Togay Koç / 30 May 2022 / Categories: Abstracts, 2022, Poster Access to the talar articular surface without osteotomy to treat osteochondral lesions of the talus using autologous membrane induced chondrogenesis (AMIC) and autologous bone graft M. Farndon, J. Sharpe Introduction: Recent cadaveric studies appear to provide conflicting opinions regarding possible access to some zones of the talar articular surface without the use of an osteotomy and / or ligament release in the approach. We report a series of cases involving AMIC treatment of larger osteochondral lesions of the talus (OLT) without use of osteotomy or release in talar zones potentially considered inaccesible (zone 4 medially and zone 6 laterally). Methods: 18 consecutive cases involving potentially inaccessible talar zones were retrospectively identified. All had undergone open treatment of OLT via mini arthrotomy with subsequent autologous bone grafting & AMIC. No osteotomies or ligament releases were performed. Extra-articular distraction was used in all anterior approaches, though no posterior approaches. Pre-op MR scans imaging were reviewed by a single experienced MSK radiologist; zonal involvement, area, volume and AMADEUS (Area Measurement Depth & Underlying Structures) score was recorded in each case. Results: There were 8 female and 10 male patients with a mean age of 45 years (range 16 to 84). 13/18 (72%) OLT were medial (zone 4) and 5/18 (28%) were lateral (zone 6). The mean AMADEUS score was 46 (range 10 to 65). The mean area was 189mm2 (range 91 to 345) and the mean volume of cystic defects was 423mm3 (range 180 to 728). All 18 OLT were accessed without osteotomy or ligament release to allow thorough curettage / debridement / nanofracture / autologous bone grafting and AMIC treatment. The approaches utilised were posteromedial 3/18, anteromedial 10/18 and anterolateral 5/18 respectively. None have required further intervention at mean FU 3.2 years from index scan (range 0.4 to 5.2). Conclusion: Larger OLT in zones 4 and 6, including those with a significant cystic component, can be accessed safely and treated without the need for malleolar osteomy or ligament release. Print 552 Tags: ApproachesBiologicsOsteochondral Lesion Documents to download P12 Talus OCL AMIC(.pdf, 279.91 KB) - 880 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) - 453 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) - 444 download(s) 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) - 165 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) - 590 download(s) Read more
7Nov2025 TriCountries Diabetic Foot Symposium 07/11/2025 Read more TriCountries Diabetic Foot Symposium In-person multidisciplinary event bringing together leading experts in the UK to discuss the latest advancements in diabetic foot care. Read more
20Nov2025 7th International Congress of Foot & Ankle Minimally Invasive Surgery 20/11/2025 - 22/11/2025 Read more 7th International Congress of Foot & Ankle Minimally Invasive Surgery Read more
1Dec2025 24th Oswestry Foot & Ankle Course 01/12/2025 - 03/12/2025 Read more 24th Oswestry Foot & Ankle Course Documents to download Foot-Ankle-Course-Flyer-2025(.pdf, 258.07 KB) - 18 download(s) Read more