Ankle

• Decompression
  • Proximal median nerve release at the pronator tunnel

Forearm

• Nerve
  • Axillary nerve decompression for quadrangular syndrome
  • Cubital tunnel decompression
  • Digital nerve conduit-assisted repair with the NeurolacTM (Polyganics)
  • Dorsal cutaneous ulnar nerve reconstruction using Axogen Avance nerve allograft
  • Excision of median nerve tumour and Axogen AxoGuard nerve protector wrapping
  • Excision of Schwannoma from ulnar nerve
  • Modified Oberlin double fascicular nerve transfer for elbow flexion: FCR fascicle to motor branch to biceps and FCU fascicle to motor branch to brachialis
  • Nerve grafting for digital nerve defect (autograft using medial cutaneous nerve of forearm)
  • Radial nerve decompression
  • Spinal Accessory nerve reconstruction using autologous sural nerve graft
  • Thoracodorsal nerve to long thoracic nerve transfer for scapula winging
• Tendon
  • Fractional Tendon Lengthening and Swanson Silastic Metacarpophalangeal Joint Replacement (Wright Medical) for Spasticity
  • Multiple tendon transfers for C8 / T1 loss from spinal infarct: Camitz transfer for opposition; ECRL to FDP for finger flexion; Brachioradialis to FPL for thumb flexion

Hand

• Fascia
  • Limited fasciectomy for Dupuytrens disease plus Z-plasties
  • Palmar and digital fasciectomy for Dupuytrens
• Fracture Fixation
  • Bony Mallet finger injury repair( Synthes Hook plate)
  • Foucher Flap to reconstruct volar thumb soft tissue defect
  • Internal fixation of metacarpal shaft fractures using Synthes® 2.0 mm Modular Hand System
  • Internal fixation of middle phalangeal (P2) fracture using Synthes compact hand set
  • Internal Fixation of Proximal Phalanx with Synthes® 1.5 mm Compact Hand Set
  • Intramedullary fixation of metacarpal fracture using the Acutrak compression screw
  • Scaphoid non-union: Zaidemberg (1-2 Intercompartmental Supraretinacular) Vascularised Bone Graft with Acumed Screw Fixation.
• Joint fusion
  • Interphalangeal joint fusion of thumb
  • MCP joint fusion of thumb (tension band wiring technique)
• Joint replacement
  • PIP joint replacement (Middle finger): Stryker SR Metal on Poly implant
  • Stryker SR MCPJ Cemented Joint replacement
  • Swansons' MCP Joint replacement
• Nerve
  • Digital nerve reconstruction with Axogen Avance processed nerve allograft
• Tendon
  • Collagenase (XiapexTM) injection and Manipulation for Dupuytrens contracture
  • De Quervains release (first extensor compartment decompression at the wrist)
  • EIP to EPL Tendon Transfer
  • Extensor tendon repair in Zone 5 of the hand
  • Extensor tenolysis and intrinsic release of the hand
  • First stage flexor tendon reconstruction
  • Flexor tendon reconstruction-2nd stage.
  • Internal fixation of 5th metacarpal neck fracture (Synthes LCP plate)
  • Moberg's volar advancement flap for thumb
  • Reattachment of Flexor digitorum profundus (FDP) tendon using mini-mitek bone anchor.
  • Sagittal band reconstruction (Middle finger)
  • Trigger finger-open release
  • Trigger thumb release

Upper Limb

• Soft tissue tumour excision
  • Clavicle osteotomy and resection of a hibernoma tumour from the left brachial plexus

Elbow

• Nerve
  • Cubital tunnel decompression with medial epicondylectomy

Lower limb

• Soft tissue tumour excision
  • Sural nerve graft reconstruction of the sciatic nerve after resection of a malignant peripheral nerve sheath tumour

Peripheral nerve

• Decompression
  • Brachial plexus exploration and long thoracic nerve decompression
  • Combined median and ulnar nerve decompressions
  • Common peroneal nerve decompression and application of NeuroCap device (Polyganics)
  • Peroneal Nerve exploration and decompression
  • Revision cubital tunnel release with submuscular transposition and application of Axoguard
  • Revision Thoracic Outlet Decompression for Pectoralis Minor Syndrome
  • Suprascapular nerve decompression and reconstruction
  • Thoracic Outlet decompression/ supraclavicular first rib resection
• Nerve graft
  • Radial nerve exploration and nerve grafting using autologous graft and AxoGen AVANCE nerve allograft .
• Nerve transfer
  • Brachial plexus reconstruction (intercostal to radial nerve transfer)
  • Hybrid tendon transfer and nerve transfer reconstruction of high radial nerve palsy
  • Medial branch spinal accessory (XI) nerve transfer to Suprascapular nerve through a posterior approach
  • Modified Somsak nerve transfer (medial head of triceps nerve transfer to anterior division of the axillary nerve through a posterior approach)
  • Supinator to Posterior Interosseous Nerve Transfer (S-PIN transfer)
• Neurectomy
  • Excision of a sural nerve end neuroma and application of a Polyganics NeuroCapTM
  • Polyganics Neurocap application to the geniculate branches of the saphenous nerve
  • Saphenous neurectomy and application of the Polyganics Neurocap
• Neurolysis
  • Common peroneal nerve decompression, neurolysis and wrapping with the AxoGen AxoGuard nerve protector
  • Neurolysis digital nerve plus Vivosorb barrier wrap (Polyganics) and Z-plasties to scar contracture left little finger

Wrist

• Arthroscopy
  • Diagnostic Wrist Arthroscopy (using Acumed ARC Tower )
  • Ulnar shortening osteotomy using the RECOS locking plate
• Fracture fixation
  • Arthroscopic assisted Scaphoid non-union grafting and fixation using Acutrak screw
  • Compound distal radius fracture: stabilised with Hoffman II External Fixator
  • Distal Radial fracture fixation with dorsal approach and Synthes 2.4mm variable angle plating system
  • Distal radius fracture : Manipulation Under Anaesthetic (MUA) and K-wire fixation
  • Distal Radius Fracture fixation , volar approach with Synthes® 2.4 mm Variable Angle locking LCP
  • Dorsal plating of distal radial fracture with Depuy/Synthes 2.4mm VA locking radial column plate assisted by wrist arthroscopy using Acumed ARC tower
  • Scaphoid non-union: Vascularised graft based on the volar carpal artery
• Excision arthroplasty
  • Trapeziectomy
  • Trapeziectomy with APL suspensionplasty
• Fusion
  • Four Corner Fusion using Medartis plate and scaphoid excision
  • Radioscapholunate fusion using Medartis plate with distal Scaphoid excision
  • Total wrist fusion for Volkmann’s ischaemic contracture (Using Synthes fusion plate)
• Nerve
  • Carpal tunnel decompression
  • Excision of benign tumour posterior interosseus nerve
  • Extended approach Carpal Tunnel decompression
  • Median nerve reconstruction
  • Posterior and Anterior interosseous nerve neurectomies of the wrist
  • Revision carpal tunnel decompression and application of Polyganics Vivosorb membrane
• Stabilisation
  • Modified Brunelli procedure : Scapho-lunate ligament reconstruction for wrist instability using Biotenodesis screw(Arthrex)
• Tendon
  • De Quervain's release - Dorsal approach
  • Guyons canal release

Forearm

• Fracture Fixation
  • Open reduction and internal fixation of a Galeazzi radial fracture
• Nerve
  • Posterior interosseous nerve decompression
• Tendon
  • Deltoid to triceps transfer including achilles allograft

Hand

• Deformity correction
  • PIPJ release little finger
• Fascia
  • Xiapex injection hand
• Fracture Fixation
  • Lag screw fixation of a proximal phalanx fracture
  • Volar buttress plate fixation and bone grafting for a dorsal PIPJ fracture dislocation
• Joint fusion
  • Proximal interphalangeal joint arthrodesis using APEX system
• Nerve
  • Median nerve neurolysis and resection plus partial reconstruction with AVANCE processed nerve allograft
• Tendon
  • Fasciectomy for Dupuytrens
  • Repair of flexor tendon and digital nerve

Upper Limb & Hand

• Forearm
  • Excision of a Schwannoma from the proximal radial nerve

Peripheral nerve

• Brachial plexus
  • Brachial plexus exploration and repair
  • Infra-clavicular exploration of the brachial plexus
• Decompression
  • Ulna nerve decompression (motor branch)
• Neurectomy
  • Metatarsal neck osteotomies, excision of recurrent Morton's neuroma & Polyganics NeuroCap to common digital nerve 2nd and 3rd inter-metatarsal spaces
• Neurolysis
  • Decompression and neurolysis of cutaneous nerves and implant removal

Wrist

• Arthroscopy
  • Modified ‘Corella’ arthroscopic scapho-lunate ligament reconstruction
  • Wrist Arthroscopy with Ulnar shortening.
• Fracture fixation
  • Distal ulna fracture fixation using the Synthes 2.0mm LCP Ulna Plate
• Joint injection
  • X-Ray guided CMC Joint injection