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, 2016, Poster

Scarf osteotomy or Lapidus procedure in the treatment of severe Hallux valgus. Does the patient have a choice?

H. Yakob, S. Sirikonda, C. Walker

Background: There are a variety of accepted surgical techniques to treat severe Hallux Valgus. This study looked at separate case series between two surgeons preferring different techniques. The correction of hallux valgus angle (HVA), intermetatarsal angle (IMA) and scores of the validate Manchester-Oxford foot questionnaire (MOxFQ) were compared between the scarf osteotomy (Group A) and the Lapidus procedure (Group B).

Methods: A retrospective cohort study was conducted between September 2013 and August 2015. Patients were identified through the hospital database who had a Scarf osteotomy (n=21) and Lapidus procedure (n=17). We defined severe HV as having HVA >40° and IMA >17°. Only patients meeting this criteria were included. In Group A the surgeon adopted a more extreme osteotomy by shifting the first metatarsal head by greater than the 50% of its width. In Group B the method of fixation was with a medially placed plate plus an additional compression screw. Post-operative radiological measurements were taken six weeks after surgery. MOxFQ scores were collected prior and at six months after surgery.

Results: The mean correction for HVA in Groups A and B were 29.68° (25.94°-33.42°) and 29.78° (25.12°-34.43°) respectively. For IMA the values were 10.38° (8.63°-12.13°) and 11.25° (9.91°-12.59°). There was no significant difference in HVA (p=0.98,CI=-6.20-6.01) or IMA (p=0.46,CI=-3.24-1.49) correction between the groups. There was an overall improvement in MOxFQ scores six months after surgery for both groups and the difference between them was not significant (p=0.08).

Conclusion: The post-operative correction of HVA and IMA was similar between the two surgical techniques. At six months after surgery both groups reported an improvement in symptoms based the MOxFQ scores which was no different between the two groups. Our study showed that performing a more extreme scarf osteotomy can produce similar results to the Lapidus procedure in correction of severe HV.

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Tags: Hallux Valgus

 

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

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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