Operative images

These operative series formed the basis of the Advanced Hand Surgery Course at the Royal College of Surgeons. They are principally intended for the education of surgeons in training. I am grateful to colleagues who have provided me with some of the photographs and to all the patients who gave consent for these images to be used for teaching and information. Please note that these links show explicit photographs of operations.  Click on the operations to see the series.

DRUJ-Darrach procedure Nerve decompression-Ulnar (cubital tunnel)
DRUJ-Sauve Kapandji procedure Nerve decompression-Ulnar (Guyon's canal)
DRUJ-Ulnar osteotomy PIPJ arthroplasty (Anterior, Swanson)
DRUJ-Ulnar stabilisation PIPJ arthroplasty (Lateral, Swanson)
De Quervain's release PIPJ arthroplasty (Posterior, Ascension)
Dupuytren's - Dermofasciectomy PIPJ arthroplasty (Posterior, interposition)
Dupuytren's - Fasciectomy PIPJ arthroplasty (Posterior, Swanson)
Dupuytren's - Fasciotomy (needle aponeurotomy) PIPJ synovectomy (Anterior)
Extensor tendon realignment Pisiformectomy
Extensor synovectomy (Rheumatoid) Radial palsy-Transfer
Extensor tendon reconstruction (FDS to EDC) STT fusion
Extensor tendon reconstruction (EIP to EPL) Syndactyly release
Extensor tendon reconstruction (Graft) Tendon techniques (plantaris harvest)
Finger deformity (Boutonniere, Fowler tenotomy) Tendon techniques (weaving)
Finger deformity (Swan neck, FDS tenodesis) Thumb deformity (Boutonniere)
Finger deformity (Swan neck, Littler release) Thumb deformity, Sesamoid fusion
Finger deformity (Swan neck, lateral band tenodesis) TMCJ-Fusion
Finger fusion TMCJ-Stabilisation
Finger arthroplasty (Ascension)  TMCJ-Trapeziectomy(Anterior)
Finger arthroplasty (Swanson) TMCJ-Trapeziectomy(Posterior)
Flexor synovectomy Trigger finger release
Flexor tendon reconstruction Ulnar palsy-anticlawing (ECRL)
MCPJ arthroplasty (Ascension) Ulnar palsy-anticlawing (FDS)
MCPJ arthroplasty (Tupper interposition) Ulnar palsy-anticlawing (PL)
MCPJ arthroplasty (Swanson) Ulnar palsy-Wartenburg correction
MCPJ soft tissue realigment Wrist-Denervation
Median palsy-Opponensplasty (ADM) Wrist-Four cornered fusion
Median palsy-Opponensplasty (ECRB) Wrist-Fusion (AO plate)
Median palsy-Opponensplasty (EIP) Wrist-Fusion (Stanley pin)
Median palsy-Opponensplasty (FDS) Wrist-Radial styloidectomy
Median palsy-Opponensplasty (PL) Wrist-Proximal row carpectomy
Nerve decompression-Median (endoscopic) Wrist-Stabilisation (Blatt)
Nerve decompression-Median (open carpal tunnel) Wrist-Stabilisation (Brunelli)
Nerve decompression-Median (high and interosseous) Wrist-Stabilisation (ECRL)
Nerve decompression-Radial (high and interosseous) Wrist-Stabilisation(ECU)