Home » Blog » Case Studies

Category: Case Studies

Dan Hemingway lisfranc injury

Lisfranc injury in professional athlete

In 2012 I sustained a Lisfranc injury to my left foot resulting in dislocation of the midfoot joints. Mark Farndon performed the operation to fix the bones back in place with plates and screws. So good was the surgery that I was up and about riding and back to the sport I love within 3 months, when other specialists had told me that this injury would end my career.
I found the outpatient care above and beyond, and it’s so refreshing to have a Surgeon that makes you feel so at ease in every consultation leaving me with 100% trust in his knowledge and guidance.
Dan Hemingway (Hemingway Plant Hire)
Kuntscher nail

Knee replacement after previous Kuntscher nail

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.

 

iassist

cartilage damage

Osteochondral injury ankle

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

navicular stress fracture

Navicular stress fracture

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

Chronic navicular stress fractures, EFORT, 2015

We presented this unusual case as a podium presentation to the EFORT  Annual Congress in Prague, May 29th 2015. Chronic navicular stress fractures were diagnosed in an individual referred for an opinion regarding longstanding ankle pain.

Sequential fixation using calcaneal bone graft was undertaken, successfully treating the patient’s pain and symptoms, allowing a return to full function.

Bilateral chronic navicular stress fractures are uncommon and infrequently reported, particularly in a non-athletic population. A brief review of the literature and presentation of the surgical tecnique employed in the treatment of this patient were described.

The axial CT image demonstrates the chronic navicular stress fractures clearly.

The subsequent XR images demonstrate the post-operative appearances after fixation using 2 double pitched titanium cannulated screws. The bone graft harvest from the ipsilateral calcaneum can also be seen on the lateral XR.

efort-2014bilateral chronic navicular stress fracturesnavic2 navic1