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, 2025-Jan, Poster

Hallux Valgus surgery and 1st MTPJ fusion Outcomes from the BOFAS Registry

S Jha, L Mason, N Makwana, E Wood, BOFAS Registry Collaborative

Introduction: Utilising the BOFAS registry to examine hallux valgus surgery and 1st MTPJ fusion has the advantage of providing large volume data with favourable external validity relating to these common conditions.

Methods: BOFAS registry patients undergoing hallux valgus (HV) surgery (excluding tarsometatarsal fusion and isolated Akin osteotomy) and 1st MTP joint fusion surgery were identified.

Results: There were 1000 cases of HV surgery and 1508 cases of 1st MTPJ fusion surgery. Both groups had significant functional impairment (MOXFQ/VAS) at baseline. Whilst 1st MTPJ fusion patients had significantly (p<0.001) higher baseline scores for all MOXFQ parameters compared to the HV cohort, only the walking component of MOXFQ was greater than the MCID [1, 2]. 13.80% of patients in the HV group and 12.60% of patients in the 1st MTPJ fusion group had complete data to allow comparison of PROM score difference between baseline and 12 months. Of these patients both cohorts demonstrated a statistical and clinically significant improvement at 12 months in all components MOXFQ/VAS scores. Whilst at 12 months the MOXFQ/VAS scores remained significantly higher in the 1st MTPJ fusion cohort than the HV cohort this did not reach the MCID in any component.
Comparing the improvements in MOXFQ/VAS there was a greater improvement in scores from baseline to 12 months in the 1st MTPJ fusion group, however this was not statistically significant.

Conclusion: This data demonstrates hallux valgus leads to functional impairment similar to 1st MTP osteoarthritis; the MOXFQ walking component was the only domain in which 1st MTPJ fusion patients had clinically (MCID) worse baseline symptoms. Acknowledging the limitations of our low follow-up rates, our data demonstrates both types of surgery lead to clinically significant improvements in patient function. Furthermore offering 1st MTPJ fusion does not lead to a clinically worse outcome (MCID) than hallux valgus surgery.

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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

 

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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

 

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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 Supported Events

Other Upcoming Events / Courses