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.