Mr Mehdi Tofighi

Mr Mehdi Tofighi is a highly experienced Consultant Orthopaedic Trauma and Limb Reconstruction Surgeon dedicated to the comprehensive care of patients with complex musculoskeletal injuries and post-traumatic deformities. His practice covers the entire scope of acute trauma management, revision trauma surgery, and elective limb reconstruction, treating both adult and paediatric patients. He specialises in managing high-energy injuries – including open fractures, segmental bone loss, and periarticular trauma – as well as chronic conditions like non-union, malunion, and osteomyelitis.

Mr Tofighi routinely performs advanced reconstructive procedures utilising both circular and monolateral external fixators, with specific expertise in Ilizarov and Hexapod Frame systems. His skillset encompasses deformity correction, limb lengthening, and salvage procedures following failed internal fixation attempts.

Currently practicing at a regional tertiary centre, Mr Tofighi regularly receives referrals for second opinions and complex surgical management from surrounding hospitals, often dealing with challenging cases such as fix-and-flap open fractures and Fracture-Related Infection (FRI). He is a key participant in multidisciplinary care planning, collaborating with orthoplastic MDTs to provide integrated care. He provides senior leadership within both elective and trauma operating theatres, as well as overseeing fracture clinics and responding to emergency referrals.

Mr Tofighi played a pivotal role in establishing dedicated Limb Reconstruction and Bone Infection Multidisciplinary Team (MDT) meetings at the South Wales tertiary referral centre. These meetings facilitate a structured approach to managing complex post-traumatic cases, infected non-unions, and limb salvage procedures. He fostered collaboration by bringing together specialists from orthopaedic trauma, plastic surgery, microbiology, radiology, and infectious diseases, ensuring high-risk patients receive protocol-driven, collaborative care. He was instrumental in developing referral pathways, standardising documentation, and implementing decision-making frameworks aligned with national BOA and GIRFT guidance. The resulting MDT model has demonstrably improved treatment timelines, surgical planning, and long-term functional outcomes for this patient population.

Mr Tofighi’s clinical interests center on the management of complex lower limb trauma and reconstruction, with a particular focus on open fractures, infected fractures, and chronic osteomyelitis. He utilises advanced techniques including circular and monolateral external fixation – such as Ilizarov and Hexapod frames – for non-union, deformity correction, and bone transport. He also specialises in paediatric limb trauma and growth-related deformity correction. A core tenet of his practice is multidisciplinary collaboration, actively participating in limb salvage MDTs to ensure optimal patient outcomes.

Furthermore, Mr Tofighi has extensive expertise in the comprehensive management of polytrauma, from the initial peri-hospital phase through acute stabilisation, definitive reconstruction, and long-term rehabilitation. He routinely coordinates care for multiply injured patients, collaborating closely with emergency medicine, anaesthetics, critical care, and rehabilitation services, and prioritises optimising early reconstruction and rehabilitation pathways to maximise patient independence and minimise long-term morbidity. His experience encompasses early involvement in pre-operative planning and leading clinical governance sessions on best practices in polytrauma care.

Mr Tofighi’s research interests are clinically driven, focusing on improving outcomes for patients undergoing complex trauma and reconstruction. He has been involved in both single-centre and multi-centre studies exploring a range of topics including outcomes of circular frame fixation for infected non-union and deformity correction, surgical techniques for managing segmental bone loss, and predictors of success following debridement and re-implantation in periprosthetic joint infection. His research also encompasses decision-making in elderly patients with severe injuries and a biomechanical comparison of dual versus single plating for periarticular fractures. Furthermore, he conducts registry-based outcome analysis for revision joint arthroplasty within the trauma population. Mr Tofighi maintains ongoing collaborations with academic colleagues in limb reconstruction and actively participates in audit and quality improvement cycles at the Trust level. He is currently serving as a Principal Site Investigator in a national Randomised Controlled Trial (RCT), responsible for patient recruitment, consent, data collection, and adherence to trial protocols and Good Clinical Practice (GCP) standards, actively contributing to investigator meetings and liaising with trial sponsors and research governance teams. This commitment demonstrates his dedication to evidence-based practice and advancing clinical standards in trauma and limb reconstruction surgery.

Mr Tofighi is a dedicated educator, actively teaching medical students and trainees through hands-on surgical instruction, simulation training, and exam preparation. He provides mentorship for research projects and contributes to curriculum development within the regional training program. He has received formal recognition for his teaching contributions and is a faculty member on national courses.

Mr Tofighi has a diverse publication record spanning various aspects of orthopaedic trauma and reconstruction. His research includes a novel surgical technique for removing broken intramedullary nails, and studies focusing on the management of Gustilo-Anderson IIIB fractures in elderly patients utilising Taylor Spatial Frames. He has also investigated the accuracy of visual assessment of acetabular cup positioning in total hip arthroplasty. Further publications cover internal fixation of femoral neck stress fractures in young female athletes, and a detailed review of planning revision hip arthroplasty. His earlier work includes a case report detailing a closed tibial fracture associated with tibialis anterior tendon laceration. In addition to his published research, Mr Tofighi actively contributes to the dissemination of knowledge through educational presentations at national and international conferences including the BOA, BLRS, and the Orthopaedic Trauma Society.

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Mr Tofighi possesses significant experience in clinical service development, with a proven track record of optimising pathways and improving patient care. He spearheaded departmental efforts to streamline the management of open fractures, successfully implementing a standardised orthoplastic pathway that enhances the timing of debridement, soft tissue coverage, and definitive skeletal reconstruction, fostered through close collaboration with plastic surgery, microbiology, and anaesthetics. As a consultant, he has consistently demonstrated leadership in areas such as trauma operating list coordination – including complex frame cases and emergency revisions – ensuring compliance with BOAST and NICE guidelines, and managing consultant on-call rotas and junior doctor allocation with dedicated clinical supervision. Notably, he established the Limb Reconstruction and Bone Infection Multidisciplinary Teams for the South Wales Tertiary Centre. He also actively contributes to Trust-level discussions regarding trauma theatre efficiency, emergency access protocols, and medico-legal governance, and serves as a mentor to new consultants and registrars taking on senior responsibilities.

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