Lectures of Distinction - Series 2 Lectures of Distinction - Series 2 The second season of BOFAS LoD is starting September 2021 01 September 2021 The second series of BOFAS Lectures of Distinction is starting September 2021. The first lecture is on Principles of Ankle Fractures and will be held on Monday the 6th of September. Click here for more details and to register. Read more
Annual Meeting 2021 - Recap Annual Meeting 2021 - Recap The 2021 Annual Meeting is over, but click here if you missed it! 12 March 2021 We hope you enjoyed the 2021 Virtual Annual meeting, but if you could not make it, it's available for members free of charge! Follow the link to view the programme and recordings. Read more
New Website New Website We have a brand new look 01 February 2021 BOFAS are pleased to announce our new website! 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 / 27 June 2022 / Categories: Abstracts, 2013, Poster Pilot study of local anaesthetic peripheral nerve block in forefoot day case surgery: does it work better when administered before the start of the surgical procedure? S. Chandrashekar, A. Watson Introduction: The success of Day-case forefoot surgery depends on good post-operative pain relief to ensure that patients are confidently discharged home. We routinely perform all forefoot surgery as daycase procedure with pre-operative regional local anesthetic block with 0.5% Levo-Bupivacaine involving the superficial and deep peroneal, sural, posterior tibial and saphenous nerves. We hypothesized that pre-operative regional block has similar effectiveness if not better, compared to block administered after the surgical incision has been sutured. Methods: 42 consecutive patients undergoing day-case bony forefoot surgery were recruited and randomized to receive regional local anesthetic block performed by senior author, with 20mls of 0.5% Levo-bupivacaine either before the surgical incision or after the surgical incision has been sutured. Patient and the member collecting data were blinded to the allocation. Intra-operative and post-operative analgesia was standardized in consultation with the anesthetists and all patients received general anesthesia.Post-operative visual analogue pain scores at 2 and 6 hours were collected. Data collection also included time at which they required rescue analgesia and the amount of analgesia used in the first 24 hrs. Results: 3 patients required overnight hospital stay due to social reasons. Mean age of patients undergoing surgery was 59±1 years. Mean surgery time was 49±1 minutes in Post-operative group & 39±1 minutes in pre-operative group. Average of the sum of the pain scores at 2&6 hours were 2 and 1 respectively. Mean time to rescue analgesia was 9±1 hours in the post-operative group and 11±1 hours in the pre-operative group. The amount of non-opiate analgesia used after discharge was more in the post-operative group. Conclusion: Pilot study power calculation suggests a sample size of at-least 67 patients to prove a statistical significance between groups. Results suggest Pre-operative regional anaesthetic block is better for longer pain relief in the initial 24 hours. Print 569 Tags: Peri-operative Care