Mr Andy Hacker is a Consultant Hand and Wrist Surgeon with over 15 years of consultant experience. His specialist practice is dedicated exclusively to hand, wrist, and peripheral nerve conditions, with a national and international referral reputation for thumb base arthritis and advanced thumb joint replacement surgery. He is among a selective group of surgeons who helped pioneer thumb carpometacarpal (CMC) joint replacement surgery in the UK.

Mr Hacker is an expert in the MAÏA™ thumb joint replacement system (CMCJ), performing an average of 40 of these precise joint reconstructions annually over the past seven years.

Mr Hacker’s patient philosophy focuses on recommending surgery only when it delivers a meaningful improvement to a patient's function and quality of life. Wherever possible, he performs procedures as day-case surgeries under local anaesthetic or regional nerve blocks to improve recovery times, working alongside specialist hand therapists.

Mr Hacker qualified from Newcastle Medical School and completed higher surgical training on the prestigious South West Thames Orthopaedic Rotation, including a post at St George's Hospital. He then completed an advanced Hand and Wrist Surgery Fellowship in Sydney at the Royal North Shore Hospital, gaining vast experience in complex reconstructive techniques. In 2011, he was appointed as a substantive Consultant Hand and Wrist Surgeon at Milton Keynes University Hospital, where he maintains a busy NHS practice alongside his private work.

He serves on the Oxford Orthopaedic Deanery ARCP panel as both an Educational and Clinical Supervisor. He trains resident doctors and medical students from Oxford and Buckinghamshire Medical School, and teaches thumb joint replacement surgery to fellow consultant surgeons on specialist training courses.

Mr Hacker has a wide range of expertise including:

• Thumb joint (CMC) replacement
• Carpal tunnel decompression & cubital tunnel syndrome release
• Trigger finger release & de Quervain's capsule release
• Dupuytren's disease surgery
• Finger joint replacement, fusion, and arthritis surgery
• Ganglion cyst and hand/wrist mass excision
• Tendon surgery & hand and wrist fracture surgery (including scaphoid and distal radial fractures)
• Complex hand and wrist reconstruction & sports injuries

• Carpal Tunnel Syndrome treatment
• Ulnar nerve release surgery
• Finger arthritis treatment
• Arthritis of hand and wrist
• Thumb base arthritis
• Ganglion removal treatment
• Hand and wrist ligament reconstruction
• Hand and wrist tendon transfers
• Hand surgery for Dupuytren's disease
• Injections for Dupuytren's disease
• Trigger finger treatment
• Wrist arthroscopy
• Hand and wrist disorders
• Hand therapy for injuries
• Upper limb trauma and fractures
• Soft tissue injuries
• Sports/work related injuries

• General Medical Council (GMC)
• British Orthopaedic Association (BOA)
• The Medical and Dental Defence Unit (MDDUS)

• Buckinghamshire Hand Surgeon
• Common tennis-related injuries and how to treat them