Togay Koç / 27 June 2022 / Categories: Abstracts, 2013, Poster The interim results on estimation of a forefoot surgery quality-adjusted life years (QALY)? R. Ahluwalia, N. Blucher, H. Kielghty, P. Weller, S. Platt, M. Hennessy Introduction: Planned reduction in expenditure can be expected to result in rationing of NHS services. A method of assessing the financial benefit of a treatment is to estimate the quality-adjusted life years (QALY’s). The aim of this study was to perform a cost-utility analysis of forefoot surgery. Methods: During a period between October 2011 and March 2012 all forefoot procedures were prospectively followed with the MOXFQ up to 1- year. We followed the health economic analysis as identified by Jenkins et al 2013. Health states derived from the MOXFQ were converted to a single summary index on a scale of -1 to 1, where 1 represents perfect health, and 0 represents no change. Using life expectancy tables we calculated the time spent in that state (in years) to derive the QALY’s gained or lost. Surgical costs were identified as per the HRG code to calculate the cost per QALY. Statistical analysis was undertaken to test the normality of data and 95% confidence intervals. Results: 36 patients, with an average-age of 63.4yrs underwent forefoot surgery between Oct 2012- March 2012. All patients had hallux valgus correction with correction of lesser toe deformities and completed pre-operative MOXFQ and post-operative 1 year MOXFQ. We found a 33.4% (29.4-36.7%) positive improvement in MOXFQ at 1- year and identified the mean QALY gained is 4.9, as the average age at death on the Wirral 78.2 meaning any foot health improvement could potentially last 14.8 yrs. Our coding department identified the mean cost of surgery, was £3082.42 in this group and the mean lifetime cost-per-QALY is £733.90 if patient health remained static. Conclusion: Forefoot surgery appears a cost-effective and compares favourably with both THR and TKR. We advocate further study into the QALY value for specific forefoot procedures and variance due to yearly change in NHS-payment structures. Print 488 Tags: Outcome Measures
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) - 464 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) - 452 download(s) 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) - 188 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) - 600 download(s) Read more
7Nov2025 TriCountries Diabetic Foot Symposium 07/11/2025 Read more TriCountries Diabetic Foot Symposium In-person multidisciplinary event bringing together leading experts in the UK to discuss the latest advancements in diabetic foot care. Read more
20Nov2025 7th International Congress of Foot & Ankle Minimally Invasive Surgery 20/11/2025 - 22/11/2025 Read more 7th International Congress of Foot & Ankle Minimally Invasive Surgery Read more
1Dec2025 24th Oswestry Foot & Ankle Course 01/12/2025 - 03/12/2025 Read more 24th Oswestry Foot & Ankle Course Documents to download Foot-Ankle-Course-Flyer-2025(.pdf, 258.07 KB) - 33 download(s) Read more