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, 2013, Podium

What are the risks for early failure of total ankle replacement? Is there a valid classification?

R.J. Gadd, T.W. Barwick, E. Paling, M.B. Davies, C.M. Blundell

Introduction: Prompted by the success of hip and knee arthroplasty, total ankle replacement (TAR) has become increasingly popular as a treatment for end stage arthritic complaints of the ankle. Glazebrook et al proposed a three grade classification of complications to assist prediction of early implant failure. We have compared the experience of a tertiary referral centre in the UK to Glazebrook’s proposed system.

Method: A retrospective review of the Sheffield Foot and Ankle Unit TAR database was performed from 1995 to 2010. All complications were recorded and categorised using Glazebrook’s proposed system. Glazebrook described eight main complications of increasing severity. Low grade complications; Post operative bone fracture, Intra-operative bone fracture and wound healing problems were very unlikely to lead to revision. Medium grade complications; technical error and subsidence, lead to failure < 50% of the time. High grade complications; deep infection, aseptic loosening and implant failure lead to revision >50% of the time.

Results: 217 TAR were implanted in 198 patients with a minimum follow up of 30 months. The complication rate was 23% with a revision rate of 17%. All complications recorded in our study except intraoperative bone fracture and wound healing had a failure rate of at least 50%.

Conclusion: The proposed classification system of Glazebrook et al was the first step towards an international system of classifying TAR complications. Most complications associated with TA R have a significant impact on the lifespan of a TAR. Glazebrook et al’s proposed three tier system did not reliably reflect our experience. We would categorise complications as either high or low risk for early failure of TAR.

Print
407
Tags: TAR

 

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

 

Documents to download

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

Read more

BOFAS Principles Course Taunton

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

Read more

 

BOFAS Supported Events

Other Upcoming Events / Courses