation and is a specialist society of the British Orthopaedic Association promoting orthopaedic education and care in developing countries. If you are interested in global orthopaedic initiatives, then click for more information. Read more