- Email: [email protected]
British Orthopaedic Foot Surgery Society Meeting, 16–17 November 2000
The Foot (2001) 11, 109±110 ß 2001 Harcourt Publishers Ltd doi: 10.1054/foot.2001.0671, available online at http://www.idealibrary.com on
MEETING REPORT
British Orthopaedic Foot Surgery Society Meeting, 16±17 November 2000
SUMMARY. This is a report on the British Orthopaedic Foot Surgery Society (BOFSS) meeting which was held on 16±17 November 2000, held at the Medical Education Centre, Northern General Hospital, organized and chaired by the President of BOFSS, Mr T. W. D. Smith. I am currently on an orthopaedic/podiatric surgical traineeship with Mr Smith and an invitation was extended to me by the President to attend the BOFSS meeting. ß 2001 Harcourt Publishers Ltd
FIRST DAY
meet orthopaedic surgeons and hear their views on foot surgery. It was announced that the next President of BOFSS would be Mr Ian Stephen of Canterbury.
The morning started with Mr K. M. N. Kunzru (Whipps Cross Hospital, London), who described the many aetiologies and pathogenesis of hallux valgus, which included metatarsus primus varus, distal metatarsal articular angle, ®rst ray instability and muscle imbalance. There were more than ten aetiologies discussed. Mr D. McBride (North Staffordshire Hospital, Stoke-on-Trent) and Mr S. Parsons (Royal Cornwall Hospital, Cornwall) described current practice and the guidelines and future practice of hallux valgus surgery. Dr L. S. Barouk, the highly respected orthopaedic surgeon from Bordeaux-France, (who trained with Mr L. S Weil, Podiatric Surgeon, USA, the founder of the Weil Osteotomy), is a keen advocate of the SCARF and Weil Osteotomies. He also described a new proximal metatarsal elevation osteotomy called the `BRT' osteotomy for the excessively plantar¯exed ®rst metatarsal causing metatarsalgia. The latter part of the morning was taken up by dry bone workshops using powered bone saws. The Scarf, Weil and BRT osteotomies were practised. A video presentation was shown by the Russia delegation which showed major trauma to the foot and its surgical correction. The afternoon session began with a lecture by Dr H. GoÈbel (Hiedereschmalken-Germany), titled `Ceramic Implants for the First Metatarso-Phalangeal Joint'. Dr GoÈbel mentioned that the current trial was in its early stage but was encouraging for ceramic implants. The evening dinner was held at the historic Cutlers Hall in Shef®eld. It was very interesting to
SECOND DAY The morning was split up into three sessions. Hallux valgus and hallux rigidus (Chairman T. W. D. Smith) A total of eight papers were presented for this session. The papers presented procedures ranging from a 2-year study of an oblique distal metatarsal osteotomy using a compression screw in hallux valgus surgery which was a successful procedure giving good osteotomy stability to amputation of the overriding second toe in severe hallux valgus in the elderly patient, which was found to be an effective treatment without the need for complex hallux valgus surgery. Other papers included a technique using ®nite element analysis to optimise the SCARF osteotomy using computerised analysis, `Cheilectomy or silastic joint replacement?' a study was underway on these two options. Foot and ankle arthrodesis and arthritis (Chairman Mr K. M. N. Kunzru) Seven papers were presented for this session ranging from ankle arthrodesis and hind and midfoot arthritis: inevitable associates? It was felt that fusion of the ankle joint caused excessive compensation 109
110
The Foot
forces onto the hind and midfoot, which I feel makes sense as the function of the ankle joint is lost apart from acting as a rigid lever following arthrodesis. Other papers included arthrodesis as a salvage procedure for failed ankle arthroplasty and pedobarographic effects following ankle arthroplasty and arthrodesis. Talipes equino-varus (Chairman Professor L. Klenerman) Four papers were presented in this session which included a paper on the treatment of resistant and neglected clubfeet by controlled differential fractional distraction. This procedure used external ®xators which gradually reduced the clubfoot deformity. The afternoon was split into three sessions. Soft tissue ankle injury (Chairman Mr I. Stephen) Five papers were presented in this session, the peroneus quartus muscle-incidence and clinical signi®cance: this muscle was not always found in the foot but could be the origin of discomfort and pain if present. Another paper discussed ankle instability in pes cavus in which the patient seemed to be prone to soft tissue ankle injury more frequently. Fractures of the foot and ankle (Chairman Mr N. Geary) Four papers were presented here, ranging from open fractures of the calcaneus to triplaner fractures requiring open reduction and internal ®xation-preoperative planning using computed tomography.
The Foot (2001) 11, 109±110
ARTHRITIS AND FOOT PAIN (CHAIRMAN MR I. WINSON) Five papers were presented in this session: one paper described ultrasound guided injections for Morton's neuroma. This used ultrasound image to guide the injection needle to its destination accurately, and early results were positive. Another paper described nerve entrapment of the branches of the super®cial peroneal nerve, it identi®ed the high heeled court shoe as a casual factor. POSTER PRESENTATIONS A total of eight poster presentations were given. A new type of os calcis osteotomy was described for reduction of the varus heel to stop the foot from rolling in. Another poster presentation was given for local anaesthesia for foot surgery, which described a safe and highly economical practice for foot surgery. The day ended with the installation of the new BOFSS President Mr I Stephen. I found the two days very interesting,valuable and enjoyable. Further information on the above papers and posters can be found on the website at www.BOFSS.co.uk Mr A. M. Sain Podiatrist 5 Trent Boulevard Westbridgford Nottingham NG2 5BB Tel: 44 0115 982 1782 E-mail: [email protected]
ß 2001 Harcourt Publishers Ltd
MEETING REPORT
British Orthopaedic Foot Surgery Society Meeting, 16±17 November 2000
SUMMARY. This is a report on the British Orthopaedic Foot Surgery Society (BOFSS) meeting which was held on 16±17 November 2000, held at the Medical Education Centre, Northern General Hospital, organized and chaired by the President of BOFSS, Mr T. W. D. Smith. I am currently on an orthopaedic/podiatric surgical traineeship with Mr Smith and an invitation was extended to me by the President to attend the BOFSS meeting. ß 2001 Harcourt Publishers Ltd
FIRST DAY
meet orthopaedic surgeons and hear their views on foot surgery. It was announced that the next President of BOFSS would be Mr Ian Stephen of Canterbury.
The morning started with Mr K. M. N. Kunzru (Whipps Cross Hospital, London), who described the many aetiologies and pathogenesis of hallux valgus, which included metatarsus primus varus, distal metatarsal articular angle, ®rst ray instability and muscle imbalance. There were more than ten aetiologies discussed. Mr D. McBride (North Staffordshire Hospital, Stoke-on-Trent) and Mr S. Parsons (Royal Cornwall Hospital, Cornwall) described current practice and the guidelines and future practice of hallux valgus surgery. Dr L. S. Barouk, the highly respected orthopaedic surgeon from Bordeaux-France, (who trained with Mr L. S Weil, Podiatric Surgeon, USA, the founder of the Weil Osteotomy), is a keen advocate of the SCARF and Weil Osteotomies. He also described a new proximal metatarsal elevation osteotomy called the `BRT' osteotomy for the excessively plantar¯exed ®rst metatarsal causing metatarsalgia. The latter part of the morning was taken up by dry bone workshops using powered bone saws. The Scarf, Weil and BRT osteotomies were practised. A video presentation was shown by the Russia delegation which showed major trauma to the foot and its surgical correction. The afternoon session began with a lecture by Dr H. GoÈbel (Hiedereschmalken-Germany), titled `Ceramic Implants for the First Metatarso-Phalangeal Joint'. Dr GoÈbel mentioned that the current trial was in its early stage but was encouraging for ceramic implants. The evening dinner was held at the historic Cutlers Hall in Shef®eld. It was very interesting to
SECOND DAY The morning was split up into three sessions. Hallux valgus and hallux rigidus (Chairman T. W. D. Smith) A total of eight papers were presented for this session. The papers presented procedures ranging from a 2-year study of an oblique distal metatarsal osteotomy using a compression screw in hallux valgus surgery which was a successful procedure giving good osteotomy stability to amputation of the overriding second toe in severe hallux valgus in the elderly patient, which was found to be an effective treatment without the need for complex hallux valgus surgery. Other papers included a technique using ®nite element analysis to optimise the SCARF osteotomy using computerised analysis, `Cheilectomy or silastic joint replacement?' a study was underway on these two options. Foot and ankle arthrodesis and arthritis (Chairman Mr K. M. N. Kunzru) Seven papers were presented for this session ranging from ankle arthrodesis and hind and midfoot arthritis: inevitable associates? It was felt that fusion of the ankle joint caused excessive compensation 109
110
The Foot
forces onto the hind and midfoot, which I feel makes sense as the function of the ankle joint is lost apart from acting as a rigid lever following arthrodesis. Other papers included arthrodesis as a salvage procedure for failed ankle arthroplasty and pedobarographic effects following ankle arthroplasty and arthrodesis. Talipes equino-varus (Chairman Professor L. Klenerman) Four papers were presented in this session which included a paper on the treatment of resistant and neglected clubfeet by controlled differential fractional distraction. This procedure used external ®xators which gradually reduced the clubfoot deformity. The afternoon was split into three sessions. Soft tissue ankle injury (Chairman Mr I. Stephen) Five papers were presented in this session, the peroneus quartus muscle-incidence and clinical signi®cance: this muscle was not always found in the foot but could be the origin of discomfort and pain if present. Another paper discussed ankle instability in pes cavus in which the patient seemed to be prone to soft tissue ankle injury more frequently. Fractures of the foot and ankle (Chairman Mr N. Geary) Four papers were presented here, ranging from open fractures of the calcaneus to triplaner fractures requiring open reduction and internal ®xation-preoperative planning using computed tomography.
The Foot (2001) 11, 109±110
ARTHRITIS AND FOOT PAIN (CHAIRMAN MR I. WINSON) Five papers were presented in this session: one paper described ultrasound guided injections for Morton's neuroma. This used ultrasound image to guide the injection needle to its destination accurately, and early results were positive. Another paper described nerve entrapment of the branches of the super®cial peroneal nerve, it identi®ed the high heeled court shoe as a casual factor. POSTER PRESENTATIONS A total of eight poster presentations were given. A new type of os calcis osteotomy was described for reduction of the varus heel to stop the foot from rolling in. Another poster presentation was given for local anaesthesia for foot surgery, which described a safe and highly economical practice for foot surgery. The day ended with the installation of the new BOFSS President Mr I Stephen. I found the two days very interesting,valuable and enjoyable. Further information on the above papers and posters can be found on the website at www.BOFSS.co.uk Mr A. M. Sain Podiatrist 5 Trent Boulevard Westbridgford Nottingham NG2 5BB Tel: 44 0115 982 1782 E-mail: [email protected]
ß 2001 Harcourt Publishers Ltd