I was appointed as Consultant Orthopaedic Surgeon to the North Bristol Trust including Southmead Hospital and Avon Orthopaedic Centre in 1995. Over the years I have developed an experience and expertise in the management of many upper limb conditions. This includes shoulder and elbow replacement to arthroscopic reconstruction of the shoulder, elbow and wrist.I have maintained an interest in both arthroscopic knee surgery and total knee replacement. I am involved in on-going audit and research in all areas of his practice.I have gained a great deal of experience in the management of complex wrist and elbow fractures and non/mal union surgery. I treat hand/finger contracture as well as carpal tunnel release and trigger fingers.