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)

 

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BOFAS Hosted Events

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

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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)

 

 

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BOFAS Affiliated Courses

Other External Events / Courses

Togay Koç
/ Categories: Abstracts, 2025-Jan, Podium

Diabetic Midfoot Charcot- When to operate, a staged approach to decision making.

M Tiruveedhula

Introduction: Diabetic midfoot Charcot neuroarthropathy (CN) is a progressive condition which presents as a hot swollen foot to a rocker bottom deformity with ulcer and resultant osteomyelitis. Literature report of a subjective indications for surgery generally after a failed prolonged immobilization in a total contact cast. The aim of this study is to define objective indications of progression of midfoot CN and interventions at each stage of the disease.

Patients and Methods: Notes and radiographs of consecutive patients presented to Basildon Diabetic foot unit since 2018 with midfoot CN were reviewed. Inclusion criteria were all patients with midfoot CN and were followed for a minimum 12 months with radiographs. Exclusion criteria were patients lost to follow before 12 months or where inadequate radiographs were available. Patients with ankle/ subtalar Charcot were excluded.

Results: A total of 182 patients with midfoot CN were seen since 2018, of these 88 patients underwent surgical reconstruction. 3 radiographs features: lateral Mearys angle, calcaneal pitch and cuboid height were noted to be diagnostic for diagnosis and monitoring of the progression of the midfoot CN. 5 stages of disease were described (Basildon classification) with stage 1 and 2 were managed with percutaneous tendo-Achilles lengthening (TAL).
Progression of above radiological parameters is an indication for surgical stabilisation. Lateral column involvement is indicated by the drop in cuboid height which rapidly progresses to ulcer formation.

Conclusion: Motor neuropathy induced stiff and contracted muscles results in progressive midfoot CN. The radiological markers described are shown to be reliable and reproducible indices for the progression of the disease process. In-clinic procedures such as TAL has shown to slow or revert the earlier stages of disease, however worsening of these markers are reliable guide for indication for surgical stabilisation.

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