Upper Limb & Hand Surgery Atlas

Library of Procedures

Our library of operations is the most comprehensive resource anywhere of operative technique in Upper Limb & Hand. All operations include detailed step by step instruction, expert commentary and operation specific certificated CPD/CME modules.

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Published Operations



Upper Limb


Peripheral nerve


Operations In Progress


  • Nerve
    • Axillary nerve decompression
    • Excision of a Schwannoma from the proximal radial nerve
  • Tendon
    • Deltoid to triceps transfer including achilles allograft
    • Pronator tunnel release


  • Deformity correction
    • PIPJ release little finger
  • Fracture Fixation
    • Lag screw fixation of a proximal phalanx fracture
    • ORIF 4th & 5th metacarpals with plates
    • Volar buttress plate fixation and bone grafting for a dorsal PIPJ fracture dislocation
  • Joint fusion
    • Proximal interphalangeal joint arthrodesis using APEX system
  • Tendon
    • Fasciectomy for Dupuytrens

Lower limb

  • Soft tissue tumour excision
    • Excision of malignant peripheral nerve sheath tumour from sciatic nerve and sural nerve cable graft reconstruction

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
    • Polyganics NeuroCap application to geniculate branches of the saphenous nerve
    • Saphenous neurectomy and implantation of Polyganics NeuroCap for neuromas following knee surgery


  • Arthroscopy
    • ‘Corella’ arthroscopic scapholunate ligament reconstruction
    • Wrist Arthroscopy with Ulnar shortening.
  • Fracture fixation
    • Distal radius fracture : Manipulation under anaesthetic (MUA) and K-wire fixation
  • Joint injection
    • X-Ray guided CMC Joint injection
  • Nerve
    • PIN & AIN Wrist innervation
  • Stabilisation
    • Modified Brunelli proceedure

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