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, 2018, Poster

Are all Weber A ankle fractures benign?

R.J. Gadd, M.B. Davies

Introduction: Ankle fractures are a common injury with an incidence of 168.7/100,000/year. The Danis-Weber classification helps describe fibula fractures and guide treatment. Reports of non-unions in Weber A fractures are extremely rare. We present a case series of large, transverse avulsion type fracture (Weber A, Lauge-Hansen SAD stage 1 injury) which progressed to non-union and required surgical intervention. We aim to determine how commonly these fracture patterns progress to non-union.

Methods: Following initial identification of the injury pattern we searched through theatre and PACS databases to identify all similar ankle fracture non-unions that required surgical intervention. From November 2007 onwards, we also reviewed PACS imaging of all ankle radiographs reported as Weber A fractures or non-unions to try and estimate an incidence.

Results: 116 radiographs were reviewed. 19 patients were found with a fracture pattern similar to our index case. Four patients were identified with an established non-union and required surgery. These cases were dealt with by internal fixation with or without bone graft and all progressed to union.

Discussion: Three of the 4 cases reported a re-injury following their initial management. This could be a factor in the progression to non-union or a response to the already pre-existing condition. A number of theories for the development of a non-union in these cases have been proposed but no definite cause identified. If a symptomatic non-union is diagnosed then in our experience they progress to union following surgical debridement and stabilisation with or without bone graft. This injury pattern should promote thought from the treating clinician and shouldn´t just be dismissed. We recommend no change to treatment applicable to any stable ankle fracture but that patients should be warned of the possibility of symptomatic non-union.

 

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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

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

BOFAS Principles Course - Dubai

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

BOFAS Principles Course Taunton

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 Affiliated Courses

Other External Events / Courses