Togay Koç / 18 July 2022 / Categories: Abstracts, 2017, Poster Arthroscopic ATFL ligament reinforcement: a case series S. Yousufuddin, S. Ali, A. Usman Introduction: Ankle inversion injuries are incredibly common, but often suboptimally managed with up to 30% of patients have long-term instability. Approximately 85% of ankle sprains involve lateral ligament complex. Some controversy still persists regarding the best modality of the surgical treatment. We present a case series and pragmatic approach to lateral complex injuries by arthroscopic reinforcement. Arthroscopic assisted surgical repair has an advantage of early recovery and consistent improvement in functional score of the patients. Method: Via our single consultant trauma clinic we evaluated and followed-up consecutive patients between the ages of 18 and 50 presenting with ankle instability over six months. Patients underwent focused rehabilitation (minimum 3 months) and identification of extent of ligament injury using dynamic ultrasound scanning (DUSS) at 7.2 weeks post injury (a point at which ankle pain had settled down). Patients with residual pain and instability after 3 months were considered to have failed conservative management. A subsequent MRI scan was performed to determine other ankle pathologies such as osteochondral and peroneal tendon lesions. AFOAS Scores were performed at 6 weeks from index injuries and 3 months following surgery. Patients underwent arthroscopic assessment and simultaneous arthroscopic-assisted anterior talofibular ligament (ATFL) repair using a biodegradable suture anchor in the fibula and 4-strand suture at the talar insertion. Results: Thirty-eight patients were identified and 34 included in the study. The 4 excluded patients had either significant associated injuries or were non-compliant with post-op follow-up. The AOFAS score (median (interquartile range)) improved from 66 (53-68) pre-operatively to 90(85-92) post-operatively. Twelve patients had subcutaneous suture irritation for three months which resolved and one patient had neuropraxia of sural nerve. There were no cases of infection or over-tightened ligaments. Conclusions: Our results demonstrate improvement in AFOAS Scores following the arthroscopic assisted ATFL repair with better patient satisfaction. Print 535 Tags: AnkleInstability
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) - 418 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) - 413 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) - 115 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) - 575 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