Mr Francis Lam, Director of Francis Lam Medical Practice Limited, is a Consultant Orthopaedic Surgeon at the Hillingdon and Mount Vernon Hospitals, part of The Imperial College School of Medicine, University of London. He specialises in arthroscopic and minimally invasive surgery of the Shoulder, Elbow and Wrist, as well as upper limb trauma.
He graduated from the United Medical and Dental Schools of Guys and St Thomas’s Hospitals, University of London. His Specialist Registrar training was spent on the Kent, Surrey and Sussex rotation (Guy’s, King’s and St Thomas’s Hospitals).
Mr Lam underwent further specialist fellowship training in Shoulder surgery at the world renowned Cape Shoulder Institute in Cape Town, South Africa as well as at the Epsom Shoulder Unit in Surrey, UK. In addition, he also completed a fellowship in hand and upper limb reconstruction at the Massachusetts General Hospital in Boston, USA. In addition to his surgical qualifications, Mr Lam has a Masters degree in Orthopaedic Engineering and his thesis was centered on the management of complex elbow fractures.
Mr Lam offers a One-Stop Shoulder Clinic whereby patients will receive a consultation, diagnostic ultrasound scan (carried out by him) and treatment all in one session. Where appropriate, he injects the shoulder under ultrasound guidance thus improving its accuracy and efficacy. Dynamic Ultrasound is highly sensitive in the diagnosis of rotator cuff disorders and avoids some of the problems associated with MRI scanning including claustrophobia and interference with metal hardware, pacemaker etc.
Mr Lam’s clinical practice is entirely evidence-based and the treatment he offers is based on current best evidence and latest research as well as the individual needs of the patient. Mr Lam has an active interest in scientific research and has published widely in international peer review journals. He lectures nationally and internationally on topics relating to the shoulder to other Orthopaedic surgeons and General Practitioners.
|Secretary Telephone||01372 840836|
|MRCS ( Glasg. )|
|MRCS ( Ed. )|
|MSc (Orthopaedic Engineering)|
|FRCS Ed (Tr&Orth)|
|NHS Practice||Hillingdon and Mount Vernon Hospitals|
|Medical Education||United Medical and Dental Schools of Guy's|
|St Thomas's Hospitals, University of London|
|Higher Surgical Training||Kent, Surrey and Sussex Specialist Registrar Rotation|
- BESS (Member of British Elbow and Shoulder Society)
- AAOS (International Affiliate Member of American Academy of Orthopaedic Surgeons)
- Royal College of Physicians and Surgeons of Glasgow
- Royal College of Surgeons of Edinburgh
1. Arthroscopic/minimally invasive management of:
- Rotator cuff tear
- Frozen shoulder release
- Calcifying tendinitis of rotator cuff
- Shoulder instability/Bankart lesions
- Arthritis of acromioclavicular joint and shoulder impingement
- SLAP lesions / labral tears
2. Arthroplasty of shoulder
- Hemicap resurfacing
- Total shoulder replacement
- Reverse total shoulder replacement.
3. Fracture fixation
- Primary repair and revision repair / reconstruction.
- Minimally invasive management of Tennis elbow, Golfer's elbow, elbow stiffness, loose bodies, synovitis, osteoarthritis.
- Arthroplasty: Total elbow replacement, radial head replacement and radio-capitellar replacement.
- Trauma: Primary and secondary repair and reconstruction.
- Reconstruction: Medial and lateral ligament reconstruction, biceps reconstruction and triceps reconstruction.
Hand and Wrist
- Arthroscopy: TFCC tears and carpal instability repair.
- Arthroplasty: Distal ulna replacement, wrist replacement, and finger joint replacement.
- Trauma: All hand and wrist trauma.
- Reconstruction: Carpal tunnel release, trigger finger release, Dupuytrens fasciectomy and Guyons tunnel release
I had been told by other surgeons there was nothing I could do about my pectorial major tendon rupture as it had already been operated on once before and it had now
been five years since the tendon was originally torn.
I am so pleased I did my research and found Mr Lam, I went to see him and he was so upbeat and told me about a procedure using a tendon allograft to bridge across the gap between my shoulder and the muscle.
Working together we decided to go ahead with the procedure knowing that he had told me things might not go perfectly but I was just happy he was willing to try when everyone else didn't seem to care.
When I woke I could see the difference straight away, the results are even better than I had ever expected. Recovery has been tough but well worth it.
I would highly recommend Mr Lam for any shoulder surgery, he really is at the forefront in his field and i think my successful operation shows this.
Once again thank you so much Mr Lam you have really changed my life.
I just wanted to write to thank you very much for performing the successful operation on my shoulder. From the first time I met you I felt every confidence in you and I very much appreciated the skill and care you have shown. In the short space of time since I had the operation, I have made great progress and am now happily back on the golf course and enjoying my game.
I was snowboarding at 12 weeks and wakeboarding at 13 weeks following surgery. Six months later I ranked fourth in the British Cable Wakeboard Nationals and eighth in the European Cable Wakeboard Tour, resulting in a world ranking of 13th. At 2 years following surgery, my shoulder feels just as strong as it ever did. The knowledge, advice and aftercare I was given by Francis was well beyond my expectations.
When I came out of my operation in mid April my first thought was how long will it take before I can get back on my Harley. With all the great help from Francis and his team I was able to tour round Spain for two weeks doing over 2000 miles on a 750lb bike in mid August without any problems or repercussions.
Three months ago I received a cobalt/chrome radial head replacement and I am delighted with the result. I can fully extend my arm, rotate my wrist and bend my arm as normal. The only evidence is a very feint five centimetre scar which is hardly visible. In my view, the greatest asset in having a radial head implant is that there is no need for the elbow to be set in plaster! The tiny incision was neatly secured with steri-strips and covered with a 3M splash proof breathable dressing which made movement very comfortable.
After one week of Physiotherapy, I was delighted and surprised to be able to drive my car. In total, I attended a six week course of Physiotherapy which consisted of one-to-one thirty minute sessions two or three times a week. I carefully followed all the advice I was given, undertaking a variety of exercises throughout the day. In the early days I used a small sponge to make a fist and to build up the muscles in my forearm. I found the supermarket trolley handle excellent for arm extension exercises and I therefore shopped on a daily basis!
I feel extremely privileged to have met Mr. F. Lam and to be in receipt of his excellent skills, care and attention in the restoration of my elbow.
I fell at work and this resulted in a radial head fracture dislocation and was told that was not a chance of a full recovery. Then I saw Mr Lam and he helped me in making a full recovery with the right advice and care and referrals. I made a full recovery beyond my expectations and can't thank him enough for this.
I was suffering from nerve problems in both arms and trigger finger in both hands. As a professional martial artist this was having a significant impact on my work and life. Mr Lam investigated and treated these problems. He explained the procedures and the outcomes and answered all my questions. I was very happy with the way the operations went. I have minimal scarring – you can’t even see the trigger finger scars, and my hands and arms have improved considerably in strength and sensation.
Dennis Ngo is the Chief Instructor of Fujian White Crane Kung Fu. He has been bestowed the following titles and honours:
- Official Chinese Dan Grade Examiner (Chinese Wushu Association)
- Director of Foreign Affairs, Fujian Wushu Committee, China
- Honorary Chairman, Yong Chun Yi Yun White Crane Society, China
- Advisor to Southern Shaolin Temple School (Putian, China)
- 6th Dan, China
Several months after a bad fall my left shoulder was seizing up – I could not lift my arm, and sudden movements caused excruciating pain. This impinged on my teaching (I am a professional martial artist) and on daily care including driving and even putting on a coat. After scans Mr Lam suggested an operation to release and stabilize the shoulder. The operation was done using keyhole surgery and there is little scarring. Two months later the mobility is returning, and is improving with exercise. The pain on sudden movement has almost wholly gone and there is no chronic pain.
Married to Dennis, Sharon is also an advanced instructor of Fujian White Crane Kung Fu.
During the middle of 2012, I began to experience a lot of pain in my shoulder, it became so severe that I had problems changing gear in my car. My doctor sent me for physiotherapy which was no help. Then a referral to see Mr Lam, who said he could do me a replacement shoulder, which until then I had no idea was possible. I spent two nights in hospital after the operation, and within two weeks at home I was able to dress myself and sleep without discomfort. After six weeks, I was back to driving with no pain at all. To celebrate my 81st birthday, I decided to do a tandem skydive and I raised money for a new scanner needed at Paul Strickland Centre. Anything is possible.
Dear Mr Lam,
With the opening of the Winter Olympic Games in Sochi, I am reminded that it is now the fourth anniversary of my return from Vancouver with multiple fractures of my right arm. Before surgery, you were of the opinion that I would never be able to change a light bulb or paint the ceiling. I am pleased to report that you were mistaken. I have done both tasks without difficulty and my mended arm is not far from its pre-accident condition. Most of the time I am completely unaware that there was ever a problem.
I would like to thank you again for your knowledge, expertise and skill which allowed those many pieces of bone to be re-united. Kind regards,