Welck_foot_ankle, London (2026)

18/10/2026

🚨 FINAL CALL – Med students and FY doctors - FUTURE SURGEONS, THIS ONE’S FOR YOU! 🚨

🦴 Interested in a career in Orthopaedic Surgery? Don’t miss this fantastic opportunity at BOFAS 2026!

Join us for the Medical Student Surgery Experience – an exciting, interactive day designed for medical students and foundation doctors considering a career in surgery.

📅 Friday 6 November 2026

🕚 11:00 AM – 2:30 PM

📍 ICC Wales, Newport

🔥 WHAT’S ON OFFER?

🎤 MEET THE EXPERTS – Career talks and invaluable advice from leading consultant foot & ankle surgeons.

🔬 SHOWCASE YOUR RESEARCH – An opportunity to present your work and gain experience at a national surgical meeting.

🛠️ GET HANDS-ON – Try your hand at a Scarf osteotomy in our practical surgical workshop. All equipment provided!

🏆 WIN A ONE-WEEK OBSERVERSHIP AT THE ROYAL NATIONAL ORTHOPAEDIC HOSPITAL (RNOH) – A fantastic opportunity to experience life in a specialist foot & ankle unit.

🤝 NETWORK – Meet surgeons, trainees and fellow aspiring orthopaedic surgeons from across the UK.

✅ No previous surgical experience required!

🎟️ PLACES ARE LIMITED – REGISTER NOW! Free of charge

👉 https://cvent.me/2OWDN5

Whether you’re already set on orthopaedics or just curious about surgery, this is a brilliant opportunity to gain practical experience, make connections and explore your future career.

Don’t miss out – we look forward to seeing you in Newport! British Orthopaedic Med Students and FY Doctors Association University of Leeds Trauma and Orthopaedic Society KCL Trauma & Orthopaedics Bristol University Orthosoc Newcastle University OrthoSoc Cardiff University Trauma and Orthopaedics Society UoB Trauma and Orthopaedics Society (OrthoSoc) University of St Andrews Trauma and Orthopaedics Society

04/10/2026

🦶🔪 MEDICAL STUDENTS & FOUNDATION DOCTORS — WANT TO TRY YOUR HAND AT ORTHOPAEDIC SURGERY?

Join us at BOFAS 2026 for a hands-on Medical Student Surgery Experience.

This isn’t just another careers talk.

🦴 OPERATE — perform a hands-on scarf osteotomy
🎤 PRESENT — showcase your research
👨‍⚕️ MEET — consultant Foot & Ankle surgeons and hear about a career in orthopaedics
🏆 WIN — a one-week Foot & Ankle observership at the Royal National Orthopaedic Hospital

📍 ICC Wales, Newport
📅 Friday 6 November 2026
⏰ 11:00–14:30

No previous surgical experience needed. All equipment provided.

Whether you’re already considering surgery or simply want to find out what operating is really like, come and have a go.

⚡ Places are limited — sign up now using the QR code on the flyer.

Please share with medical students, surgical societies and Foundation Doctors. British Orthopaedic Med Students and FY Doctors Association Warwick Medical School's Surgical Society 💉 Exeter Surgical Society

27/09/2026

Medical students and foundation doctors: sign up now for the BOFAS 2026 Medical Student Surgery Experience. Places are limited—scan the QR code on the poster or use the registration link in bio.

Join us on Friday 6 November, 11:00–14:30, at ICC Wales, Newport for a hands-on introduction to orthopaedic foot and ankle surgery.

🦶 Hear from surgeons about careers in foot and ankle surgery
🎤 Present your research in the student free-paper session
🏛️ Join the BOFAS congress Tips and Tricks session
🔧 Perform a scarf osteotomy using surgical instruments and bone models, guided by consultant faculty

The best student presentation wins a one-week observership with the RNOH Foot and Ankle Unit. No prior surgical experience is needed for the workshop, and all equipment is provided. If you’d like to present a paper, contact me in advance.

Ready to take part? Scan the QR code and register now.

British Orthopaedic Med Students and FY Doctors Association

30/07/2026

Decompressive First Metatarsal Osteotomy for the Treatment of Hallux Rigidus: A Systematic Review NEW PUBLICATION ALERT from RNOH foot and ankle team 🚨

Hallux rigidus (big toe arthritis) is one of the commonest causes of pain and stiffness at the first MTP joint. Cheilectomy and first MTP joint arthrodesis are well established — but the role of joint-preserving decompressive osteotomy has stayed poorly defined.

━━━━━━━━━━━━━━━

✅ WHAT WE FOUND

▸ Meaningful gains in patient-reported outcomes, pain scores and range of motion
▸ Strongest in early-to-moderate hallux rigidus
▸ Best results when performed alongside cheilectomy

⚠️ WHERE THE EVIDENCE FALLS SHORT

▸ Mostly retrospective case series
▸ Wide variation in technique, outcome measures and postoperative protocols
▸ ~77% combined osteotomy with cheilectomy — so the independent contribution of the osteotomy remains unclear

━━━━━━━━━━━━━━━

🎯 THE TAKEAWAY

This isn’t a call to change practice. It’s an objective synthesis — clarifying where decompressive osteotomy may sit within the hallux rigidus treatment algorithm, and where the gaps are.

The next step is clear: prospective comparative studies and RCTs to sharpen patient selection and optimise outcomes. 🔍

🙏 Sincere thanks to my co-authors and collaborators. Collaborative research is how we keep raising the standard of evidence-based foot and ankle care.

24/06/2026

🦶 **Journal Club: BOTA x BOFAS** | Tuesday 30th June, 8:00pm

Two of the most important recent UK foot & ankle trials — presented by trainees AND the surgeons who led them. A rare chance to hear the evidence straight from the source.

**On the programme:**

🔹 **The TARVA study** — Mr Firas Raheman (ST7, RNOH) with the lead author, Mr Andy Goldberg (RNOH)
The landmark RNOH-led randomised controlled trial comparing total ankle replacement against ankle arthrodesis (fusion) in patients with end-stage ankle osteoarthritis — the first direct randomised comparison of these two operations.

🔹 **The UK-FATE study** — Miss Aditi Aggarwal (ST4, RNOH) with the author, Mr Karan Malhotra (RNOH)
The UK Foot and Ankle Thromboembolism study — national, multicentre data on the real-world risk of blood clots (VTE) after foot & ankle surgery, already shaping how we approach prophylaxis.

🎙️ **Moderated by me** — I’m looking forward to chairing what promises to be a sharp, practical discussion with the people behind the numbers.

Useful for exam prep and general knowledge

👉 **Free to join — sign up via the link in the flyer (or scan the QR).**

TARVA SurgicalEducation RNOH EvidenceBasedMedicine

21/06/2026

🎾 Padel is the fastest-growing sport in the world… and my foot and ankle clinic is starting to see why!

The sudden stops. The lunges. The twists off the back glass. It’s brilliant fun — but your feet and ankles are taking the strain.

Over the past year I’ve seen a clear rise in padel-related foot and ankle injuries, and most of them are preventable. The usual suspects:

🦶 Ankle sprains (the classic lateral roll)
🦵 Achilles tendon pain — and occasionally rupture
⚡ Plantar fasciitis from all that load on the forefoot
🦴 Stress fractures in players who ramp up too quickly

The good news? A few simple changes to footwear, warm-up and load management dramatically cut your risk.

I’ve put together a full guide on the most common padel foot & ankle injuries and exactly how to prevent them 👇

🔗 blog url in comments

Playing padel yet? 👀

What’s been your experience — any niggles you’ve had to play through?
Any questions I can help with?
Any top tips I can tell to my patients to help prevent them???! 👇
Joel Delane Jo lowen Dan Lowen Jonathan Wein Marc Clifford Simon Passer Ralph Sherman Alex Littner Lee Setyon Darren Sher

13/06/2026

MIDFOOT ARTHRITIS: DOES EVERY PAINFUL MIDFOOT NEED A FUSION?

New paper 📝 🚨

For decades, midfoot arthrodesis has been considered the gold standard surgical treatment for symptomatic midfoot osteoarthritis.

But what if there was another option?

Our newly published systematic review evaluated the evidence for Deep Peroneal Nerve (DPN) Neurectomy as a motion-preserving alternative for selected patients with painful midfoot arthritis.

📊 Key findings:
✅ ~75% patient satisfaction
✅ Low complication rate (5.7%)
✅ Only 4.7% required later conversion to arthrodesis
✅ Return to weightbearing measured in weeks rather than months

Importantly, DPN neurectomy does not burn any bridges. Patients who fail to achieve adequate relief can still proceed to definitive fusion surgery later.

This procedure is not intended to replace arthrodesis.

Instead, it may provide an additional option for carefully selected patients:
🔹 Predominantly dorsal midfoot pain
🔹 Positive diagnostic DPN block
🔹 Preserved alignment
🔹 Patients wishing to avoid prolonged non-weightbearing recovery

As foot and ankle surgeons, we constantly balance:
⚖️ Pain relief
⚖️ Recovery time
⚖️ Surgical morbidity
⚖️ Preservation of function

The concept of joint denervation has become increasingly accepted in hand and wrist surgery. Could the same evolution occur in the foot and ankle world?

📚 Proud to collaborate with colleagues at the Royal National Orthopaedic Hospital and UCL on what is, to our knowledge, the first systematic review of this topic. Spilios Dellis Dr Michael Akinfala Karan Malhotra Nick Cullen Shelain Patel George Matheron Abdullah F. A. Nouri Tom Lewis Royal National Orthopaedic Hospital (RNOH) NHS Trust UCL

💬 I’d be interested to hear from colleagues:

➡️ Have you used DPN neurectomy for midfoot arthritis?
➡️ Would you consider it before arthrodesis in selected patients?
➡️ What would you need to see from future studies before adopting it

10/06/2026

🦶 𝗔𝗻𝗸𝗹𝗲 𝗔𝗿𝘁𝗵𝗿𝗶𝘁𝗶𝘀 𝗔𝗰𝗮𝗱𝗲𝗺𝘆 𝟮𝟬𝟮𝟲 — what a fantastic two days on the Newcastle Quayside! 🌉

A huge thank you to convenor David Townshend and the Clockwork Medical team for an exceptionally well-organised meeting at the Hilton Gateshead. From start to finish, every session ran seamlessly. 👏

✅ Two packed days covering the full spectrum of 𝗮𝗻𝗸𝗹𝗲 𝗮𝗿𝘁𝗵𝗿𝗶𝘁𝗶𝘀 — early OA and large osteochondral lesions, supramalleolar osteotomies (SMOT), complex ankle fusions, primary & revision 𝘁𝗼𝘁𝗮𝗹 𝗮𝗻𝗸𝗹𝗲 𝗿𝗲𝗽𝗹𝗮𝗰𝗲𝗺𝗲𝗻𝘁 (TAR), and managing the failing/painful TAR.

🎙️ It was a real privilege to present on “𝗠𝗮𝗻𝗮𝗴𝗶𝗻𝗴 𝗔𝗻𝗸𝗹𝗲 𝗙𝘂𝘀𝗶𝗼𝗻 𝗠𝗮𝗹𝘂𝗻𝗶𝗼𝗻” in the Fusion Clinic session.

🤝 The best part, as always, was the people — wonderful to share ideas, debate (agree and agreeably disagree!) the controversies (3D-printed total talus vs impaction bone grafting vs cage👀), and catch up with friends and colleagues from across the UK and internationally.

🔬 World-class lectures, brilliant case discussions, and superb industry workshops — exactly what high-quality surgical education should look like.

Already looking forward to next year! 🚀

05/06/2026

10th year. 18 fellows. 3 days that shape careers. 🦶

It has been an absolute privilege to serve as Course Director for the 10th BOFAS Advanced Foot & Ankle Fellows Forum.

Here’s what makes this course different from almost any other in orthopaedics 👇

❌ No death-by-PowerPoint.
❌ No “faculty vs delegates” divide.
✅ The fellows lead. They review the evidence. They chair the debates. They bring the hard cases.

The senior surgeons? We’re there to share the tips, the tricks, and the honest stories — including the cases that didn’t go to plan.

Because that’s where the real learning lives.

The whole ethos is simple:
➡️ Help trainees make the leap from senior trainee to consultant.
➡️ Speak up. Network. Think like a colleague, not a junior.

Add a full cadaveric day — forefoot, hindfoot reconstruction, ankle ligament repair — and you have a meeting that genuinely shapes the future of UK foot and ankle surgery.

A heartfelt thank you 🙏

👏 To our immense faculty — for your time, your honesty, and your mentorship.
👏 To our 18 delegates — your preparation and curiosity were exceptional. You ARE the future.
👏 To our organisers Ranae & Jo the BOFAS Education Committee — the magic happens behind the scenes.
👏 To OrthoSolutions & Arthrex — for backing foot and ankle education.

Here’s to the next 10 years. 🎉

14/05/2026

An incredible final day at the 29th Stanmore Surgery of the Adult Foot & Ankle Course.

Today’s sessions covered a wide range of complex and challenging topics in modern foot and ankle surgery, including:

🔹 Radiology of the foot and ankle
🔹 Ankle and subtalar arthroscopy
🔹 Ankle fractures
🔹 Pilon fractures
🔹 Talar fractures
🔹 Calcaneal fractures
🔹 Lisfranc injuries
🔹 Minimally invasive foot and ankle surgery (MIS)
🔹 Trauma reconstruction techniques
🔹 Surgical planning and decision-making in complex foot & ankle trauma

The trauma workshops and interactive case discussions created fantastic debate around fixation strategies, minimally invasive techniques, post-traumatic reconstruction and complication management — exactly the type of collaborative learning environment that makes this course so special.

One of the most rewarding aspects of this meeting has been seeing consultant foot and ankle surgeons, orthopaedic trainees, learning together, sharing experience and building long-term professional relationships.

As co-convenors, Nick Cullen, Shelain Patel, Karan Malhotra and I are hugely proud of this course. The Stanmore Foot & Ankle Course continues to bring together some of the leading minds in foot and ankle surgery, ankle replacement, deformity correction, sports injuries and trauma from across the UK and internationally.

A huge thank you to our exceptional faculty, course organisers, industry partners and every delegate who attended over the past three days. Your enthusiasm, engagement and willingness to share ideas are what make this course such a rewarding experience year after year.

Personally, it has been a privilege to help organise and teach on a course that means so much to us. Seeing lecture theatres full, workshops buzzing with discussion, and colleagues reconnecting from around the world reminds us why education, collaboration and mentorship remain so important in orthopaedic surgery.

Thank you all for making the 29th Stanmore Surgery of the Adult Foot & Ankle Course such a memorable and special event. Already looking forward to next year.

Welck_foot_ankle

18/10/2026

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