Togay Koç / 29 March 2025 / Categories: Abstracts, 2025-Jan, Poster A comparison of 1st MTPJ arthrodesis and total joint replacement, a clinical and biomechanical analysis R Rajan, J Shrestha, V Upadhyay, J Vhanda, D Ananda-Rajan Background: Both 1st MTPJ arthrodesis and total joint arthroplasty (TJA) are performed for end stage hallux rigidus. Research Question: The objective of this study is to compare/contrast these two surgical procedures to determine any significant clinical and biomechanical differences. Methods: Kinematic data was collected at our CMAS (Clinical Movement Analysis Society) UK accredited gait laboratory during the gait cycle together with pressure plate pressure readings and a validated patient outcome measure before surgery and at 6 months after surgery. Results: i) There is a *clinically meaningful difference in the velocity post-op when comparing TJA and arthrodesis in favour of TJA, but this increase in velocity is not statistically significant. There was a statistically significant increased velocity following both these procedures individually from the pre-op condition. ii) There is a statistically significant reduction in forefoot hindfoot plantar flexion in the sagittal plane at the last 20% of the stance phase of the gait cycle (toe-off) in the arthrodesis group. iii) There is a statistically significant increase in the 1st metatarsal head peak pressure (MHPP), 1st/5th MHPP ratio and 1st MH pressure time integral (PTI) regardless of type of surgery post-op. There is a clinically significant increase in the medial column pressure and loading only following TJA compared to arthrodesis. (Increased 1st MHPP, increased 1/5 MHPP and increased 1st MHPTI from pre-op to post-op in the TJA group greater than the respective calculated minimal differences calculated, not so in the arthrodesis group). iv) There is a clinically significant increase in 5th MHPTI following arthrodesis but not following TJA, suggesting increased lateral loading following arthrodesis. v) There is a statistically significantly improved MOXFQ following both types of surgeries. Conclusion: TJA was found to restore the foot pressures and kinematics towards the normal pressure ratios while arthrodesis results in a compromised gait. Print 38 Tags: Hallux Rigidus Documents to download P5-Jabez-Vhanda(.pdf, 7.27 MB) - 76 download(s)
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) - 310 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) - 303 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) - 509 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) - 111 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) - 109 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