Welck_foot_ankle, London (2026)

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.

13/05/2026

Excellent second day at the 29th Stanmore Surgery of the Adult Foot & Ankle Course.

Day 2 focused on Sports Foot & Ankle Surgery, Hindfoot Reconstruction and Degenerative Foot & Ankle Conditions, with outstanding lectures, case discussions and hands-on workshops from an exceptional UK and international faculty.

A fantastic opportunity to discuss modern concepts and evolving techniques in:

🔹 Ankle sprains and syndesmosis injuries
🔹 Peroneal tendon disorders
🔹 Osteochondral lesions of the talus (OLT)
🔹 Achilles tendinopathy and Achilles tendon rupture
🔹 Inferior heel pain and plantar fasciitis
🔹 Complex hindfoot deformity correction
🔹 Pes planovalgus (flatfoot reconstruction)
🔹 Pes cavus surgery
🔹 Total ankle replacement
🔹 Ankle arthrodesis
🔹 Ankle preservation surgery and supramalleolar osteotomy
🔹 Revision ankle replacement surgery

The afternoon workshops on triple arthrodesis, internal brace/syndesmosis fixation and ankle arthrodesis generated excellent discussion around surgical decision-making, fixation strategies and current evidence in foot and ankle surgery.

It has been fantastic to bring together consultant foot and ankle surgeons, orthopaedic trainees, physiotherapists and allied healthcare professionals from across the UK and internationally to share expertise in advanced foot and ankle reconstruction.

Proud to co-convene this course with Nick Cullen, Shelain Patel and Karan Malhotra at the Royal National Orthopaedic Hospital (RNOH), Stanmore — one of the leading centres for complex foot and ankle surgery, ankle replacement and deformity correction in the UK.

Thank you to all faculty, delegates and sponsors for another outstanding day of orthopaedic education and collaboration.

12/05/2026

Fantastic start to Day 1 of the 29th Stanmore Surgery of the Adult Foot & Ankle Course at The Village Hotel, Watford.

A huge thank you to our outstanding UK and international faculty, sponsors, delegates and our RNOH organising team for making the opening day such a success.

Today focused on Forefoot Surgery, with excellent discussions and debates on:

🔹 Hallux valgus and bunion surgery
🔹 MIS vs open bunion surgery
🔹 Lapidus procedures
🔹 Hallux rigidus
🔹 Metatarsalgia and Morton’s neuroma
🔹 Lesser toe disorders
🔹 Diabetic foot surgery
🔹 Rheumatoid foot reconstruction

The hands-on workshops on Silastic first MTP replacement, scarf osteotomy and Lapidus surgery were particularly well received, with fantastic engagement from delegates throughout the day.

One of the highlights of the course continues to be the ability to combine evidence-based foot and ankle surgery education with practical case discussions and surgical workshops led by experienced consultant foot and ankle surgeons.

Proud to co-convene this internationally recognised Foot & Ankle Surgery Course alongside Nick Cullen, Shelain Patel and Karan Malhotra at the Royal National Orthopaedic Hospital (RNOH), Stanmore.

Great to see so many surgeons and trainees and industry coming together .nick

19/04/2026

🦶 New research paper from RNOH foot and ankle team.
3D-printed patient-specific instrumentation for complex foot deformity correction
Published in Foot and Ankle Surgery —

our team at the Royal National Orthopaedic Hospital (RNOH) Stanmore has released a prospective case series on reconstructing severely deformed feet using 3D-printed, patient-specific cutting guides.
▪ The problem
Cavovarus and multiplanar foot deformities — often linked to Charcot-Marie-Tooth disease, residual clubfoot — twist the foot in three dimensions. Conventional surgery struggles to correct all planes predictably.
▪ Our approach
Using each patient’s weightbearing CT scan, we worked with engineers to design custom 3D-printed guides. Placed directly on the bone, these guides mark exactly where to remove a wedge — correcting deformity in all three planes in one planned step.
▪ The results (11 patients, min. 12 months follow-up)
✅ Accurate correction in every case
✅ 100% bone healing by 3 months
✅ Significant improvements in alignment and walking ability
✅ No major complications
▪ Why it matters
For patients with these rare, challenging deformities, patient-specific instrumentation offers a more predictable route to a foot that sits flat to the floor and is easier to walk on.
📄 Read the full paper → https://lnkd.in/e86wWRVJ

Welck_foot_ankle

30/07/2026

24/06/2026

21/06/2026

13/06/2026

10/06/2026

05/06/2026

14/05/2026

13/05/2026

12/05/2026

19/04/2026

Address

Telephone

Website

Alerts

Contact The Business

Shortcuts

Share

Category

Listing takedown request