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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XLIII | Pages 27 - 27
1 Sep 2012
Cove R Guerin S Stephens M
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Method

A questionnaire was given to delegates at the British Orthopaedic Foot & Ankle Society (BOFAS) annual scientific meeting 3rd–5th November 2010. A total of 75 questionnaires were included within the analysis. The questionnaire asked delegates for their most commonly performed procedure for a variety of common foot and ankle conditions.

Results

Which procedure do you most commonly perform?

Hallux valgus mild; Chevron 60.0%
Scarf 28.0%.
Hallux Valgus Moderate; Scarf 85.3%
Chevron 12.0%
Hallux Valgus Severe; Scarf 65.3%
Basal Osteotomy 29.3%
1st MTPJ OA Fusion; crossed screws 54.7%
Plate 26.7%
Lesser toe Metatarsalgia; Weil 48.6%
BRT 22.8%
Hammer second toe; PIPJ Fusion 62.7%
Oxford Procedure 15%
Tib Post stage 1; Debridement 60.0%
Conservative 24.0%
Tib Post stage 2; FDL Transfer 76.0%
Calc. osteotomy 78.7%
Achilles tendon rupture Open Repair 61.5%
Percutaneous 13.8%

In delegates' normal practice they would fuse an osteoarthritic ankle 90% and perform a Total Ankle replacement 10% of the time. The method of fusion is split 50/50 between arthroscopic and open. Regarding the anaesthetic used for forefoot surgery most are using GA + Regional Block (mean 60%) only occasionally using regional anaesthesia alone (mean 8%)

Only 12.3% of delegates have tried minimally invasive [forefoot] surgery (MIS), 17.3% of delegates think they will do more MIS in the future.

The practice of British orthopaedic foot and ankle surgeons is broadly in line with an evidence-based approach. Knowledge of current practice may help trainees make sense of the myriad foot and ankle operations described in the literature.