After sustaining significant tibial and femoral fracture whilst on military service 50 years ago, this gentleman received what was at the time cutting edge orthopaedic fixation and had a Kuntscher nail inserted inside his femur to splint and fix the fracture.
Removing metalwork that has been on or in a bone for some time can be very challenging. An unsucessful attempt was made at least 20 years ago to remove this Kuntscher nail.
This patient subsequently went on to develop severe stiffness and arthritis in the ipsilateral knee.
In 2015, the pain from Mr Eden’s knee arthritis affected his quality of life so profoundly that he was referred for an opinion regarding a knee replacement.
Conventional knee replacement technique usually involves placing a rod temporarily inside the femur to align the knee replacement correctly when it is fitted. This was not possible in Mr Eden’s case due to the Kuntscher nail.
Patient specific instrumentation (PSI) can be very helpful in the context of previous fractures around the knee and requires an MRI scan of the hip, knee and ankle to map the alignment of the limb. This technique cannot be used however if the internal metalwork (in this case the Kuntscher nail as illustrated) extends to within 15cms of the knee joint.
A novel new technology allowing wireless computer aided navigation was used to perform this step of the procedure therefore.
After a seemingly innocent ankle twist whilst walking that failed to settle as expected, my physio suggested referral for surgical opinion and recommended Mr Mark Farndon.
Excellent imaging and initial consultation with Mr Mark Farndon diagnosed significant damage to the cartilage (Osteochondral defect) on my left ankle bone (Talus), the following week I had ankle arthroscopy to recover the loose bits, and micro fracture to repair the damage. The day case surgery was straight forward, following surgery I was without need of pain relief and have been to this day. Two further consultations guided my rehab and physio before being discharged from care.
I would recommend Mr Mark Farndon without hesitation, efficient process, reassuring informed consultations and excellent clinical outcome.
Thank you Mark, your expertise and care is much appreciated.
Mr A Lane, Harrogate
I had struggled with a stress fracture to my navicular for 18 months. I had been in and out of plaster but no further treatment was given. Mark was recommended to me by a physio I knew, after an initial consultation he made it clear that it was very unlikely the bone was not going to heal on its own. Read more