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A Concise Explanation of Hand Surgery

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The human hand is one of the most complex parts of the human body. It is intricate anatomy of various joints, bones, tendons, muscles, ligaments and blood vessels. Every person needs their hand to perform optimally. However, certain traumatic events, accidents, injuries, infection, arthritis, or even certain pathological processes may hinder the optimal functioning of the hand. This is when visiting an orthopaedic hand surgeon can prove to be a lifesaver.

What are the common hand syndromes that could lead to surgery?

The common hand syndromes that could potentially lead to surgery are as follows –Finger or Wrist Arthritis

Carpal Tunnel Syndrome
Ganglion Cysts
Trigger Finger
Cubital Tunnel Syndrome
Dupuytrens Contracture
Tendon Injuries
DeQuervains Tenovaginitis
Scaphoid Fracture
First Carpometacarpal Arthritis (Base of the Thumb Arthritis)
Fractured Distal Radius

What is hand surgery?

Hand surgery is a categorical aspect of surgery. The skills required for a hand surgery are derived from the critical areas of orthopaedic, general and plastic surgery. Hand surgery is primarily reconstructive than aesthetic. It can revive the functions of the hand that are affected by infections, injuries or congenital abnormalities.

Paediatric hand surgery is another field which consists of traumatic and congenital surgery. Some paediatric hand conditions that are treated include syndactyly, limb deficiency syndromes, brachial plexus and other conditions affecting the hand and wrist.

What is microsurgery?

The hand has extremely complex anatomy. Performing surgery is a very delicate task and the procedure relies heavily on microsurgical techniques. Specially designed instruments are used to perform surgery on the tiniest structures of the hand like blood vessels and nerves under a microscope.

Microsurgery allows the repair of damaged areas and in some cases severed fingers and hands can also be reattached. Microsurgery significantly alters the functions of the hand and may also under certain circumstances improve the aesthetic appearance of the hand. With hand therapy sessions post-surgery, long term benefits can definitely be achieved.

Why is hand therapy needed?

A hand and microsurgery procedure often requires the patient to undergo a definite number of hand therapy sessions. It is a sub special area concerning physiotherapy and occupational therapy. The therapist works closely with the patient, supervising and recording the progress and suggests specific exercises for the condition. The therapists also fabricate the specific casts or splints as required by the condition of the patient, in consultation with the surgeon. Hand therapists are also required to attend to the patients’ post-surgery wound and also carry out dressings and remove sutures of the wound.

Hand therapy can be prescribed by the surgeon as a pre-operative measure as well as a standard post-operative move. Attending therapy sessions and undertaking and practising the prescribed exercises are crucial to the complete recovery of the hand.

Dr. David Graham is an orthopaedic hand surgeon who also specializes in wrist surgery and hand and microsurgery. His clinic provides streamlined and optimized care for any hand condition with a promise for a substantial recovery and a healthy future.

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