- Bupa Platinum consultant
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Fee assured
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Verified account
- Open Referral network
Specialises in
- Hand & Wrist
Offers
- Face-to-face consultations
- Video and telephone consultations
About me
I have been a consultant hand and wrist surgeon in Buckinghamshire since 2003. I studied at Oxford Medical School under Professor John Stein, worked as a junior doctor in London teaching hospitals and then trained in orthopaedic surgery in the Oxford deanery. Following fellowships at St Vincent's Hospital in Melbourne, and then in Oxford, and a period of time working as a consultant in the Derby Hand Unit I was appointed consultant at Wycombe Hospital. Two years later this merged with Stoke Mandeville Hospital. I am passionate about the human hand, and about teaching and cultivating future generations of doctors.
I have extensive experience in my NHS practice of dealing with complex and mutilating trauma of the hand and wrist, and in reconstructing hands send in from other units. I treat large numbers of patients with wrist fractures, particularly of the distal radius and scaphoid, as well as those with wrist ligament injuries requiring arthroscopic surgery.
I look after a large local population of patients with rheumatoid arthritis and neuromuscular disorders (including nerve palsies, Parkinsons, stroke and patients with unexplained symptoms). I have a particular subspecialty interest in treating musicians with hand and wrist disorders.
A large amount of my operative practice is with carpal tunnel and Dupuytrens surgery. For the latter the majority of my patients are treated with needle fasciotomy who generally recover excellent function within a few days.
Other commonly treated conditions include arthritis of the fingers and thumb, tendonitis and triggering, and soft tissue lumps around the hand.
I work with an exceptional group of supporting consultants in radiology (scans and imaging), neurophysiology (nerve testing) and regional anaesthesia (for awake surgery when appropriate).
Areas of interest
Forearm and wrist fractures (including complex distal radial fractures and scaphoid nonunion); Percutaneous scaphoid fixation;
Forearm and wrist malunion;
Nerve compression around elbow, wrist, hand;
Arthritis of the wrist, thumb and fingers;
Finger joint replacement;
Dupuytrens surgery (including needle fasciotomy);
Rheumatoid hand and wrist surgery;
Trigger finger/thumb;
Finger fractures;
Tendonitis in the elbow, forearm, wrist;
Unexplained arm and hand pain;
Hand disorders in neurological disease (stroke, Parkinsons, post-polio, polyneuropathy);
The musician's hand including dystonia.
Medical secretaries
- Kelly Goulding
- 01525 240844
- kgmedsec@gmail.com
Anaesthetists worked with
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Mr Alastair Graham has worked with Dr William Birts at the following hospitals:
- Chiltern Hospital (The) (1-5)
- Shelburne Hospital (The) (1-5)
- The Bridge Clinic (1-5)
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Mr Alastair Graham has worked with Dr Maria Okoisor at the following hospitals:
- Chiltern Hospital (The) (1-5)
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Mr Alastair Graham has worked with Dr Luis Lee at the following hospitals:
- Shelburne Hospital (The) (1-5)
Information for healthcare professionals (Bupa patients only, last 12 months)
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A6510
Carpal tunnel release (open) - (5-50)
Chiltern Hospital (The) (5-50) The Bridge Clinic (5-50)
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W9040
Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral - (5-50)
Chiltern Hospital (The) (5-50) The Bridge Clinic (5-50)
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T6520
Tendon sheath injection of therapeutic substance including Viscosupplement +/- image guidance - (5-50)
Chiltern Hospital (The) (5-50) The Bridge Clinic (1-5)
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T5203
Dupuytren's fasciectomy single digit with proximal interphalangeal joint - (5-50)
Chiltern Hospital (The) (1-5) Shelburne Hospital (The) (1-5) The Bridge Clinic (1-5)
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T5410
Dupuytren's subcutaneous fasciotomy - (5-50)
The Bridge Clinic (1-5)
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W0850
Partial excision of bone (including exostoses) - (1-5)
Chiltern Hospital (The) (1-5)
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T6982
Tenolysis of flexor tendon of hand - (1-5)
Chiltern Hospital (The) (1-5) Shelburne Hospital (The) (1-5)
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T5900
Excision of ganglion - (1-5)
Chiltern Hospital (The) (1-5) The Bridge Clinic (1-5)
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T5223
Dupuytren's dermofasciectomy and graft, or for recurrent disease - multiple digits - (1-5)
The Bridge Clinic (1-5) Shelburne Hospital (The) (1-5)
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T5222
Dupuytren's dermofasciectomy and graft, or for recurrent disease - single digit - (1-5)
Shelburne Hospital (The) (1-5) Chiltern Hospital (The) (1-5)
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S0633
Excision of lesion of skin or subcutaneous tissue - up to three, Trunk & Limbs (excluding lipoma) - (1-5)
Shelburne Hospital (The) (1-5) Chiltern Hospital (The) (1-5) The Bridge Clinic (1-5)
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W0284
Total excision of trapezium and ligament reconstruction - (1-5)
Chiltern Hospital (The) (1-5)
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T7231
Open release of constriction of sheath of tendon (e.g. trigger finger) - (1-5)
Chiltern Hospital (The) (1-5)
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T7050
Lengthening of tendon(s) or open tenotomy - (1-5)
Shelburne Hospital (The) (1-5)
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W2830
Removal of internal fixation from bone / joint, excluding K-wires +/- image guidance - (1-5)
Chiltern Hospital (The) (1-5)
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W2100
Primary open reduction of intra-articular fracture of long bone with internal fixation, e.g. proximal humerus or proximal tibia (+/- arthroscopic assistance) - (1-5)
Shelburne Hospital (The) (1-5)
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A6580
Carpal tunnel release (open) - bilateral - (1-5)
Chiltern Hospital (The) (1-5)
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T6830
Secondary repair or first stage reconstruction of flexor of hand - (1-5)
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AC100
Local anaesthetic by main operator - (1-5)
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T5210
Dupuytren's fasciectomy multiple digits with proximal interphalangeal joints - (1-5)
Chiltern Hospital (The) (1-5)
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W6912
Total synovectomy of small joint - (1-5)
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L7511
Excision of arteriovenous malformation from peripheral vessel - (1-5)
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W9030
Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral - (1-5)
The Bridge Clinic (1-5)