Liverpool Foot and Ankle Clinic

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Liverpool Foot and Ankle Clinic

Multi-award-winning team specializing in foot & ankle care | Advanced treatments | Expert recovery

29/07/2026

🦶 New data on hallux valgus surgery — and it’s good news for patients.
Is bunion surgery worth the NHS’s money? Our latest research, using patient-reported outcomes from the British Orthopaedic Foot & Ankle Society BOFAS National Foot & Ankle Registry, says a clear yes.

📊 £8,737–£11,969 per QALY — well below the NICE willingness-to-pay threshold, and more cost-effective than hip or knee replacement.

With some UK Integrated Care Boards restricting funding for bunion surgery, this evidence matters. Around 20,000 hallux valgus operations happen on the NHS every year, this isn’t a “lifestyle” treatment, it’s life-changing care, and now we have the data to prove it protects patient access.

Huge thanks to the incredible team behind this work: Mr Tom Lewis | Orthopaedic Foot & Ankle Surgeon Tom Lewis Karan Malhotra Karan Malhotra Nilesh Makwana Edward Wood Joel Humphrey — and to every surgeon across the UK who contributes patient outcomes to the BOFAS Registry. This kind of national-level evidence simply isn’t possible without your data entry, year after year. 🙏

📖 Published in The Foot (2026): Lewis, Malhotra, Makwana, Wood, Humphrey, Mason.

https://www.sciencedirect.com/science/article/pii/S0958259226000647
Liverpool Foot and Ankle Clinic Bone and Joint Centre
PatientOutcomes FootSurgery

04/07/2026

A great afternoon at BIOSCON 2026 delivering the Registrar Ankle Fracture Workshop.

A huge thank you to Professor Mangwani for the kind invitation to join the faculty, and to for supporting another excellent hands-on educational session.

It was a pleasure talk on the principles of ankle fracture management, surgical planning and some of the technical tips that can make these challenging injuries a little more straightforward. The best part of these workshops is always the discussion, sharing different approaches, challenging dogma and learning from each other’s experience. It’s always encouraging to see so much enthusiasm from the next generation of orthopaedic surgeons.

A special mention also for the fantastic BIOS Gala Dinner. It was wonderful to see not just colleagues, but partners and families all coming together. Meetings like this are about much more than the scientific programme, they’re about building friendships, strengthening collaborations and celebrating the community that makes orthopaedics such a rewarding specialty.

Congratulations to Jot and the entire organising committee for delivering another outstanding BIOS meeting. Looking forward to the next one.

Trauma SurgicalEducation OrthoSolutions

26/06/2026

Great couple of days in York at the Round Table of Foot and Ankle Surgery 2026 – The Forefoot and Midfoot Revisited.

A huge thank you to for organising and hosting such an enjoyable and thought-provoking event, and to all the faculty and attendees for the excellent discussion throughout.

It was a pleasure to contribute to the consensus sessions, particularly my contribution of MIS hallux valgus (thanks to Mr Tom Lewis | Orthopaedic Foot & Ankle Surgeon for the help) and Lisfranc injuries / tarso-metatarsal trauma. These are areas where practice continues to evolve, and the round-table format was a brilliant way to challenge assumptions, share experience, and explore where the evidence is strong, and where it still needs to improve.

The best meetings are often the ones where you leave with as many questions as answers, and this was definitely one of those. Great company, honest debate, and a real focus on improving patient care in forefoot and midfoot surgery.

The consensus book will be along from the meeting shortly.

Thank you again to OrthoSolutions and everyone involved.

MIS Lisfranc Trauma Forefoot Midfoot Liverpool Foot and Ankle Clinic Bone and Joint Centre

20/06/2026

Thank you to the American Orthopaedic Foot & Ankle Society AOFAS for this incredible honour.

To be invited as the Kenneth A. Johnson International Speaker at the AOFAS Annual Meeting and IFFAS Biennial Meeting in Seattle is both humbling and deeply meaningful.

Throughout my career, I have benefited enormously from the generosity of mentors, colleagues, trainees, and collaborators from around the world. Any recognition I receive is really a reflection of the many people who have shared ideas, challenged assumptions, contributed to research, and ultimately helped advance patient care.

Foot and ankle surgery is a truly international specialty. Some of the most important developments in my own work have come through collaborations spanning multiple countries, societies, and disciplines. I am therefore particularly looking forward to discussing how questioning established dogma, embracing new technologies, and working together through collaborative research can help shape the future of our specialty.

My sincere thanks to AOFAS, IFFAS, and the programme committee for this invitation. I am honoured to follow in the footsteps of the distinguished international speakers who have previously held this role, and I look forward to joining colleagues and friends in Seattle in September 2026.

University of Liverpool School of Medicine Liverpool Foot and Ankle Clinic Bone and Joint Centre BOFAS NHS University Hospitals of Liverpool Group

13/06/2026

Thank you Sarah Johnson-Lynn and British Orthopaedic Foot & Ankle Society for the kind invitation and for the opportunity to contribute to what promises to be an excellent day of learning, collaboration, and discussion.

Foot and ankle research has evolved enormously over the last decade, but many of the most important questions in our specialty still remain unanswered. Events like this are vital in bringing together clinicians, trainees, allied health professionals, and researchers to share ideas, develop collaborations, and generate the evidence that will shape future practice.

I am particularly looking forward to joining an outstanding faculty including Sarah Johnson-Lynn, Daniel Marsland, Karan Malhotra, Raju Singh Ahluwalia, Adrian Kendal, and many others to discuss the future of foot and ankle research.

Whether you are already involved in research, considering your first project, or looking to expand your collaborative network, I would strongly encourage you to attend. Opportunities to learn from experienced researchers, receive feedback on developing projects, and build new collaborations are invaluable.

📅 11 September 2026📍 The Royal College of Surgeons of England, London

Thank you again to the organisers for the invitation. I look forward to seeing colleagues, friends, and future collaborators there.

Collaboration MedicalResearch Liverpool Foot and Ankle Clinic Bone and Joint Centre

05/06/2026

Thanks to , Abhinav Gulihar, Razi Zaidi, and the team at the 3rd Annual London Orthopaedic Meeting for the invitation to speak on hallux valgus and pes planus. The session was on pes planus more generally, with some good debate around open or MIS calc and arthroesis screw or lateral column lengthening.

As much as I enjoy talking about trauma, it was very nice to be asked to give a talk on elective foot and ankle. It’s been a while. Also 25% of the speakers in the session were welsh 🏴󠁧󠁢󠁷󠁬󠁳󠁿💪😂 Mae bod yn Gymro yn hiraeth, dyhead mor ddwfn, am fryniau a gariwn, am wreiddiau a gadwn.

Preparing the lecture led me down a rabbit hole reviewing the literature on the relationship between hallux valgus and flatfoot. What surprised me most was not what we know, but how little we actually know. For two of the most common foot deformities seen in clinic, there is remarkably little published work exploring how they interact.

Weirdly, over 10% of the published papers on the topic have my name on them! Depending on your perspective, that either means I’ve contributed meaningfully to the field… or it highlights just how little research there is!

Great discussions throughout the session and a reminder that sometimes the common conditions still have some of the biggest unanswered questions.

MedicalEducation Research LondonOrthopaedicMeeting BOFAS

$Reverse oblique medial malleolar fractures can be very tricky.With a standard medial malleolar fracture, retrograde scre...$

04/06/2026

Reverse oblique medial malleolar fractures can be very tricky.

With a standard medial malleolar fracture, retrograde screws work beautifully. However, when the fracture line runs in a reverse oblique direction, things become much more challenging. Particularly when there is substantial soft tissue and large body habitus, tightening a retrograde screw can actually make the fragment want to slide proximal rather than compress.

A recent paper described a series of antegrade screw fixation for these fracture types https://lnkd.in/eXCFsnnZ
who reported excellent union rates and no fixation failures using antegrade minifragment screws for these uncommon fractures. Their biomechanical rationale is straightforward: compression works best when applied perpendicular to the fracture plane, whereas traditional retrograde fixation in reverse oblique patterns may generate unwanted shear forces.

In this recent case, I opted for this antegrade screw fixation technique, allowing the screws to be placed much closer to perpendicular to the fracture line and achieving compression across the fracture rather than shear.

Have others encountered this fracture pattern, and if so, how have you chosen to fix it?

SurgicalTechnique

01/06/2026

📢 New Publication from the UK-FATE Collaborative 📢

Delighted to share the publication of our latest work in The Bone & Joint Journal:

“Infection Following Foot and Ankle Surgery: A Subanalysis of Data Captured from the UK Foot and Ankle Thromboembolism (FATE) Audit.”

https://lnkd.in/eDHbxner

Using data from 68 centres across the UK and 9,591 foot and ankle surgical procedures, this study provides one of the largest contemporary analyses of postoperative infection in foot and ankle surgery.

Key findings include:
🔹 Overall infection rates remain relatively low (4.1% superficial, 1.4% deep)
🔹 Deep infection rates were higher following trauma surgery than elective surgery
🔹 Acute diabetic foot surgery demonstrated the highest infection rates
🔹 Smoking, diabetes, peripheral vascular disease and higher ASA grade were all independent predictors of infection

Collaborative research continues to demonstrate what can be achieved when the foot and ankle community works together to answer important clinical questions and improve patient care. Particular thanks to my co-authors:
👏 Jenna Shepherd
👏 Houchen-Wolloff
👏
👏

BoneAndJointJournal CollaborativeResearch PatientSafety SurgicalOutcomes Trauma DiabeticFoot

22/05/2026

Honoured to be invited as international faculty at Frakturdagarna 2026 in Göteborg, Sweden 🇸🇪

A fantastic few days discussing modern trauma management with colleagues from across Europe. I spoke ok posterior malleolar fractures and midfoot injuries, but I particularly loved that they had a separate program for nurses. I gave a lecture on positioning for hindfoot surgery which was very well received. Definitely something we should do in the UK.

It was a privilege to share ideas and discuss how evolving evidence.

A huge thank you to Thomas Berglund and the Frakturdagarna organising committee for the kind invitation and warm hospitality throughout the meeting. The programme, discussions, and international faculty made for an outstanding educational event.

Always inspiring to see such enthusiasm for advancing fracture care and improving outcomes for our patients.

PosteriorMalleolus MedicalEducation BOFAS Frakturdagarna Surgery OrthopaedicTrauma

07/05/2026

Beautiful on the lake tonight. Also colorful meteorological phenomenon above Connah’s Quay power station at sunset, a rainbow fragment.

Address

57 Greenbank Road
Liverpool
L181HQ

Telephone

+447717580737

Website

https://liverpoolfootandankle.com/, https://lyndonmason.com/

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