BOFAS News & Events

This pages lists all the latest news and upcoming events.

 

To access 'Foot Print' (the BOFAS Bulletin) please click here (members only)

 

Latest News

Togay Koç
/ Categories: Abstracts, 2022, Poster

The learning curve of third-generation percutaneous chevron and Akin osteotomy (PECA) for hallux valgus

T. Lewis, P.W Robinson, R. Ray, T.AJ Goff, P.MC Dearden, M.R Whitehouse, P. Lam, G. Dracopoulos

Background: The learning curve to reach technical proficiency for third- generation percutaneous or minimally invasive chevron and Akin osteotomies (PECA/MICA) is recognised to be technically challenging however it is poorly defined in the literature. 

Methods: Retrospective review of the first 58 consecutive PECA cases of a single surgeon. The primary outcome was the number of cases required to reach technical proficiency as defined by the tourniquet time. Secondary outcomes included radiation exposure, radiographic deformity and complication rates. 

Results: Between November 2017 and March 2019, 61 consecutive PECA cases were performed with outcome data available for 58 of these (95.1%). Technical proficiency was reached after 38 cases. Tourniquet time and radiation exposure significantly decreased after this transition point (p<0.05). There was no difference in complication rate or radiographic deformity correction regardless of position along the learning curve (p>0.05). 

Conclusion: The mean number of cases required to reach technical proficiency in third-generation PECA is 38 cases. The complication rate does not correlate to the number of cases performed, therefore surgeons interested in learning minimally invasive surgery can be reassured that they are unlikely to cause additional risk of harm to a patient during the learning curve. This information is useful to inform the consent process. 

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BOFAS Hosted Events

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

 

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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

 

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BOFAS Principles Course Taunton

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)

 

 

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BOFAS Supported Events

Other Upcoming Events / Courses