Mr Ian McNab MB BS. FRCS (Eng). FRCS (Tr & Orth).


Consultant Orthopaedic Hand and Wrist Surgeon, Oxford


Mr Ian McNab is a specialist in the treatment of a full range of hand conditions, including: carpal tunnel syndrome, tendon problems, hand and wrist injuries and arthritis. His super-specialist interest is in the treatment of complex wrist problems including scaphoid fractures, fracture non-unions, wrist arthroscopy, and small joint replacements in the hand.


Mr McNab trained at the London Hospital Medical College, University of London as an undergraduate and subsequently in orthopaedic surgery at St Bartholomew's Hospital. He completed his rotation in: Stanmore, Essex, Norwich, Great Ormond Street, and at the Royal London Hospital, obtaining the certificate of completion of specialist training in trauma and orthopaedic surgery in 1999. His specialist fellowship training was undertaken in hand and upper limb surgery in Oxford and then during a year spent in Melbourne, Australia.


Mr McNab was appointed as a specialist Consultant Hand Surgeon at the Nuffield Orthopaedic Centre and John Radcliffe Hospital in 2000. Emergency and trauma hand surgery is undertaken at the John Radcliffe Hospital, planned and reconstructive hand surgery is undertaken at the Nuffield Orthopaedic Centre and at The Oxford Clinic. http://www.bmihealthcare.co.uk/oxfordclinic


Teaching and academic appointments are: Honorary Senior Clinical Lecturer in the Nuffield Department of Orthopaedics, Rheumatology & Musculoskeletal Science, University of Oxford and as an honorary lecturer in clinical medicine at Wadham College, University of Oxford. In 2007 Mr McNab was awarded and undertook the prestigious British Society of the Surgery the Hand Stack Travelling Fellowship in New Zealand, Australia, Singapore and USA.


Other key professional and post graduate education and training positions include: Supervisor & Head of Training for the Oxford Hand Fellowship Programme, Council member and member of the Research & Audit Group of the British Society for Surgery of the Hand, member of the Professional Practice Committee of the British Orthopaedic Association, Orthopaedic Sub-Committee Chairman for the British Medical Association Central Consultants and Specialists Committee.


Clinical interests


  • Arthritis of the hand and wrist (inc. small joint replacements in the hand)
  • Hand and wrist injuries (including late reconstruction)
  • The treatment of complex wrist problems including:
    • Scaphoid fractures
    • Scaphoid fracture non-unions
    • Vascularised bone grafting techniques
    • Fractures of the wrist and distal radius that have healed with deformity / wrist fracture mal-unions
    • Distal radio-ulnar joint (DRUJ) problems including instability and arthritis
    • Triangular fibrocartilage complex (TFC) problems, tears, injuries etc
    • Wrist ligament injuries and wrist Instability, scapholunate ligament injury etc.
    • Wrist arthroscopy
    • Kienbock’s disease

Research interests


  • Treatment of scaphoid fractures and scaphoid fracture non-unions
  • Advanced vascularised bone grafting techniques

Key publications


McCombe D, Ireland D, McNab I. Distal Scaphoid Excision after Radio-Scaphoid Arthrodesis J Hand Surg 2001;26A:877-882 (Sept 2001)


McNab I S H, Collier A M. Hand Injuries. SURGERY 2001; 19:7: 160-166 (July 2001)
McNab I S H. Common Hand Infections. SURGERY 2001; 19:7: 167-172 (July 2001)


McNab I S H, Carr A J. Adult Orthopaedics: Bursitis at the Elbow Book Chapter in: The Oxford Textbook of Orthopaedics (2001)


Leonard L, Little C, Owers K, Burge P, McNab I
Vascularised Bone Grafts for Scaphoid Non-Union: 31 Cases
Cirugia de la Mano – Suplemento especial April 2005, Vol 33, No 66: 31 - (FESSH)
Proceedings: Fed. European Soc. Surgery of the Hand, Glasgow June 2006
Proceedings: American Soc. Surgery of the Hand, September 2006


Gidwani S, Leonard L, Little C, Owers K, Burge P, McNab I
Vascularised Bone Grafts for Scaphoid Non-Union: 50 Cases
Presented: Pan Pacific Hand & Upper Limb Trauma Symposium, Queenstown NZ 2007
Proceedings: International Federation of Societies for Surgery of the Hand, Sydney March 2007


2010 Oxford Handbook of Rheumatology:
Surgical Management of Rheumatoid Arthritis: the Upper Limb (McNab I, Little C)
Surgical Management of Rheumatoid Arthritis: Introduction and Spinal Involvement
(Pandit H, McNab I, Cadoux-Hudson T, Luqmani R)


2010 Book Chapters in Press:
Oxford Textbook of Orthopaedics & Trauma 2nd Edition:
Injuries of the Distal Radioulnar Joint (Lawrie D, Little C, McNab I)
Instabilities of the Carpus (Lawrie D, Little C, McNab I)
Fractures of carpal bones other than the scaphoid (Lawrie D, Little C, McNab I)


Conditions Treated


Mr McNab treats the full range of hand and wrist problems including:

  • Hand injuries and fractures (metacarpal bones, phalanges, thumb, tendons, nerves, blood vessels, skin, fingertip and nails etc)
  • Wrist injuries and fractures (wrist, distal radius and ulnar, scaphoid, carpal bones, perilunate fractures and dislocations, wrist ligament injuries, wrist instability, midcarpal instability)
  • Hand pain and swelling: ganglion, mucous cyst / mucoid cyst, carpal boss, giant cell tumour etc.
  • Peripheral nerve injury, entrapment and compression
  • Carpal Tunnel Syndrome
  • Entrapment of the Ulnar Nerve at the Elbow (Cubital Tunnel Syndrome) or Wrist
  • Tendon injuries and problems: trigger finger, tendonitis, tenosynovitis, tendon rupture, De Quervain’s syndrome, flexor tendon injuries, extensor tendon injuries
  • Dupuytren’s Contracture: including open and percutaneous surgery when indicated
  • Arthritis of the hand: metacarpophalangeal (MCP) joints, proximal interphalangeal joints, distal interphalangeal joints
  • Arthritis of the thumb (carpometacarpal (CMC) / trapeziometacarpal (TMC) joint, metacarpophalangeal joint, interphalangeal joints)
  • Arthritis of the wrist: radioscaphoid joint, radiocarpal joint, midcarpal joint, scapho-trapezio-trapezoid joint, distal radio-ulnar joint
  • Hand infections

Treatments offered


He has expertise in all aspects of the non-operative and surgical management of hand and wrist problems including:

  • Open reduction and internal fixation (ORIF) of hand and wrist fractures
  • Flexor and extensor tendon repair, tendon transfer, tendon grafting and reconstruction
  • Trigger finger release, trigger finger injection, tendon release, De Quervains release, tenosynovectomy, tenolysis
  • Carpal tunnel release, carpal tunnel injection, re-do/revision carpal tunnel release
  • Cubital tunnel release/ulnar nerve decompression and transposition
  • Nerve release, repair and grafting, microsurgical repair of nerves and vessels
  • Aspiration of excision/removal/biopsy of hand swellings, ganglion, mucous cyst/mucoid cyst, giant cell tumour etc.
  • Dupuytren’s contracture: including open fasciectomy, dermofasciectomy & skin grafting, and percutaneous needle fasciotomy when indicated
  • Wrist ligament repair and reconstruction: scapholunate ligament, lunotriquetral ligament etc.
  • Scaphoid fracture fixation, fracture non-union reconstruction, and fixation
  • Bone grafting, vascularised bone grafting
  • Corrective osteotomy and bone grafting with fixation for mal-union of fractures of the hand and distal radius etc.
  • Scapho-trapezio-trapezoid joint (STT) arthrodesis or excision arthroplasty
  • Proximal row carpectomy
  • Total wrist fusion/arthrodesis
  • Wrist and thumb arthroscopy
  • Joint replacement or fusion
  • Thumb carpometacarpal (CMC) joint: trapezectomy, excision of trapezium, arthroplasty, arthrodesis etc.
  • Thumb metacarpophalangeal (MCP) joint ligament repair, reconstruction, fusion/arthrodesis etc

Scholarships & Awards


  • Fellow in the Academic Department of Surgery - St Vincent's Hospital, University of Melbourne, Australia (Jan – Dec 1999)
  • Hand and Microsurgery Clinical and Research Fellowship - Bernard O’Brien Institute of Microsurgery, St Vincent's Hospital, University of Melbourne, Australia (Jan – June 1999)
  • Smith and Nephew Upper Limb Surgery Fellowship - Monash Medical Centre, Monash University, Melbourne, Australia (July 1999 – Jan 2000)
  • The British Society for Surgery of the Hand - Travelling Bursary 1998
  • The Royal College of Surgeons of England - Norman Capener Travelling Fellowship 1998
  • The Royal College of Surgeons of England - Ethicon Foundation Fund Travelling Fellowship 1998
  • The King's Fund - Travelling Fellowship 1998
  • British Society of the Surgery the Hand - Stack Travelling Fellow 2007
  • American Society for Surgery of the Hand - Visiting Overseas Fellow 2007

Membership of professional organisations


  • General Medical Council (Specialist register as a Trauma & Orthopaedic Surgeon)
  • Fellow of Royal College of Surgeons of England FRCS
  • Fellow British Orthopaedic Association
  • British Society for Surgery of the Hand
  • British Elbow & Shoulder Society
  • British Medical Association
  • The Royal Society of Medicine
  • Barts and The London Alumni Association (BATLAA) at Queen Mary, University of London
  • Oxford Medical Alumni — Medical Sciences Division
  • Girdlestone Society
  • Percivall Pott Club
  • Herbert Seddon Society
  • Wadham College Medical Society
  • Medical Defence Union

Professional Appointments & Positions


Local

  • Consultant Orthopaedic Hand Surgeon
    Hand & Upper Limb Unit, Nuffield Orthopaedic Centre & John Radcliffe Hospital, Oxford
    Appointed to substantive NHS Consultant post - July 2000
  • Honorary Senior Clinical Lecturer in Orthopaedic Surgery, University of Oxford (2003 – pres)
  • Titular Lecturer in Clinical Medicine at Wadham College, University of Oxford (2005- pres)
  • Lead Clinician – Oxford Hand & Upper Limb Team (2002 – 2007)
  • Chairman Nuffield Orthopaedic Centre Local Negotiating Committee (2003 – pres)
  • Supervisor & Head of Training for the Oxford Hand Fellowship Programme (2009 – pres)

Regional


  • BMA Hon. Secretary Oxford Region Consultant and Specialist Committee (June 2004 - pres)
  • BMA Oxford Division Executive Committee (Consultant Representative 2007 – pres, President Elect 2009)
  • BMA Southern Regional Council - Deputy Chair, Representing South Central (2009 – pres)

National


  • Faculty National AO Foundation Hand & Wrist Fracture Courses (2004 – pres):
    Surgeons Courses; Operating Personnel/Therapists Courses
    Appointed Surgical Advisor/Chair: 2010 Operating Personnel/Therapists Course
    2009 AO UK Hand Group Invited Expert Lecturer:
    Vascularised Bone Grafts for Scaphoid Fractures
  • BMA Oxford Region Representative to National Central Consultant and Specialist Committee (2004 - pres)
  • BMA Seniors Conference & Annual Representative Meeting Representative (2004 – pres)
  • BMA CCSC Orthopaedics Sub-Committee (Member 2006, Deputy Chair 2007, Chair 2008 - pres)
  • BMA CCSC Emergency Medicine Sub-Committee (Member 2008 - pres)
  • British Society for Surgery of the Hand;
    Research & Audit Committee member (2008- pres)
    Elected Council Member & Trustee (2009 – 11)
  • British Orthopaedic Association:
    Professional Practice Committee – BMA representative (2008- pres)
    Board of Specialist Societies – BSSH representative (2009 – pres)

Declaration of interest


Mr McNab is a member of the Oxford Musculoskeletal LLP, which has a financial interest in The Oxford Clinic LLP.


Appointments, consultation and private treatment


All appointments should be made via Mr McNab’s Practice Manager, Ms Marie Noall, whose contact details can be found below. Mr McNab is available for private patient appointments according to patients’ needs as he aims to provide a high quality service. Mr McNab’s private consultation and treatment is carried out at The Oxford Clinic. You can visit The Oxford Clinic web site for more information about their facilities and services.

Contact information


Marie Noall
Oxford Clinic For Orthpoaedics
Manor Hospital
Beech Road
Headington
Oxford OX3 7RP


T. 07941 768605
F. 07092 160829
E. hand.wristsurgery@mybroadbandmail.com



 


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