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Hand Reconstruction Surgeries

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Hand Plastic Surgery in Tardeo, Mumbai

Abnormalities of the hand may result from tumours, injuries, nerve compression, arthritis, and any congenital deformities. Reconstructive hand surgery eases pain and restores the function and appearance of the hand. Surgery may be necessary when non-surgical alternatives are ineffective. 

There are so many hand surgery specialists who are skilled at repairing these injuries. You can visit any of the plastic and cosmetic surgery clinics in Tardeo, Mumbai, for treatment. You can also search online for a ‘plastic and cosmetics surgeon near me.’

What Is Hand Reconstruction Surgery?

Hand reconstruction surgery is a treatment to restore hand functions and improve the flexibility of your wrist and fingers. Hand surgery is the preferred treatment to repair various types of injury such as:

  • Ruptures in the tendons, nerves, blood vessels, and joints
  • Fractured bones
  • Boutonniere and swan neck deformity
  • Sudden trauma

When Do You Need to Consult a Doctor?

Your surgeon will examine your hand for a thorough diagnosis. During the physical examination, they will evaluate the wrist and the movement of your fingers to check for any swelling. In case of trauma, the doctor inspects the hand for burns and other deeper anatomical structures. They also perform tests like radiographic X-ray imaging, wound culture, and other diagnostic tests like Doppler Flowmeter to evaluate blood flow. 

Request an appointment at Apollo Spectra Hospitals, Tardeo, Mumbai. 

Call 1860 500 2244 to book an appointment.

What Are the Techniques Involved in Hand Reconstruction Surgery?

Your doctor may choose from a wide range of reconstruction techniques to restore sensation and movement to the hands.

  • Grafting is a transplantation technique that uses fragments of healthy bone, skin, tissue, or nerves and transplants them to the injured site.
  • The flap reconstruction technique involves the transfer of the skin intact with its blood supply.
  • Replantation refers to the reattachment of a finger, hand, or arm from a person’s body. This reconstruction is followed by an amputation, which is the complete separation of a body part.
  • Microsurgical Reconstructions: Injuries to the hands can damage the tender nerves and blood vessels. Surgeons employ microsurgery to reconstruct the injured nerve and blood vessels. With the help of microsurgery, surgeons transplant tissues from one part of the body to the injured tissue to restore function. 

What Deformities Can Hand Surgery Treat?

Hand reconstruction surgery can also treat the abnormalities of carpal tunnel syndrome, rheumatoid arthritis, and Dupuytren’s contracture. Hand surgeries also repair congenital disabilities such as syndactyly, hypoplasia, and polydactyly.

Carpal tunnel syndrome: Carpal tunnel syndrome occurs when the median nerve is compressed, and the tissue around it swells. As a result, you feel pressure on the nerves, pain, decreased grip strength, paralysis of the fingers, and instability.

Treatment

Splints and anti-inflammatory drugs are non-surgical treatments. If this does not work, surgery is unavoidable. Carpal tunnel surgery aims to release pressure by removing tissue that is holding on to the nerve. 

Rheumatoid arthritis: A chronic inflammatory disease that affects smaller joints of the body and the hand; it can also impair the fingers. The tissue becomes swollen and destroys bone and cartilage.

Treatment

Using splints or practising physical therapy can strengthen weak areas. Surgeons can remove the inflamed tissue by surgery.

Dupuytren’s Contracture: A hand disorder in which the tissue under the palm’s skin thickens and extends into the fingers. The fingers bend into a peculiar position and may limit the movement.

Treatment

An enzyme collagenase can treat it by injecting it at the site of contracture. This enzyme, collagenase, breaks down the Dupuytren’s tissue, which is rich in collagen. Another way is to separate the bands of the thickened tissue. Extensive reconstruction is necessary after the removal of the tissue with skin grafts or flaps.

What Are the Risks of Hand Surgery?

Risks of hand surgery include:

  • Damage to the nerves and blood vessels
  • Deep vein thrombosis
  • Skin discolouration and swelling
  • Tendon Scarring
  • Failure of tendon repair
  • Hematoma
  • Blood clot
  • Recurrence
  • Wound breakdown
  • Seroma, Fluid accumulation

Conclusion

Reconstructive hand surgery is a type of plastic surgery performed to rebalance the hand function of patients with injuries, soft tissue disorders, nerve compression syndromes, arthritis, tendon disorders, congenital disorders, and fractures. Grafting and free flap reconstruction are the most common techniques used to restore function after injury.

What steps should I take as part of my postoperative care?

Postoperative care is essential because, with hand reconstruction surgeries, there is always a chance of recurrence. Doctors devote individualised care and attention and closely monitor your hand along with the hand therapists. Because hand exercises are critical to restoring strength, continue your treatment and therapy regimen and schedule follow-up visits with your surgeon. It takes time for your hand to function normally.

How do you fix a fractured bone?

Closed reduction or fixation is a surgical technique used when there’s a bone fracture or a broken bone in the hand or fingers. So, this surgery realigns the bone back to its place.

Why are hand exercises important after surgery?

Exercises are essential to strengthen and restore the motion of your hands and muscles after surgery. Hand therapists suggest some activities such as finger bend exercises, finger to finger and thumb bend exercises, finger taps, and wrist stretches.

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