Dr Nima Heidari

AO Foot and Ankle Trauma Reconstruction

My friend’s 9 year old daughter, Kara, is a cancer survivor and enjoys swimming, aerial circus, tumbling, netball, cycling, skiing and cross-country running, and has a packed programme every week! Her recovery is down to her own determination, the support of her families, friends and colleagues, and the incredible work of the Haematology/Oncology department and the staff of Starlight Ward at Bristol Children’s Hospital.

Kara's 3 Days, 3 Peaks, 3 Years from "ringing the bell" challenge is to raise funds for this ward that took such fantastic care of her.

Please support Kara in her quest - any amount large or small will make a huge difference to the staff, patients, and parents on Starlight.

Click the link https://www.justgiving.com/fundraising/3days3peaks3years

Today is the Spring Equinox and the official end of winter. Happy Nowruz!

Look forward to seeing you on March 22nd, for our online event on Ankle Sprains and Instability with my colleague and good friend Mr. Thomas Hester.

This event will focus on ankle sprains and instability and will greatly benefit Physiotherapists, GPs and other first contact practitioners looking to enhance their clinical reasoning based on examination and subjective questioning.

The panel will comprise of our specialists Professor Nima Heidari and Mr. Thomas Hester who will be leading the session with their keynote presentation on ankle sprains and instability.

We can't wait to see you for this event. To register please click https://www.eventbrite.co.uk/e/ankle-sprains-and-instability-consultant-panel-with-qa-tickets-293038414787?utm-campaign=social%2Cemail&utm-content=attendeeshare&utm-medium=discovery&utm-source=strongmail&utm-term=checkoutwidget

Dr Nima Heidari
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Patient Testimonial:
“I have been under Professor Heidari's excellent care for 2+ years now, across a number of locations. I cannot speak highly enough of his expertise and manner, which is superbly complemented by his team - his secretary in particular.”

Orthopaedic Specialists

Raymond, 47 years old, suffered from a work place injury sustaining an ankle fracture. He came to see Prof Heidari four months after the original injury and subsequent fixation.

He was told by various other surgeons that the best option would be to mobilise, rehabilitate and then fuse his ankle later. He was desperate to try and maintain his ankle and to this effect he actually had not started bearing load through his foot in way to stop the articulating congruity causing arthritis.

Prof Heidari performed intra articular osteotomy restoring congruity of the ankle joint to avoid ankle fusion and further destructive surgeries for arthritis. Raymond is now back to his physical activities including his passion for jogging.

For full case study, click here: https://os.clinic/case-studies/intra-articular-osteotomy-for-ankle-fracture/

“I think Mr Heidari inspired my confidence in him. He explained everything in detail to me and when visiting with some of his team he spoke to me let me ask questions great active listener. When he visited me by himself on one occasion asked me if it would be okay to sit down he was then at my level talking gained eye contact, whilst remaining professional at all times. He is a caring man and only wants the best outcome for his patients. I cannot thank him and his team of doctors and nurses enough.”

Orthopaedic Specialists

Course description:
Interested in becoming more skilled in managing foot and ankle injuries? This brand-new approach to learning will take place in April 2022 and will comprise online lectures over the month of April and virtual discussions for a larger group on April 20, as well as an option for a smaller group of 24 UK & Ireland participants to attend a linked cadaveric module on April 21, 2022, in Cambridge.

Learning objectives:
All participants will have an opportunity to review all aspects of serious injuries to the foot and ankle from initial presentation, through primary emergency management and definitive reduction and fixation to secondary reconstruction of the delayed consequences of trauma and discuss the management of common trauma cases with experts.

To register for the course click Ticket Selection - AO Trauma Course—Foot and Ankle Trauma and Reconstruction click here:
https://aofoundation.force.com/s/lt-event?utm_campaign=aot-falcon-posts&utm_medium=social-media&utm_source=linkedin&id=a1R0800000AYiqlEAD

Faculty
Alexandros Vris
Lucky Jeyaseelan
Lee Parker
Francesc Malagelada
Georgios Pafitanis
Claire Topliss
Mark Jackson
Roger Atkins
Lyndon Mason
Jitendra Mangwani
AOUK Education
AO Foundation
AO Trauma
Lisa Hadfield-Law
Harley Street Specialist Hospital

Open tibial fractures are complex injuries with variable outcomes that significantly impact patients’ lives. Surgical debridement is paramount in preventing detrimental complications such as infection and non-union; however, the exact timing of debridement remains a topic of great controversy. The aim of this study is to evaluate the association between timing of surgical debridement and outcomes such as infection and non-union in open tibial fractures.

For full article click https://www.mdpi.com/2075-4418/11/6/1017

Ankle equinus deformity due to trauma corrected by using Taylor Spatial Frame (TSF)

Orthopaedic Specialists

Left side Achilles tendon rupture showing loss of the natural equinus of the foot and immediately after surgery natural equinus of the foot has been achieved and corrected

30 years old lady was having ankle pain which worsened with walking. After a thorough clinical exam, CT scan and MRI she was diagnosed with osteochondral lesion of the medial shoulder of talus.

Here are her intra op images showing the lesion after removal of unstable cartilage, after bone grafting and after the placement of Chondro - Gide.

Osteochondral lesion of the talus bone cause:
1. Deep ankle pain associated with weight-bearing
2. Impaired function
3. Limited range of motion
4. Stiffness
5. Swelling

A novel technique to assess rotational deformities in lower extremities using CT-based motion analysis by Prof Nima Heidari. “A new technique for measurement of the rotational deformities of the lower legs has been proposed. Using this novel image fusion technique, we found that human lower legs are symmetrical. It is therefore appropriate to use our proposed technique in clinical practice to get an accurate and precise answer to whether there are any rotational deformities in the lower legs following our surgical procedures. It is further appropriate to perform pre-operative templating using the unaffected side in for example corrective rotational deformities of the lower legs, fracture surgery etc. Future studies with larger sample size are needed to investigate the fnding that the right lower legs were more likely in varus in our study”

For full article:

https://www.researchgate.net/publication/355666364_A_novel_technique_to_assess_rotational_deformities_in_lower_extremities_using_CT-based_motion_analysis

MRI scan showing Achilles tendon rupture

Prof Nima Heidari wishes you and your family a safe and healthy Christmas. Have a wonderful holiday season and a Happy New Year!

What is osteochondral lesion of the talus? An osteochondral lesion of the talus (OLT) is an area of abnormal, damaged cartilage and bone on the top of the talus bone (the lower bone of the ankle joint). It is often associated with a traumatic injury such as a severe ankle sprain. However, it can also occur from chronic overload due to malalignment or instability of the ankle joint.

Enjoy your much anticipated winter sports holidays without any worries. If you are the unlucky one to fall and injure your foot and ankle, Prof Nima Heidari is here to help you. You will be provided rapid access via his dedicated phone line for consultation for your lower limb, foot and ankle injury. Whether you need surgery or not, he will help you get back in shape again.
Please call +44 0207 0468082 and speak to his designated team member or email him at [email protected]

Patient undergoing diagnostic ankle arthroscopy. Diagnostic Ankle Arthroscopy helps in evaluating various conditions of the the ankle and provide a detailed diagnosis. It allows the surgeon to see the current status of the ligaments, cartilage, synovia and bones forming the complex ankle joint.

It is important to approach our patients with an open mind.
All options whether operative or non-operative have to be considered and the risks and merits of each discussed with the patient.

Precision is the key to successful surgery and patient results.