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, 2019, Poster

Outcomes of spiral osteotomy of the tibia to correct coronal plane deformities in patients with concomitant end-stage osteoarthritis of the ankle

M. Kakwani, J. Coorsh, D. Townshend, R. Kakwani, A. Murty

Introduction: The management of end-stage osteoarthritis of the ankle with concomitant angular deformity of the tibia more than 10 degrees generally necessitates the correction of the deformity prior to operative intervention for the ankle. We present a series of patients with the CORA of tibial deformity at the middle third / lower third junction of the tibia corrected with spiral osteotomy of the tibia. Osteotomies of the tibia around diaphysis have a higher risk of complications including non-union.

Methodology: All patients who underwent the tibial spiral osteotomy and plate fixation under the care of senior authors at our institute between 2008 to 2019 were included in our present study. The patient demographics and details of the operation, degree of correction achieved, complications and any further interventions for the ankle arthritis were noted as well.

Results: A total of 12 patients (M:F = 7:5; average age = 68.8 years) were identified that underwent a spiral tibial osteotomy. Prior to the osteotomy, the average distance from the ankle to the CORA was 10.24 cm and the average degree of coronal plane deformity was 11.24. 10 patients had a varus deformity and 2 patients had a valgus deformity. 4/12 patients went on to have an ankle replacement after the osteotomy, 8/12 had their symptoms well controlled with the osteotomy itself and did not need ankle surgery. None of the patients had non-union or metal-ware failure. 4 patients needed removal of metal-ware.

Conclusion: As a summary, the procedure of spiral oblique tibial osteotomies is a safe and re-producible method to align the tibia prior to definitive interventions for the ankle. 66% of patients had their ankle arthritis symptoms significantly improved by the correction of their limb alignment.

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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

 

Documents to download

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

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)

 

 

Documents to download


 

BOFAS Supported Events

Other Upcoming Events / Courses