Carpal Tunnel Release
Carpal tunnel release is a common hand operation that divides the transverse carpal ligament to relieve pressure on the median nerve at the wrist, treating numbness, tingling and night-time pain in the thumb, index, middle and half of the ring finger. It can be performed through a small open palmar incision or endoscopically, usually under local anaesthetic as a day case. Night symptoms typically improve within days, though long-standing numbness may take months to recover.
Dupuytren's Contracture Release
Dupuytren's contracture is a progressive thickening of the palmar fascia that pulls one or more fingers into a bent position over years. Treatment options include percutaneous needle aponeurotomy, collagenase injection and surgical fasciectomy, chosen according to the severity and joints affected. More invasive surgery has lower recurrence but longer recovery; minimally invasive techniques give quicker return to function but a higher chance of disease progression.
Trigger Finger Release
Trigger finger is caused by inflammation and thickening of the flexor tendon sheath (at what is called the A1 pulley - at the base of the finger), causing the finger to catch, snap or lock when bending. Release surgery, performed under local anaesthetic through a small incision in the palm, divides the A1 pulley and allows the tendon to glide freely again. Many trigger fingers also respond to splinting or a single steroid injection before surgery becomes necessary.
Tendon Repair
Tendon repair reconnects lacerated or ruptured tendons in the hand, forearm, foot or elsewhere using specialised suture techniques designed to tolerate early protected movement. Primary repair within days to weeks of injury gives the best result, while delayed or chronic injuries may require a tendon graft or transfer. Early, supervised hand therapy is essential to prevent stiff adhesions without risking re-rupture of the repair.
Ganglion Cyst Excision
A ganglion is a benign fluid-filled swelling arising from a joint or tendon sheath, most often on the back or palm side of the wrist, on the fingers or on the foot. Excision removes the cyst together with its stalk down to the joint capsule, giving a lower recurrence rate than needle aspiration. Ganglions are harmless and often observed; surgery is recommended when they are persistently painful, compress nerves or are cosmetically bothersome.
Syndactyly Correction
Syndactyly is a common congenital condition in which two or more fingers are joined by skin, soft tissues or bone. Surgical separation, usually performed at 12–18 months of age, uses zigzag incisions to create a web space (space between the fingers) and small full-thickness skin grafts (often from the groin) to resurface areas of insufficient skin. Most children achieve excellent function and appearance with normal hand use in everyday activities.
Polydactyly Correction
Polydactyly is a congenital condition where a child is born with an extra finger or toe, ranging from a skin tag to a fully formed digit with bone, tendon and nerve. Simple cases are treated with excision under local anaesthetic in infancy, while more complex forms require formal reconstruction under general anaesthetic, typically between 12 and 18 months of age. Surgery aims to leave a hand or foot that functions and looks essentially normal.
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