BOFAS VTE Position Statement BOFAS VTE Position Statement Updated Statement June 2025 20 July 2025 Click here to access the newly updated BOFAS Position Statement for VTE Prophylaxis Read more
Registration Open for BOFAS 2025 (Nov) Registration Open for BOFAS 2025 (Nov) Click to Register Now! 25 June 2025 Read more
New Speciality Standards New Speciality Standards Management of End Stage Ankle Arthritis 05 April 2025 Click here to access the latest BOFAS-BOA Standards for management of End Stage Ankle Arthritis Read more
2Oct2025 BOFAS Principles Course - Dubai 02/10/2025 - 04/10/2025 Read more The aim is to give Overseas Trainee Orthopaedic Surgeons a solid grounding in the principles and the decision making in Foot & Ankle Surgery. There is an emphasis on clinical examination of cases, small group discussions and learning surgical approaches in the cadaver lab. This is the first course BOFAS is running in UAE and the aim is to expand the Foot and Ankle education and training in the Middle East and Gulf area. Venue - Le Meridien, Dubai, United Arab Emirates Documents to download ACv3BOFAS-Principles-Course-Programme-DXB(.pdf, 2.13 MB) - 523 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) - 764 download(s) Read more
Togay Koç / 08 July 2022 / Categories: Abstracts, 2015, Poster 2-3 year outcomes of the Primus silastic joint replacement for degenerative disease of the 1st metatarsal phalangeal joint S. Borland, G. deKiewiet, P. Bansal Background: Arthritis of the 1st MTPJ is common. It may occur in isolation or associated with deformity such as hallux valgus. Silastic implants have been used with good patient satisfaction but reported complications include synovitis, lymphadenopathy and implant fracture. The Primus implant (Tournier) is composed of silicone elastomer and is designed specifically for the geometry of the first MTPJ. We report the 2-3 year outcomes of 27 cases performed in our unit. Methods: We examined 27 arthroplasties of the 1st MTPJ using the Primus implant, performed between January 2012 and March 2013. 18 were performed for isolated hallux rigidus. 5 had associated hallux valgus. 4 had associated lesser toe deformities which were also corrected. All patients had degenerative change of the joint consistent with at least grade 3. The Manchester-Oxford foot and ankle questionnaire (MOXFQ) was obtained reflecting the preoperative period and at a minimum of 2 years post operatively. Results: The mean pain score was 60.3 pre-operatively (range 10-80). Post operatively the mean pain score was 16.1 (Range 0- 60). The main walking /standing score preoperatively was 54.8 (range 0-84.3). Post operatively the mean score was 14.8 (range 0-50.1). The mean social score preoperatively was 40.9 (range 0- 68.8). Postoperatively this fell to a score of 25.1 (range 0-62.5). There were 2 superficial infections treated with antibiotics and dressings. There were no deep infections. There were no failures due to synovitis or cases of lymphadenopathy. One case failed due to recurrence of valgus deformity and implant failure. Conclusion: Use of the Primus implant for arthroplasty of the 1st MTPJ can produce excellent results. Many patients reported complete resolution of symptoms. Some patients still had some pain and difficulty walking. This case series should be the basis for randomised controlled trials comparing this to other treatments. Print 757 Tags: Hallux Rigidus