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

Website Updates

Research Grants and Email Patient Info Leaflets

The research grants page has been updated and a list of previous grants can now be viewed.

Patient information pages now have a link so that the page link can be shared with patients via email.

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BOFAS Hosted Events

Courses organised by BOFAS
 

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 now.

 

 


 

BOFAS Affiliated Courses

Courses by organisations with an affiliation to BOFAS
 

Other External Events / Courses

Independant courses organised by other organisations not directly affiliated with BOFAS, but which BOFAS members may find of value.
 
Togay Koç
/ Categories: Abstracts, 2023, Podium

Salvage ankle fusion after a failed primary ankle replacement - a data linkage study using the National Joint Registry and NHS Digital

T. Jennison, A. Goldberg, I. Sharpe

Introduction: When a total ankle replacement fails it can be converted to an ankle fusion or a revision ankle replacement. Despite the increased numbers of undertaken there is limited research on the management of patients undergoing a conversion to fusion following a failed ankle replacement. The primary aim of this study was to analyse the survival of ankle fusions following a failed ankle replacement using a large dataset from the National Joint Registry.

Methods: A data linkage study combined National Joint Registry (NJR) Data and NHS Digital data. The primary outcome of failure is defined as a revision fusion procedure, conversion to ankle replacement or amputation. Life tables and Kaplan Meier survival charts were used to illustrate survivorship. Cox proportional hazards regression models were fitted to compare failure rates.

Results: 131 underwent conversion to fusion as a salvage procedure. The mean age was 65.7 and 55.7% were males. The mean follow-up was 47.5 months. The mean time from primary ankle replacement to revision to an ankle fusion was 5.3 years. 50 (38.2%) patients required further surgery. Of the 131 patients, 32 patients (24.0%) underwent reoperations other than revision and 29 (22.1%) required revision. 24 (18.3%) underwent re-revision to another fusion and 5 (3.8%) underwent a below-knee amputation. No cases were converted back to a TAR. Failure tended to occur in the first three years with 1-year survival of salvage ankle fusion in 131 patients being 96.0% (95% CI 90.7 to 98.3) and 3-year survival in 69 patients being 77.5% (95% CI: 68.3 to 84.4).

Conclusion: Salvage ankle fusion after a failed ankle replacement demonstrates high rates of failure and re-operations. 38.2% of patients undergo further surgery and 23% require revision within 3 years. Further studies are required to further analyse the outcomes of failed ankle replacements.

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