Building on pioneering work by Dr Don Lalonde, Dr James Clarkson’s research focused on the evidence base needed to develop an office based practice in the US, publishing the only national guidelines for office based hand surgery. This was based on the huge WALANT literature with Lalonde’s work and his own publications which include: A randomized controlled trial and a 200 patient reported outcome study. Clarkson has written a book chapter on how to deliver hand surgery in the office environment and looked at the mechanisms that VR appears to work through to reduce patient anxiety. He has also published his comparative infection rates in the main operating room and the office, where he found reduced infection rates when his patients surgical care transitioned to the office environment.
