BOFAS Surveys Results BOFAS Surveys Results Now Live 24 March 2022 The results of BOFAS surveys to the membership which have been published / presented can now be viewed here. Read more
BOFAS 2022 Recap BOFAS 2022 Recap BOFAS 2022 is over, but you can catch up here! 19 March 2022 Read more
EFAS Lyon 2021 - Hybrid Annual Meeting EFAS Lyon 2021 - Hybrid Annual Meeting October 21-22-23 - Combined Face to Face and Virtual Meeting 01 October 2021 The EFAS Congress Lyon 2021 will be the first hybrid congress from the European Foot and Ankle Society. EFAS hopes BOFAS members and others will join them in person for 3 amazing days of congress, to meet each other and exchange ideas, but in the current climate going abroad might still be difficult. EFAS would therefore like to extend the opportunity for all to be part of the congress by going HYBRID for the first time. Read more
10Feb2026 BOFAS Principles Course Liverpool 2026 - space available 10/02/2026 - 11/02/2026 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 now. Read more
Togay Koç / 20 April 2024 / Categories: Abstracts, 2024, Poster The importance of pre-operative CT imaging in posterior malleolus fixation and clinical outcomes C. de Wet, R. Hackney, R. Clayton, S. Middleton Background: The treatment of ankle fractures with associated posterior malleolar fractures remains controversial. The aim of this retrospective study was to establish the importance of pre-operative CT imaging to identify fracture morphology and characterise die-punch fragment size and position. We aim to present clinical outcomes including infection, rates of revision and incidence of radiographic evidence of post-operative arthritis. Methods: We reviewed 323 consecutive patients from a trauma database of all ankle fractures managed in a trauma and orthopaedic department between January 2019 and December 2020. A total of 66 patients had posterior malleolus fractures. Imaging was reviewed using CareStream and data recorded using Excel. Results: The mean age of patients was 52 years (range, 15-86 years). There was a 3:1 female to male preponderance. The majority of fractures were Lauge-Hansen SER (79%) with the remainder being 18% PER and 3% SAD. The posterior malleolar fragment was fixed in 70% of patients. 91% were fixed through a posterolateral approach using either a locking plate (65%), 1/3 tubular plate (7%), or posterior to anterior screws (20%). 9% were fixed using anterior to posterior screws. Die-punch fragments were identified in 88% with a mean size of 8mm (range, 2-19mm). The majority were largest on the axial (36%) or sagittal (33%) plane. Only one patient (1.5%) had a post-operative infection requiring further surgery. 6% patients had metalwork removal due to irritation. 1 patient (1.5%) underwent revision for failure. 14% patients developed radiographic changes of osteoarthritis (89% Kellgren and Lawrence grade 1, 11% grade 3). Conclusion: Die-punch fragments are common and therefore the use of pre-operative CT imaging is necessary to allow their identification to allow anatomic reduction. Utilising a posterior approach to fix these fractures comes with a low risk of infection 1.5% and low rates of failure 1.5%. Print 435 Tags: AnkleFractureTrauma Documents to download P1-de-Wet-Cailin-de-Wet-Cailin-de-Wet(.pdf, 645.68 KB) - 634 download(s)