Oozing and maggots: The stories one of Australia’s most celebrated surgeons doesn’t want you to hear

The military training accident that left Mark Urquhart in a wheelchair was the worst of bad luck. At 450 metres above the ground, his body flipped, and the parachute wrapped around him, leaving him helpless as he plunged into the ground.

Still image from a video clip of maggots infesting Mark Urquhart’s wound where the metal bar emerges from the stump of his leg.Al Muderis sought to treat the exposed bone using skin grafts but this was unsuccessful. The infection worsened and eventually developed into osteomyelitis, a chronic infection of the bone. Now, Urquhart is wheelchair-bound once again.

Urquhart emailed the Department of Veterans Affairs last year, which uses taxpayer funds to pay for former soldiers to have osseointegration, about his experience. “I feel I was a pay cheque for him as aftercare is pathetic,” he wrote to the department in February 2021. “I would prefer not having another Australian veteran to go [through] what I have and live in even more constant pain.

His work has attracted high-profile praise, including from the likes of former NSW premier Gladys Berejiklian and Prince Harry. “It is life changing, it really is,” Prince Harry told reporters in 2015. Former head nurse Shona worked with Al Muderis’s team for three years but quit in 2017 after she became uncomfortable with the clinic’s approach to patient selection and aftercare.

Like other surgeons who perform osseointegration, Al Muderis began his practice with caution. According to several clinicians who have worked alongside him, he initially avoided patients with health problems that could undermine their recovery, such as diabetes and vascular disease.

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