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Mr Alastair Graham

Consultant Orthopaedic Surgeon

BA (First Class Honours), MA, BM BCh, FRCS, FRCS (Tr & Orth)

Practices at: BMI The Shelburne Hospital, BMI The Chiltern Hospital

A photo of Mr Alastair Graham

Mr Graham has been a consultant hand and wrist surgeon in Buckinghamshire since 2003. He 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, he was appointed consultant at Wycombe Hospital.

Two years later this merged with Stoke Mandeville Hospital. Mr Graham is passionate about the human hand, and about teaching and cultivating future generations of doctors.

Mr Graham has extensive experience in his NHS practice of dealing with complex and mutilating trauma of the hand and wrist, and in reconstructing hands send in from other units.

He treats 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.

Mr Graham looks after a large local population of patients with rheumatoid arthritis and neuromuscular disorders (including nerve palsies, Parkinson’s, stroke and patients with unexplained symptoms). He has a particular subspecialty interest in treating musicians with hand and wrist disorders.

A large amount of his operative practice is with carpal tunnel and Dupuytrens surgery. For the latter the majority of his 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.

Mr Graham works with an exceptional group of supporting consultants in radiology (scans and imaging), neurophysiology (nerve testing) and regional anaesthesia (for awake surgery when appropriate).

Clinical Interests

  • Forearm and wrist fractures (including complex distal radial fractures and scaphoid nonunion)
  • Percutaneous scaphoid fixation
  • Nerve compression around elbow, wrist, hand
  • Arthritis of the wrist, thumb and fingers
  • Forearm and wrist malunion
  • 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

Professional Memberships

  • The British Society for Surgery of the Hand
  • British Orthopaedic Association

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