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- Hand & Wrist
Mr Lorenzo Garagnani MD FRCS EBHS DipHandSurg is a highly specialised Consultant Hand and Wrist Surgeon who treats the whole spectrum of disorders of the hand, wrist and peripheral nerves of the upper limb both in adults and children.
Mr Garagnani is joint Lead of the Hand Unit of Guy's and St Thomas' NHS Foundation Trust.
Mr Garagnani is an internationally recognised expert in the treatment of congenital anomalies of the hand and wrist, and is one of the founding members and the current President of PHISOS (Pediatric Hand - International Society of Surgeons).
He qualified in Medicine and Surgery at Bologna University (Italy) then he trained in Trauma and Orthopaedics in the prestigious Bologna Specialist Training Programme, mainly based at the world famous Rizzoli Orthopaedic Institute.
Mr Garagnani completed his sub-specialist training in hand and wrist surgery in centres of excellence in the UK, where he was Hand Fellow at Chelsea and Westminster Hospital in London, at the Plastic and Reconstructive Surgery Department of the Oxford University Hospitals, and at the Hand Clinic in Windsor. In 2009, he was appointed Specialist Hand Surgeon at Humanitas Clinical Institute in Rozzano, Milan (Italy). Between 2009 and 2012 he worked in London, as locum Consultant at Chelsea and Westminster Hospital and as Hand Fellow in congenital hand anomalies at the world-renowned Great Ormond Street Hospital for Children.
In 2012, Mr Garagnani was appointed Consultant Hand and Wrist Surgeon at the Department of Hand Surgery and Microsurgery of the University Hospital Policlinico di Modena (Italy), where he jointly led the busy Paediatric Hand Surgery/Congenital Upper Limb and Hand Anomalies Service.
In 2015, he was appointed Consultant Orthopaedic Hand and Wrist Surgeon at Guy’s and St Thomas’ NHS Foundation Trust in London, where he is now based.
In 2017, Mr Garagnani was appointed Honorary Senior Clinical Lecturer at the Faculty of Life Sciences and Medicine of King’s College London and in 2021 he was promoted to the role of Honorary Reader at the same university.
Mr Garagnani also holds the European Diploma in Hand Surgery.
Mr Garagnani’s regular activities include supervision of and teaching to Specialist Trainees, Senior Hand Fellows and King’s College medical students.
He is the Director of the London Upper Limb Fellowship of IBRA (International Bone Research Association).
Mr Garagnani is author of numerous scientific publications that include articles and book chapters, and is regular speaker and invited faculty at national and international conferences and courses.
Mr Garagnani's work and research are focused on new minimally invasive techniques that allow reduction of surgical morbidity in hand and wrist surgery.
Areas of interest
Congenital and paediatric hand surgery – treatment of anomalies of the hand and upper limb in children and adults; Hand and wrist trauma (fractures, ligament, tendon and nerve injuries); Hand and wrist joint disease (degenerative joint disease – osteoarthritis, arthropaties, rheumatoid arthritis); Upper limb nerve disorders (including carpal tunnel and cubital tunnel syndromes); Tendon surgery (trigger finger, tenosynovitis, tendon reconstruction, tendon transfer); Wrist arthroscopy (keyhole surgery); Dupuytren’s contracture treatment; Removal of growths/cysts in the hand and upper limb (ganglion cysts, lipomas, enchondromas, GCTs)
Anaesthetists worked with
Current NHS consultant posts held
Hand Unit Lead (joint), Consultant Orthopaedic Hand and Wrist Surgeon
Guy's and St Thomas' NHS Foundation Trust
Honorary Senior Clinical Lecturer
Faculty of Life Sciences and Medicine
King's College London
- Minimally invasive techniques and procedures in adult and children's hand and wrist surgery
- Reduction of surgical morbidity
- Innovations in hand and wrist surgery
(Additional) Languages spoken
- Italian - Native or bilingual
Journal articles on hand and wrist surgery:
- Reduction with a temporary intrafocal K-wire during internal fixation of distal radius fractures
Ann R Coll Surg Engl. 2010
- Obtaining maximum exsanguination of the hand, preserving sterility, and avoiding trauma to digits: a simple technique
J Hand Surg Eur Vol. 2012
- A palmar approach for insertion of a free, non-vascularized phalangeal transfer
Tech Hand Up Extrem Surg. 2012
- Long-term donor site morbidity after free non-vascularized toe phalangeal transfer
J Hand Surg Am. 2012
- Lessons from Julius Casserius: Discoveries and innovations by 17th Century hand surgeon
IFSSH Ezine. 2012
- Bilateral upper limb exertional rhabdomyolysis
J Hand Surg Eur Vol. 2012
- Symptomatic extra-articular scaphoid tuberosity nonunion - surgical excision of the ununited fragment after failed nonoperative management
Hand (N Y). 2013
- VACTERL (Vertebral Defects, Anal Atresia, Tracheoesophageal Fistula with Esophageal Atresia, Cardiac Defects, Renal and Limb Anomalies) Association: Disease Spectrum in 25 Patients Ascertained for Their Upper Limb Involvement
J Pediatr. 2014
- Genetic basis of congenital upper limb anomalies: analysis of 487 cases of a specialized clinic
Birth Defects Res A Clin Mol Teratol. 2013
- Hyaluronic Acid scaffold for skin defects in congenital syndactyly release surgery: a novel technique based on the regenerative model
J Hand Surg Eur Vol. 2014
- Lipomatous tumours of the hand and wrist A series of 25 cases and review of the literature
Ann Ital Chir. 2014
- Rolando and his fracture
- Twin born with a skeletonised hand in twin-to-twin transfusion syndrome treated with laser ablation in pregnancy
J Hand Surg Eur Vol. 2016
- Published Articles on Surgical Techniques: Are They Set in Stone?
Tech Hand Up Extrem Surg. 2016
Book chapters on hand and wrist surgery:
- [Articolazione radio-ulnare distale: riparazione artroscopica delle lesioni ulnari del TFC] Distal radio-ulnar joint: arthroscopic repair of ulnar TFCC lesions
Artroscopia base ed avanzata (“Basic and advanced techniques in arthroscopy”). CIC Edizioni Internazionali, 2012. Chapter 99
- Syndromes associated with syndactyly
The Pediatric Upper Extremity. Springer, 2015. Chapter 14
View videos on youtube
Reference number 6087947
Affiliations / memberships
> Pediatric Hand - International Society of Surgeons (PHISOS) - President 2019-2021
> British Society for Surgery of the Hand (BSSH)
> American Society for Surgery of he Hand (ASSH) - Member of the International Relations Committee 2015-2020 & of the International Traveling Fellows Committee
> Italian Society for Surgery of the Hand (SICM)
> Italian Medical Society of Great Britain (IMSoGB) - Secretary General 2019-2021
Post treatment communication
Following treatment of a Bupa member, I will communicate with GPs in line with Department of Health, GMC and appropriate professional bodies guidelines.