Hand & Wrist Surgery

Dr Ingram is an expert in the field of hand surgery, having held two hand fellowships during the course of his training. He offers a number of procedures, including the immediate care of an injury; treatment and reconstruction made necessary by old injuries; treatment and reconstruction of birth defects and abnormalities; treatment of arthritis; treatment of infection and treatment and removal of tumours.

Dr Ingram also treats other problems including nerve compression syndromes and the swelling of tendons. He additionally performs microsurgery, which is used for the reattachment of amputated parts and certain hand reconstructions.

Below is a comprehensive list of the conditions that Dr Ingram treats:

Hand Injuries/Trauma

• Tendon repairs (flexor/extensor)
• Vascular injuries
• Nerve injuries
• Ligament injuries
• Reattachment of amputated parts
• Certain hand reconstructions
• Fractures

Nerve Compression Syndromes

• Endoscopic carpal tunnel release (ECTR)
• Open carpal tunnel release (OCTR)
• Cubital tunnel release

Soft Tissue Conditions

• Dupuytren's
• Ganglions
• Hand growths/Tumours
• Tenosynovitis (soft tissue or other)
• Trigger finger/s (soft tissue or other)

Arthritic Hand Conditions

• Finger arthritis
• Rheumatoid arthritis (e.g. PIP joint replacements)
• Osteoarthritis
• Wrist osteoarthritis

Other Hand Conditions

• Finger fusions
• Scaphoid and/or Scapho-lunate ligament repairs
• Ulna-collateral ligament repairs (UCL)
• Ulnar osteotomy
• Hand burns
• Flexor tendon grafting
• Nerve grafting
• Skin flaps
• Skin grafting
• Wrist fusion (degenerative/rheumatoid)
• Wrist ligament
• Birth defects / abnormalities

After your operation

• You will most likely have a plaster of Paris. This should be kept dry and intact until your first post-op review.
• You will usually be reviewed by the hand therapist one or two days after your operation.
• Generally, Dr Ingram will review you one to two weeks after surgery.

At home

• Some pain or discomfort at your wound site can be expected. This will eventually settle and can be managed with oral pain medication.
• Some redness, swelling and bruising around the wound is normal.
• A small amount of bleeding from the wound is normal.
• You may experience some numbness which may persist for a few weeks or months.

Problem signs

Please contact the clinic, your GP or your closest emergency department if:

• You have any signs of infection, such as a high temperature, heavy discharge from your wound, an increase in redness around your wound or a dramatic increase in pain that is not relieved by oral pain medication.
• You have increased swelling around your wound.
• If you have nausea or vomiting which does not settle.
• If you have any numbness or tingling that lasts for longer than 48 hours after your operation in an arm which has a plaster of Paris.