Togay Koç / 07 June 2023 / 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. Print 335 Tags: SalvageArthrodesisTAR Documents to download Salvage ankle fusion after a failed primary ankle replacement - a data linkage study using the National Joint Registry and NHS Digital(.pdf, 232.59 KB) - 630 download(s)
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) - 300 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) - 292 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) - 503 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) - 100 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) - 97 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