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I am a Consultant Orthopaedic Surgeon specialising in the hand, wrist and elbow surgery.
I work at the Spire Southampton and University Hospital Southampton which is a Major Trauma Centre. My practice involves general trauma care or acutely injured patients and my sub specialist interest is trauma and longer term problems in the hand, wrist and elbow.
I am fellowship trained in all aspects of hand, wrist and elbow surgery, having spent time in Derby which is one of the largest and most prestigious Hand Units in the world, and also in Southampton. My passion is for using local anaesthetics (LA) in an almost painless way for many smaller procedures such as carpal tunnel decompression, trigger finger release, simple Dupuytren's contractures and cysts within the fingers. I also use local anaesthetics for all tendon injuries and transfers. I have developed way of giving injections in clinic and theatre with almost no pain, including using special drugs, paediatric sized needles and many other small refinements adding up to an experience for my patients as I would be treated myself!
My waiting list is short, and divided into two sections; local anaesthetic operations and general/regional anaesthetic (where you are asleep or just your arm is numbed). My local anaesthetic cases are mostly carried out in the most convenient way I have been able to manage, by doing them in the minor ops room in outpatients. They are after all "minor ops" in the grand scheme of things. This way you can have your carpal tunnel decompression rather like going to the dentist; arrive, have the local, have the op 20 minutes later and leave as soon as you like afterwards. You should be in the hospital for no more than an hour and a half. This is very different to most other more traditional surgeons.
More complex operations such as tennis or golfer's elbow surgery, trapeziectomy, wrist partial fusions or total fusions (for arthritis), tendon repairs or reconstructions, multiple digit Dupuytren's treatment including dermofasciectomy (skin grafting) and all hand, wrist and elbow fractures require main theatre and therefore a general or regional anaesthetic. (I do use local anaesthetic for Tennis Elbow surgery however).
I concentrate very hard on you regaining your function as early as I possibly can after surgery and do all I can to minimise the inconvenience to your life. It is all about you - not me - after all.
My principle is simple -
"to treat patients as I would like to be treated myself" and I certainly don't want surgery unless absolutely necessary and I can be guaranteed (as much as we can ever be guaranteed) that it will work. Therefore I always aim to treat you without surgery if at all possible and only offer you surgery if I believe I can reliably improve your condition with the absolute minimum of risk
Areas of interest
carpal tunnel; local anaesthetics; trapeziectomies; trigger fingers; arthritis; trauma; fractures
Current NHS consultant posts held
Consultant Orthopaedic and Trauma Surgeon at University Hospital Southampton NHS Foundation Trust
Locations: Southampton General Hospital and Royal South Hants Hospital
Upper limb trauma
Wide awake hand surgery
Quality improvement and Leadership
1: Worshipful Company of Barbers travelling Fellowship to Canada - Wide Awake Hand Surgery
2: British Society for Surgery of the Hand DVD prize - WAHS
3: British Orthopaedic Association (BOA) travelling fellowship award - Canada
4: BOA National Clinical Leaders Program
Restoration of the volar cortex: predicting instability after distal radius fractures.
Dec 2014. Volume 45, Issue 12, Pages 1896–1899
A.R. Phillips, A. Al-Shawi
The management of suspected scaphoid fractures in English hospitals - a national survey.
European Journal of Emergency Medicine
Published Ahead-of-Print - Last Updated: July 2, 2015
J. Smith, R.H. House, J.Gallagher, A.R. Phillips
Optimal Positioning of the DVR Plate in Distal Radial Fractures. A Cadaveric Examination of a Referencing Technique.
A. R. Phillips, A. Al-Shawi.
Reliability of radiographic measurements of knee range of motion following knee arthroplasty; use in a Virtual Knee clinic setting.
Annals of The Royal College of Surgeons of England
Volume 94, Number 7, October 2012 , pp. 506-512(7)
A. Phillips, S. Naim, A. Goubran, V. Mandalia. A. Toms
A.R. Phillips & D.G. Hargreaves
Metacarpal fractures in athletes
Hand Injuries in Athletes
Wide Awake Hand Surgery
Prof D. Lalonde. CRC Press
Chapters: -Metacarpal fractures, -Tendon Ruptures, -Carpal Fractures, -Carpal Dislocations
Key Clinical Topics in Orthopaedic Trauma.
A. Qureshi, A Trompeter, P. Page, D.Sprott.
JP Medical Publishing.
Courses offered to GPs
Painless injection techniques
Outpatient hand surgery
What's Hot and What's Not in Hand Surgery
Dupuytren's - my philosophy
Collation in progress
- FRCS (Tr & Orth) RCS (Eng) 2013
- MRCS RCS (Int) 2005
- MBBS Univ of London 2000
- Pulvertaft Hand Unit Fellowship Royal Derby Hospital 2014
- Southampton Hand Fellowship UHS 2015
Details of entry to specialist register
- Trauma & Orthopaedics, 2014
Affiliations / memberships
- Chalybeate CloseSOUTHAMPTONSO16 6UY
- 08:30 - 21:00
- 023 8076 4976
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.
In the event of an urgent query following treatment, Bupa members should use the following contact details
Myself or under prior arrangement with Mr George Cox - consultant orthopaedic surgeon (Buddy system in place at Spire Southampton)