Togay Koç

Consultant Trauma & Orthopaedic Foot & Ankle Surgeon #AskForADoctor

[Togay Koç @togsTK]

#AskForADoctor @AskForADoctor

[Togay Koç @togsTK]

Great article @vsmacdonald about lack of supervision of PAs, medical training and role clarity to patients. Is the public aware that for years, podiatrists without supervision, medical training nor medical governing body have operated on feet and ankles of patients?

[Channel 4 News @Channel4News]

Concerns grow over way physician associates are used in NHS

https://t.co/Lri29bhQ0Q

[Togay Koç @togsTK]

@UKChange @SteveBrineMP @BrineMP

[Zarah Sultana MP @zarahsultana]

Join my call on the Prime Minister by signing and sharing this petition:
https://t.co/HK92EDmFRL

[Togay Koç @togsTK]

@Hell_on_heels @WessexOrtho @Orthosush @KohliS124 @toni_ardolino @ZoeLin29484716 @amlrhodes @JRound5 @jo_higgins @philipsauve @MrAlexNicholls @RDastroyer @HampFootAnkle @DM_footankle @Jacobs_surgeon Definitely!

[UK FATE Audit @FATEaudit]

Over 100 unique centres now registered for the UK FATE audit. 5 days left to register an interest, so if you work in foot and ankle in either the NHS or private sector please click the link below https://t.co/MzRAaFeVBc

[BOFAS @BOFAS_UK]

Tips and Tricks underway in Solent Hall!

[krishna vemulapalli @vemulapalli001]

@DrTarunTaneja @SatishKutty7 @togsTK @kowshikjain @HeidariN @KuldipChagger @kumarkhs @raju_ahluwalia @bonedoc247 @TPrash @DannawiZaher @OrthopodReg @orthooliveruk @daudchou @RLHOTS please take time and share our study https://t.co/snCUduXYh7

[Togay Koç @togsTK]

@mskradiologist @DM_footankle @Jacobs_surgeon I see this slightly anterior position of the talus fairly frequently. Some with and some without lateral ligament deficiency. Tight gastroc soleus seems to be a common clinical finding. Perhaps also a contributing factor to development of ankle arthritis “starting” anterior?

[BOFAS @BOFAS_UK]

This weeks Bofas lecture of distinction is on hallux valgus by Callum Clark. 8pm Wednesday 20th. Register at https://t.co/aVTjB7n0LY. @bota_uk @BoneJointJ @RNOHRotation @EMS_LOTA @OrthohubXYZ

[Weightbearing in Ankle FraX Trial @WAX_trial]

Congrats to @RUHBath @Charlotte_Vye @MTW_Research @torcni @QAHospitalNews @HHFTOrtho @RCHTWeCare @ESHTNHS for recruits! < 2 weeks to go for @WAX_trial😱! Eyes on @NHSHarlow for a big-reveal Wednesday 👀💥! @RBNHSFT @LeicResearch @ResearchHarvey @UHCW_RandD @CV_UHB @mtw_rph

[BOFAS @BOFAS_UK]

Kicking the new season off! 2 stellar webinars for FRCS trauma by BOFAS. Monday 6th, Principles of Ankle Fractures by Hiro Tanaka. On Thursday 9th Key papers on lisfranc injuries. Coetzee and Mangwani. Register https://t.co/aVTjB7n0LY @AOFAS_Journals @BoneJointJ @EFASnews

[Togay Koç @togsTK]

@InvictaOrtho @FootAndAnkleMD It seems a good argument for stressing every syndesmosis after bony fixation to me. Thanks for sharing the case.

[krishna vemulapalli @vemulapalli001]

Fantastic lectures by kowshik Jain, Vivek Dhukaram, @togsTK, Melwyn Pereira and Hari Prem

[Weightbearing in Ankle FraX Trial @WAX_trial]

299th @WAX_trial recruit from @Sam_mcmahon84 and then Awoo!! to Leean @bartmusgrave! Thanks also to @rich_unsworth @mtw_rph @EdkinsJanet @MTWnhs @togsTK @iamfivetoes @QAHospitalNews @rand_james @ResearchHarvey for recruits this week!

[Togay Koç @togsTK]

@InvictaOrtho This tip came on very useful for us today. Thank you.

[Togay Koç @togsTK]

@mskradiologist @DM_footankle @Jacobs_surgeon @WessexOrtho Looks like a CN coalition to me. You see that dorsal TNJ beaking with that as well. But I’m just an orthopod...

[Togay Koç @togsTK]

@mikebarrett647 @BrevardOrtho @InvictaOrtho @Drlyndonmason Bad side up lateral for me, especially if I need to do some “decent” work (antero)medially. I just don’t do as good a job with medial mal if it is “upside down”. If going posteromedial or medial posteromedial + posterolateral I go semiprone. Prone reserved for bilaterals

[Togay Koç @togsTK]

Interestingly, two part posterior malleolus fractures fixed with a residual step off in the fibular notch did poorly. So it is worth taking @Drlyndonmason advice to fix the posteromedial fragment first to avoid just this.

[Togay Koç @togsTK]

Predictors of outcome are key in determining how we manage the posterior malleolar component of ankle fractures. Blom et al paper in @BoneJointJ sheds light on this.