Togay Koç / 05 June 2023 / Categories: Abstracts, 2023, Poster Tibialis posterior tendon entrapment in posterior malleolar and pilon injuries of the ankle: a retrospective analysis J. Aamir, A. Syziu, L. Andritsos, R. Caldwell, L. Mason Background: The Tibialis Posterior tendon (TPT) is the only tendon to come into contact with the distal tibia and is therefore at greatest risk of injury in fractures of the distal tibia. Although TPT injury has been reported rarely with injuries around the ankle they often have been missed and present late. Aim: Our aim was to analyse the rate to TPT entrapment in fractures involving the posterior tibia i.e. Pilon and posterior malleolar fractures (PMF). Methods: A retrospective analysis of Pilon and PMFs over a 10-year period was undertaken. Patients who had undergone surgical fixation of their PMF or Pilon fractures were identified from our prospectively collected database between 2012 and 2022. Any fracture which had undergone a preoperative CT was included. Analysis of their pre-operative CT imaging was utilised to identify TPT entrapment, where if ≤50% of the tendon cross section was present in the fracture site this was denoted as a minor entrapment and if >50% of the tendon was present in the fracture site was denoted as major. Results: A total of 207 patients were identified for further analysis, 158 had a Pilon injury and 56 who had a PMF. The incidence of TPT entrapment was 20.77% (n = 43) with 39 minor and 4 major entrapments. If the fracture entered the TPT sheath, there was a 43.30% (42/97) of entrapment as compared to 0.91% (1/110) in fractures not entering the sheath (p<.001). TPT was significantly more common in PMF as compared to Pilon fractures (p=.001). Conclusion: In our assessment, there was a significant risk of TPT entrapment when the CT images display the fracture line entering the tendon sheath. We recommend that surgeons consider pre-operative imaging in Pilon and PMFs and to actively look for TPT entrapment intraoperatively where entrapment does occur on CT. Print 269 Tags: AnkleFractureTrauma Documents to download Tibialis posterior tendon entrapment in posterior malleolar and pilon injuries of the ankle: a retrospective analysis(.pdf, 932.94 KB) - 668 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) - 403 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) - 394 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) - 94 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) - 568 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