Skip to main content
Mateusz Gładysz
EN PL
Knowledge base

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.

01 For patients

Patient information

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

All 14 articles

  1. 8 min

    Fusion of the finger end joint

    Finger end-joint (DIP) fusion for arthritis: when it is considered, effects on pain and grip, choosing the finger position, healing, risks and recovery.

  2. 9 min

    Finger osteoarthritis: Heberden and Bouchard nodes

    Finger osteoarthritis: symptoms, diagnosis, signs of another cause, hand therapy, splints, medicines, steroid injections and when surgery may be discussed.

  3. 9 min

    Knuckle joint arthritis

    Knuckle (MCP) joint pain and swelling: causes beyond osteoarthritis, tests, warning signs, non-surgical care and joint replacement.

02 For clinicians

Clinician education

Evidence reviews and surgical decision-making written for clinical peers, and interactive pathway read-throughs with case-based questions.

All 7

  1. 10 min

    Hand surgery under local anaesthesia (WALANT)

    How wide-awake local anaesthesia no tourniquet (WALANT) works for hand surgery, what the evidence shows, its limits, and who it may suit.

  2. 10 min

    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.

  3. Read-through 6 questions Verified

    Eccrine and poroid tumours in the digital and acral nodule differential

    A clinician read through for hand and plastic surgery.

03 For clinicians

FESSH preparation

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

All 9 articles

  1. 24 min

    Distal radius fractures

    Distal radius fractures for FESSH candidates: instability, alignment and age, DRAFFT, DRAFFT2 and CROSSFIRE, volar plate complications, the DRUJ and CRPS.

  2. 15 min Updated

    Thumb-base osteoarthritis: trapeziectomy versus arthroplasty

    Trapeziectomy versus joint replacement for thumb-base osteoarthritis: ligament anatomy, Eaton staging, the randomised trials, implant survival and salvage.

  3. 20 min

    Clinical examination of the hand and wrist

    Hand and wrist examination for FESSH candidates: how accurate the Phalen, Tinel, scratch collapse, Elson, Watson, grind, fovea and Allen tests really are.

04 Commentary

News & commentary

Notes on conferences, meetings, and current developments in the field.

  1. 13 min

    From Facharzt to New Zealand Consultant

    A board-certified plastic surgeon's account of the four-year route from a German Facharzt to a Senior Medical Officer post and vocational registration in New Zealand — and what other International Medical Graduates should know about a process that does not promise an outcome.