Our extremity reconstruction service is provided by a trauma plastic surgery team made up of orthopaedic and plastic surgeons, all of whom have a specific interest in serious injury and trauma to the upper and lower limbs.

Consultants within the department have been instrumental in developing and writing the standards of care for the open lower limb fractures guide produced by the British Association of Plastic Reconstructive and Aesthetic Surgeons and the British Orthopaedic Association.

Conditions and treatments

We work as a multidisciplinary team to surgically reconstruct the most seriously injured arms and legs. We primarily treat patients who need emergency reconstructive surgery following serious injuries such as open fractures, but our service also treats patients suffering with the long-lasting effects of a previous injury.

Our priority with any open fracture (these are fractures where the bone has come through the skin) is to get the break in the bones stabilised and to ensure that the skin and tissues over the fracture are healthy so they can heal. This can involve several operations especially in cases where you have lost either skin or bone. Your treatment may involve what is known as an external fixator. This is a device which stabilises a fracture from the outside. These can be used as a temporary measure or in some instances they may be used to stabilise your fracture until it has healed.

Meet the team

Consultant plastic surgeons

Mr Shehan Hettiaratchy
Mr Abhilash Jain 
Mr Arvind Mohan
Mr Jonathan Simmons

Consultant orthopaedic surgeons

Mr Rajarshi Bhattacharya, clinical lead
Mr Satyajit Naique
Mr Dinesh Nathwani
Mr Mick Pearse
Mr Angus Lewis

Patinent information

Before your appointment

If you have been referred to the service by your GP please bring any previous scans that you might have in your possession with you to your appointment. Please also remember to check your appointment letter for anything specific you have been asked to take with you. In addition, it would be helpful if you could bring the following:

  • Your full address and telephone number(s)
  • Your appointment card and appointment letter
  • Your GP’s name and address
  • Money to pay for any prescriptions, or an exemption card
  • A list of questions you may want to ask your consultant

During your appointment

If you are referred by your GP following an injury you will be seen and assessed by a team including an orthopaedic surgeon, a plastic surgeon, and often a physiotherapist.

Your assessment will involve taking a detailed history of your problem and an examination of the affected limb. You may be required to go for x-rays and often other scans such as CT or MRI. If you require these specialist scans they will be arranged for another day and a follow up appointment will be made to discuss the findings.

After your appointment

If you have scans, a follow-up appointment will be made to discuss the findings of these scans and to plan your treatment. 

Refer to this service

GP

Please use NHS e-Referrals to refer a patient to our extremity reconstruction service. 

GP advice

For any enquiries regarding referrals, please call 020 3311 1790.

Further online resources