Togay Koç / 04 July 2022 / Categories: Abstracts, 2014, Podium Non-operative treatment of tendo-achilles rupture: is “gap size” important in determining suitability for functional rehabilitation? S.C. Roberts, P. Francis, N. Hughes, G. Boyd, M.A. Glazebrook Introduction: The treatment of acute rupture of the tendo-achilles remains controversial. There is good evidence to suggest that outcomes are the same for both operative and non-operative treatment when a functional rehabilitation program is utilised. However, debate continues as to whether the radiological gap-size between the proximal and distal remnants of the tendon has an influence on the suitability for non-operative management. Methods: All adult patients who attended the emergency department with a clinically suspected tendo-achilles rupture were place in a plantarflexed cast, and underwent MRI scanning to confirm the diagnosis. They were then counselled on the risks and benefits of operative versus non-operative treatment. Patients opting for non-operative treatment were asked to take part in the study and treated using a functional rehabilitation programme. Gap sizes were determined using a standardised protocol by a single musculoskeletal radiologist blinded to the clinical outcomes. Results: A total of 69 patients have been recruited into the study, 40 have complete their one year review. There were two re-ruptures. The average age was 42.4 years (range 19-70). The average gap size recorded by MRI was 40.4mm (range 6-110). The average ATRS score was 80 (range 17-100) and the single limb heel raise percentage of contralateral side was 64.8% (range 4-115). The Spearman rank correlation coefficient comparing gap size and ATRS score was 0.272 (p=0.045) and for gap size and strength was 0.158 (p=0.165). Conclusion: This study shows a weak positive correlation between MRI measured gap size of the ruptured tendo-achilles and the Achilles tendon Total Rupture Score at one year. No correlation could be demonstrated between gap size and strength at one year. These results suggest that the MRI measured gap size is unimportant in predicting outcome and hence suitability for non-operative treatment of tendo-achilles rupture using functional rehabilitation. Print 504 Tags: Achilles
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) - 328 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) - 319 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) - 516 download(s) Read more
15May2025 Oswestry Cartilage Meeting 15/05/2025 - 16/05/2025 Read more Oswestry Cartilage Meeting 15-16th May, 2025 Keele Hall, Keele University Registration fee £250 (PhD Students £125) - closing: 31st March Further information & Registration Documents to download 2025_Keele_Cartilage_Symposium_Flyer_2025__1_(.pdf, 434.4 KB) - 132 download(s) Read more
5Jun2025 2nd Annual London Orthopaedic Meeting 05/06/2025 - 06/06/2025 Read more 2nd Annual London Orthopaedic Meeting 5th-6th June 2025 The Chicago Booth London Conference Centre, London, UK Read more
7Jun2025 World Orthopaedic Concern UK 07/06/2025 Read more World Orthopaedic Concern UK WOC is a charitable organisation and is a specialist society of the British Orthopaedic Association promoting orthopaedic education and care in developing countries. If you are interested in global orthopaedic initiatives, then click for more information. Documents to download 2025_WOC_conference_poster_FINAL(.pdf, 1.14 MB) - 120 download(s) Read more
7Jun2025 World Orthopaedic Concern UK 07/06/2025 Read more World Orthopaedic Concern UK WOC is a charitable organisation and is a specialist society of the British Orthopaedic Association promoting orthopaedic education and care in developing countries. If you are interested in global orthopaedic initiatives, then click for more information. Read more