Mr Nicholas Fernandez

Orthopaedic surgeon

  • Shoulder surgery
  • Knee arthroscopy
  • Knee replacement
  • Carpal tunnel surgery
  • Hip replacement
  • Joint injections

Mr Graeme Nicholas Fernandez

GMC: 2310273


With more than 25 years at consultant level, Mr Graeme Nicholas Fernandez is one of the UK's most experienced orthopaedic surgeons. Working across BMI The Winterbourne Hospital and Circle Reading Hospital, Mr Fernandez's special interest is in shoulder surgery but he also has considerable experience in partial and total knee replacement, hip replacement, and carpal tunnel surgery. He is committed to achieving the best possible outcomes in surgery with the latest minimally-invasive techniques and surgical guidance systems, and is the recipient of four clinical excellence awards.

Mr Fernandez qualified from the University of London in 1976 and pursued specialist training in Exeter, Bath, Portsmouth, Southampton and Alton. He passed the Orthopaedic Specialty Exam FRCS Orth in Edinburgh in 1989 - one of the first in the country - and was appointed Consultant Orthopaedic and Trauma Surgeon at Dorset County Hospital in 1993. In his capacity as Clinical Director, he spent six years overseeing the growth of the department into a centre of Orthopaedic excellence. In 2012 he founded the Dorset Orthopaedic Clinic and the Dorset Shockwave Clinic, bringing together a team of experienced specialists to provide high-quality care to patients using the latest proven treatments.

Mr Fernandez has widely published in leading orthopaedic journals and has presented at conferences in San Francisco and Basel. He also offers talks at the Dorset Orthopaedic Clinic to GPs interested in keeping up to date with modern techniques in orthopaedic surgery.

Mr Fernandez treats degenerative conditions such as arthritis as well as acute trauma and sports injuries. He has a special expertise in performing arthroscopy of the knee without a tourniquet which results in a lighter anaesthetic, faster recovery and less postoperative pain. Patients who play racquet sports or work in construction and suffer from carpal tunnel syndrome will be operated on endoscopically, as this results in reduced post-operative pain and scar sensitivity. Finally, Mr Fernandez has special interest in patient-specific instrumentation for knee replacements, which results in a more accurate fit and a shorter time in the operating room. If, on occasion, a patient's case is complex and requires care beyond his area of expertise, Mr Fernandez has a wide network of experienced colleagues to whom he can refer. 


  • Professional experience

    • Consultant Orthopaedic Surgeon, Circle Reading Hospital (2014 - present)
    • Co-founder, Dorset Orthopaedic Clinic (2012 - present)
    • Co-founder, Dorset Shockwave Clinic (2012 - present)
    • Consultant Orthopaedic Surgeon, BMI The Winterbourne Hospital (1993 - present)
    • Consultant Orthopaedic and Trauma Surgeon, Dorset County Hospital (1993 - 2015)
    • Private medicolegal practice preparing personal injury reports for solicitors and insurance companies
  • Public positions

    • Co-founder of The Annual Wessex Sports Injury Conference in Brandon Bay in Ireland (now in its 14th year)
  • Education

    • FRCS Ed ORTH, Royal College of Surgeons Edinburgh (1989)
    • FRCS England, Royal College of Surgeons (1982)
    • MBBS, London University (1976)
  • Professional membership

    • British Orthopaedic Association
    • Royal College of Surgeons
    • British Elbow and Shoulder Society (BESS)
    • British Medical Association (BMA)
  • Teaching posts

    • Regular talks provided to GPs through the Dorset Orthopaedic Clinic
    • Former tutor at the Royal College of Surgeons Arthroscopy course training young surgeons
    • Former faculty member of the Reading Shoulder Course, where he discussed his experience with reverse shoulder replacement
    • Visits from other healthcare professionals physiotherapists and chiropractitioners
  • Publications and conferences

    • Papers presented at The Gauvain Regional Meeting on endoscopic carpal tunnel release, the Verso reverse shoulder replacement, shockwave treatment for various soft tissue conditions, and a survey on symptoms of depression after joint replacement
    • Time and cost savings in arthroscopic subacromial decompression. Fernandez GN, Diab M Int Orth vol 33, issue 1, (2009), 175
    • Stretch-induced spinal accessory nerve palsy: A case report. P Porter and GNFernandez J. Shoulder Elbow Surg. 2001: 10; 92-4.
    • A prospective randomised controlled trial of cannula versus arthroscopic lavage in patients with osteoarthritis of the knee. Ward PJ, Ramos JL, Fernandez GN et al. (1998) Journal of Bone and Joint Surgery (British) 80-B Supp I: 46.
    • Locking of a metacarpo-phalangeal joint caused by a hemangioma of the volar plate. J Hand Surg,. 13: 323-324, 1988. 18. Fernandez GN
    • Internal fixation of the oblique, osteoporotic fracture of the lateral malleolus. Fernandez GN Injury 1988;19:257-8.
    • Pseudarthrosis of the Ulnar and Osteoarthritis of the elbow Fernandez GN. JBJS 68B,4 ,1986
    • Retrosternal dislocation of the clavicle: an important injury easily missed. Worrell J, Fernandez GN. Arch Emerg Med. 1986 Jun;3(2):133–135.
    • The Anterior Cruciate Deficient Knee Treated by a Modified Marshall-Macintosh Repair. Surgery and Arthroscopy of the Knee. · G. N. Fernandez, J. A. Robertson Second European Congress of Knee Surgery and Arthroscopy Basel, Switzerland, 29.Sept.–4.Oct.1986 1988, pp 142-144
    • Unusual cause of medial deviation of the big toe. Porter P, Fernandez GN
    • Cost and time savings in ASD: the use of Coblation vs Diathermy Fernandez GN, Diab M JBJS Proceedings 88B,11,275
  • Prizes and awards

    • Recipient of four clinical excellence awards

 Diseases, Medical Tests and Treatments

  • AC joint surgery
  • Arthroscopic subacromial decompression
  • Bunion (hallux valgus)
  • Carpal tunnel surgery
  • Carpal tunnel syndrome
  • Cubital tunnel syndrome
  • Frozen shoulder
  • Hip replacement
  • Joint injections
  • Knee arthroscopy
  • Knee replacement
  • Morton's neuroma
  • Rotator cuff injury
  • Rotator cuff surgery
  • Shockwave therapy
  • Shoulder surgery

Make an appointment

Contact

  • BMI The Winterbourne Hospital
    Herringston Rd DT1 2DR - Dorchester
    (+44) 02075514337
  • Circle Reading Hospital
    100 Drake Way RG2 0NX - Reading (Reading )
    (+44) 02075514337


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Articles

What are the risks of tourniquet-use in knee arthroscopy?

Knee arthroscopy is a minimally-invasive surgical technique used to access and operate on the knee joint. It is commonly used to perform knee replacements, which Mr Graeme Nicholas Fernandez is an expert in. However, there are different ways of performing a knee replacement arthroscopically. Mr Fernandez discusses his preferred technique, with which he has witnessed faster recoveries, less pain and fewer complications for his patient’s.

Read more