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, 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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