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Articles, technique notes, and reading

Patient-facing guides written in plain language alongside expert clinical writing for peers — covering operative technique, evidence appraisal, and decision-making in hand and reconstructive surgery.

Patient information

Plain-language guides to common conditions, what diagnosis involves, and what to expect from treatment.

  1. Patient information

    Dupuytren's disease

    A plain-language guide to Dupuytren's disease — what it is, what causes it, how it is diagnosed, and the contemporary treatment options including needle fasciotomy and limited fasciectomy. Written for patients by a consultant hand surgeon.

  2. Patient information

    Carpal tunnel syndrome

    A plain-language patient guide to carpal tunnel syndrome — symptoms, diagnosis, conservative care, and when surgery is the right step. Written by a hand surgeon.

Expert blog

Surgical technique, evidence reviews, and operative decision-making written for clinical peers.

  1. Expert blog

    Free tissue transfer: principles, applications, and current practice

    Conceptual overview of free flap surgery — what a free flap is, where the technique came from, the workhorse flaps, outcomes, and current directions.

FESSH preparation

Reading notes and structured summaries for the FESSH Diploma examination in hand surgery.

  1. FESSH preparation

    Dupuytren's disease

    An expert synthesis of Dupuytren's disease — anatomy, the McFarlane cord pattern, the contemporary treatment landscape after the European withdrawal of collagenase, and the parallel consensus definitions of recurrence — for FESSH candidates and consultant peers.

  2. FESSH preparation

    Carpal tunnel syndrome

    Expert review of carpal tunnel syndrome for FESSH candidates and consultant peers — anatomy, diagnosis, AAOS 2024 guideline, surgical controversies, recurrent CTS workup. Vancouver-cited.

  3. FESSH preparation

    Extensor tendon injuries: zone-based diagnosis and management

    Diagnosis, classification, splinting and surgical management of extensor tendon injuries, with contemporary rehabilitation evidence.

  4. FESSH preparation

    Flexor Tendon Injuries and Repair

    A clinical synthesis of contemporary primary flexor tendon repair: wide-awake anaesthesia, multistrand suture, pulley venting, early active rehabilitation.

  5. FESSH preparation

    Scaphoid fractures: contemporary diagnosis and management

    Scaphoid fracture diagnosis, the SWIFFT evidence, current European practice, and stratified treatment of non-union and SNAC wrist.