Videos by Dr Nima Heidari in Brixton. Consultant Foot, Ankle and Limb Reconstruction Surgeon
Reposted from @osorthopaedicspecialists đź“„ Case History: Female patient with exertional compartment syndrome both lower limbs đź©Ľ Treatment: Decompression of anterior and peroneal compartments of both lower limbs @osorthopaedicspecialists . . . . . . . . . . #orthopedics #orthopaedics #othropedicsurgeon #othropaedicsurgeon #orthopedicsurgery #orthopaedicsurgery #surgery #arthroscopy #london #surgery #medical #doctor #surgeon #osteotomy #jointpreservation #lowerlimb
Injured Foot - Initial Management - Professor Nima Heidari
Injured Foot - Initial Management
Principles:
1. Don’t forget the person attached to the foot - ATLS - A,B,C
2. Don’t forget foot attached to the person
Issues to consider:
1. Bones a) Fractures b)Dislocations
2. Soft Tissues a) Loss, crush b) Degloving
Strategies to deal with injured foot:
1. Debride open fractures
2. Stabilise
3. Allow the soft tissues to declare
For full video click: https://youtu.be/FmIFpb_IOjA
AO Trauma
Orthopaedic Specialists
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#orthopedics #othropedicsurgeon #orthopedicsurgery #ankle #sportsinjury #sport #sportsmedicine #running #arthroscopy #drnima #foot #london
Reconstruction of osteochondral Lesion in talus using Chondral-Gide
Reconstruction of osteochondral Lesion in talus using Chondro-Gide in a 30 years old female patient
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#orthopedics #othropedicsurgeon #orthopedicsurgery #ankle #sportsinjury #sport #sportsmedicine #running #arthroscopy #drnima #foot #london #surgery
Tom had a traumatic snowboarding accident resulting in fracture of his his left ankle. After the initial surgery elsewhere to stabilise his ankle, he consulted Prof Nima Heidari to discuss the damage and a treatment plan. Professor Heidari warned that, due to joint damage, his ankle movement would be reduced and chronic arthritis could follow. Tom had an ankle fusion and, during the surgery, a Taylor Spatial Frame was fitted. The surgery was successful and Tom went home just four days later. In six months time Tom’s taylor spatial frame was removed. Tom’s leg was bandaged and he was advised to wear an air boot. Tom started to weight bear with the air boot after 3-weeks and after just 5-weeks he was riding his bike. Tom remarks, “By 8 weeks, I was walking steadily without the air boot.I carried on progressing and started a physio programme.” Tom can now race mountain bikes, ride a road bike with no issues and walk his dog for 2-3 miles every day. Professor Heidari concludes: “I am so pleased Tom has done so well after his serious injury. In cases such as Tom, it is a long journey. Whilst at the beginning it is difficult to appreciate that things will improve, however in time and with hard work and patience, they will get back to normal.” For full case study click link https://os.clinic/case-studies/ankle-fusion-tom/ . . . . . . . . #orthopedics #othropedicsurgeon #orthopedicsurgery #ankle #sportsinjury #sport #sportsmedicine #running #arthroscopy #drnima #foot #london #surgery
Surgical Tip for Ankle Arthroscopy
Useful tip for Ankle Arthroscopy : When doing an ankle arthroscopy, by pulling on the fourth toe, you can see the superficial peroneal nerve which stands out here. It is quite important that we make sure our arthroscopy portal at the level of the ankle joint doesn't cross the line of the superficial peroneal nerve.
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#orthopedics #othropedicsurgeon #orthopedicsurgery #ankle #sportsinjury #sport #sportsmedicine #running #arthroscopy #drnima #foot #london #surgery
Tibial Deformity Correction Case History This 30 year old lady had a leg length discrepancy during childhood. This was corrected when she finished her growth some 15 years ago. This correction was achieved by lengthening her Tibia with an external fixator. After removal of the external fixator of the Tibia deformed causing the valgus angulation. Professor Heidari corrected the tibial deformity utilising a fixator assisted internal fixation technique. This resulted in Restoration of Anatomical alignment and length. Full video link here: https://youtu.be/c1RGpZ1QymU . . . . . . . . . #orthopedics #othropedicsurgeon #orthopedicsurgery #ankle #sportsinjury #sport #sportsmedicine #running #arthroscopy #drnima #foot #london #surgery
Importance of Keeping the Drill Debris Free During Surgery
Important surgical tip - Swarf (debris) that get caught in the drill, stop it from functioning as a drill and turns it into a rod. This has to be cleared.
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#orthopedics #othropedicsurgeon #orthopedicsurgery #ankle #sportsinjury #sport #sportsmedicine #running #arthroscopy #drnima #foot #london #surgery
How to Remove an External Fixator
Prof Nima Heidari demonstrating the removal of external fixator half pin. You can use the components of an external fixator as a handle to take the half pins off.
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#orthopedics #othropedicsurgeon #orthopedicsurgery #ankle #sportsinjury #sport #sportsmedicine #running #arthroscopy #drnima #foot #london #surgery
How is Bone Infection (Osteomyelitis) diagnosed? Diagnosis for Osteomyelitis requires lots of different information: 1. History taken by the doctor 2. Blood tests 3. Imaging studies 4. Biopsy . . . . . . #orthopedics #othropedicsurgeon #orthopedicsurgery #surgery #london #ankle #sportsinjury #sport #sportsmedicine #running #arthroscopy #drnima #foot #london #surgery
Bone infection commonly involves the shin bone (tibia). The most common symptoms of bone infection fall into two categories 1.Systemic symptoms: a) fever b) feeling unwell c) anemia and other problems due to long standing infections. 2.Local symptoms a) local swelling b) redness c) pain d) sinus when the infection bursts through the skin causing leaking from the wound. . . . . #orthopedics #othropedicsurgeon #orthopedicsurgery #surgery #london #ankle #sportsinjury #sport #sportsmedicine #running #arthroscopy #drnima #foot #london #surgery
Bone infection commonly involves the shin bone (tibia). The most common symptoms of bone infection fall into two categories 1.Systemic symptoms: a) fever b) feeling unwell c) anemia and other problems due to long standing infections. 2.Local symptoms a) local swelling b) redness c) pain d) sinus when the infection bursts through the skin causing leaking from the wound. . . . . #orthopedics #othropedicsurgeon #orthopedicsurgery #surgery #london #ankle #sportsinjury #sport #sportsmedicine #running #arthroscopy #drnima #foot #london #surgery
Osteomyelitis (Bone Infection) Series Part I
Listen to Prof Nima Heidari talk about the causes of bone infection (osteomyelitis)
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#orthopedics #othropedicsurgeon #orthopedicsurgery #surgery #london #ankle #sportsinjury #sport #sportsmedicine #running #arthroscopy #drnima #foot #london #surgery
Peroneal Grove Repair
Prof Nima Heidari performing surgery for peroneal tendon subluxation. A very keen runner in his mid 40s twisted his ankle whilst running. He came to see me 4 weeks post this incident. He complained of sensation of instability and the ankle clicking in certain positions. Clinical examination and image studies showed peroneal tendon subluxation. He underwent Peroneal Groove Deepening and Retinaculum Ligament Repair
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#orthopedics #othropedicsurgeon #orthopedicsurgery #surgery #london #ankle #sportsinjury #sport #sportsmedicine #running #arthroscopy #drnima #foot #london #surgery