- Bupa Platinum consultant
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Fee assured
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Awaiting verification
- 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) ()
- The Bridge Clinic ()
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Mr Alastair Graham has worked with Dr Carl Jeremy Morris at the following hospitals:
- The Bridge Clinic ()
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Mr Alastair Graham has worked with Dr Aniko Frigyik at the following hospitals:
- Chiltern Hospital (The) ()
Information for healthcare professionals (Bupa patients only, last 12 months)
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W9040
Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral - ()
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A6510
Carpal tunnel release (open) - ()
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T6521
Tendon sheath injection of therapeutic substance +/- image guidance - ()
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S0653
Removal of benign lesion in muscle or deeper tissue (excluding lipoma) - ()
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T7231
Open release of constriction of sheath of tendon (e.g. trigger finger) - ()
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T5410
Dupuytren's subcutaneous fasciotomy - ()
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T5203
Dupuytren's fasciectomy single digit with proximal interphalangeal joint - ()
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W8602
Therapeutic arthroscopy of wrist joint (as sole procedure) - ()
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T7050
Lengthening of tendon(s) or open tenotomy - ()
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W6912
Total synovectomy of small joint - ()
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W0850
Partial excision of bone (including exostoses) - ()
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W0513
Interpositional silastic arthroplasty of MCP and PIP joints ¿ multiple digits - ()
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T5222
Dupuytren's dermofasciectomy and graft, or for recurrent disease - single digit - ()
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T6982
Tenolysis of flexor tendon of hand - ()
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T5900
Excision of ganglion - ()
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S4480
Removal of foreign body in deeper tissue - ()
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W0285
Trapezio-metacarpal joint surface replacement - ()
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W8180
Arthrotomy of small joint (including removal of loose body from joint) - ()
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T6520
Tendon sheath injection of therapeutic substance including Viscosupplement +/- image guidance - ()
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W0282
Total excision of trapezium - ()
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T6914
Tenolysis of extensor tendon of hand - ()
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A6030
Transection of peripheral nerve for neuroma - ()
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T7290
Trigger point injection/Enthesis - 1 injection - ()
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W0284
Total excision of trapezium and ligament reconstruction - ()
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T5210
Dupuytren's fasciectomy multiple digits with proximal interphalangeal joints - ()
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T5223
Dupuytren's dermofasciectomy and graft, or for recurrent disease - multiple digits - ()
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W0514
Prosthetic surface arthroplasty of interphalangeal/ metacarpo-phalangeal joint - single joint (both cemented and uncemented) - ()