This page gives readers an overview of the range of surgical operations that are in the field of Hand and Arm surgery, which Mr Savage regularly performs in his NHS and Private practice. These treatments are tailored to individual requirements and others are available for less common conditions.


Anaesthesia is performed to the highest standards, according to the requirements of the operation, either by regional block anaesthetic, general anaesthetic, or local anaesthetic. 
Mr Savage uses a new technique called 'wide awake local anaesthetic', which combines adrenaline with lignocaine, for medium to small hand procedures. The main advantages are that it is almost painless to administer and it reduces bleeding so that the uncomfortable arm tourniquet is not required. Many procedures which are performed under local or regional anaesthetic are followed by only modest to minor post-surgery pain.
In most cases dissolvable skin stitches are used, so that stitch removal is not required when the surgical wound has healed.


  • Carpal tunnel release
  • Ulnar nerve release or transposition
  • Trigger finger release
  • Dupuytren's collagenase injection treatment
  • Dupuytren's Fasciectomy
  • Dupuytren's Dermofasciectomy and skin graft
  • Trapeziumectomy for thumb base arthritis
  • Tennis Elbow release
  • Joint fusions for arthritis
  • Swanson joint replacement for Rheumatoid Arthritis
  • Tenosynovectomy for Rheumatoid Arthritis
  • Excision of Hand Swellings
  • Soft tissue wound management
  • Metacarpal and Phalanx fracture reduction and fixation
  • Distal radius fracture Volar Locking Plate and pin fixation
  • Flexor and extensor tendon repair
  • Scaphoid fracture fixation and bone grafting, including vascularised bone graft
  • Reduction and fixation of dislocated joints
  • Fractures about the elbow and forearm
  • Fixation and replacement of proximal humerus fractures
  • Arthroscopic subacromial decompression
  • Rotator cuff repair
  • Bankart repair for recurrent dislocation
  • Acromio-clavicular joint excision / reconstruction
  • Shoulder surface replacement arthroplasty






St Josephs Hospital tel: 01633 820318 Royal Gwent Hospital tel: 01633 234161