Vivien Lees MA MB BChir MD FRCS(Plast)
Consultant Plastic, Reconstructive & Aesthetic Surgeon
Hand and wrist operations routinely performed include:
General
- Dupuytren’s contracture release (Download PDF)
(Xiapex injection, fasciectomy, dermofasciectomy, fasciotomy)- ganglion excision
- trigger finger release
Nerve decompression
- carpal tunnel release (nerve entrapment)
(Download PDF)- ulna nerve decompression
- tendon transfers
Wrist
- base of thumb arthritis (CMCJ arthritis) correction
(Download PDF)- wrist arthroscopy
- wrist instability correction
- partial and full wrist fusion
- distal radioulnar joint stabilisation
- distal radioulnar joint replacement (APTIS™ joint)
- ulna shortening
Rheumatoid arthritis
- MCPJ replacement arthroplasty
- Fusions for painful joints
- Soft tissue stabilisation for collapsing joints
Good sources of detailed information about individual conditions include the web sites of the American Society for Surgery of the Hand www.assh.org and the British Society for Surgery of the Hand www.bssh.ac.uk
Operations
Many operations on the hand can be undertaken under local or regional anaesthetic although general anaesthesia may be used concurrently with regional techniques according to the advice of the anaesthetist and to your own expressed preferences. (Download PDF)
Post-operative care and rehabilitation
Following your hand operation your care will be undertaken jointly by Miss Lees (Beeches Clinic) and Senior Hand Therapist Mrs Fiona Peck at the Fernleigh Consulting centre, Wilmslow or therapists based at the Alexandra Hospital. The dressing will be taken down and the wound cleaned and redressed. X-rays will be taken where indicated. A programme of exercises will be prescribed and taught from these initial stages. A thermoplastic splint will be made where needed and worn as long as the operative site requires protection. Stitches are typically removed at 2 weeks. The recovery programme usually necessitates several visits to clinic and to the therapist. Specific advice regarding the details of aftercare for your particular operation will be discussed at the initial consultation.
