BOFAS VTE Position Statement BOFAS VTE Position Statement Updated Statement June 2025 20 July 2025 Click here to access the newly updated BOFAS Position Statement for VTE Prophylaxis Read more
Registration Open for BOFAS 2025 (Nov) Registration Open for BOFAS 2025 (Nov) Click to Register Now! 25 June 2025 Read more
New Speciality Standards New Speciality Standards Management of End Stage Ankle Arthritis 05 April 2025 Click here to access the latest BOFAS-BOA Standards for management of End Stage Ankle Arthritis Read more
2Oct2025 BOFAS Principles Course - Dubai 02/10/2025 - 04/10/2025 Read more The aim is to give Overseas Trainee Orthopaedic Surgeons a solid grounding in the principles and the decision making in Foot & Ankle Surgery. There is an emphasis on clinical examination of cases, small group discussions and learning surgical approaches in the cadaver lab. This is the first course BOFAS is running in UAE and the aim is to expand the Foot and Ankle education and training in the Middle East and Gulf area. Venue - Le Meridien, Dubai, United Arab Emirates Documents to download ACv3BOFAS-Principles-Course-Programme-DXB(.pdf, 2.13 MB) - 469 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) - 738 download(s) 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 325 Tags: AnkleFractureTrauma Documents to download P1-de-Wet-Cailin-de-Wet-Cailin-de-Wet(.pdf, 645.68 KB) - 542 download(s)