A focused practice in wrist and thumb arthroplasty, revision surgery and complex upper-limb reconstruction.

Specialist care for degenerative, post-traumatic and reconstructive pathology of the elbow, forearm, wrist, hand and thumb — in adults and children.

Conditions

Degenerative, rheumatic disease & peripheral nerve pathology

Degenerative, inflammatory and neurological conditions of the upper limb.

Osteoarthritis

Osteoarthritis of the elbow, wrist, hand, thumb and fingers: joint-preserving and prosthetic strategies.

Rheumatic disease

Inflammatory and rheumatic conditions of the upper limb, including reconstructive options.

Bone necrosis

Avascular necrosis of the carpus and other upper-limb segments.

Tumours of the upper limb

Excision and reconstruction of bone and soft-tissue tumours (excluding cysts), with grafting and flap coverage.

Brachial plexus pathology

Adult and obstetric brachial plexus palsies: neurolysis, nerve grafting and nerve transfers.

Peripheral nerve palsies

Surgical management of peripheral nerve palsies, including palliative tendon transfers.

Dupuytren's disease

Surgical treatment of Dupuytren's contracture, including recurrent disease.

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Injuries

Trauma & post-traumatic reconstruction

Acute and reconstructive surgery for upper-limb trauma and its sequelae.

Distal radius & forearm fractures

Acute fixation and reconstruction of distal radius and forearm fractures.

Scaphoid fractures and nonunions

Acute scaphoid fractures, established nonunions (pseudarthrosis): internal fixation, bone grafting, vascularized bone grafting.

Distal radius or scaphoid malunions, ulnar-sided wrist pathology

Corrective or shortening osteotomy, reconstructive or prosthetic options.

Ligament injuries

Acute and chronic ligament reconstruction of the elbow, wrist and carpus.

Post-traumatic elbow, wrist, carpus and finger osteoarthritis

Cartilage defect, mal-union, carpus collapses (SLAC wrist, SNAC wrist): partial or total joint fusion (arthrodesis), prosthetic or non-prosthetic arthroplasties.

Tendon ruptures

Repair and reconstruction of tendon ruptures, including distal biceps.

Soft-tissue defects

Coverage of complex soft-tissue defects, including local and free flaps.

Complex secondary reconstruction

Combined tendon, nerve and bone reconstruction after complex trauma.

Sequelae of amputation

Reconstruction and functional restoration following upper-limb amputation.

2nd opinions

Second opinions & complex referrals

Specialist assessment for difficult, failed or revision cases: upper-limb surgery, implant complications and reconstructive cases.

Seeking a second opinion: a useful and complementary approach

It is important that you provide us with the essential elements of your medical file: reports, imaging and treatments already performed.

For a second opinion, you must be referred by a doctor (general practitioner, other specialist doctor, insurance doctor).