HAND SURGERY

Hand surgery is a specialised field of plastic and reconstructive surgery which covers wide range of the procedures performed at the hand. Plastic surgeons perform hand surgery to reestablish and restore hand and fingers work. But the hand surgeons also try to make the hand look as real as possible especially after major hand injuries.

Indications of hand injury

1) Hand injuries

2) Degenerative changes to the structure

3) Infections of the hand

4) Problems or defects of the hand since birth

5) Rheumatic disease affecting tendons and fingers

Different types of hand surgeries:

A wide range of kinds of medical procedures can be performed on the hand. It relies upon the basic reason for the issue. These systems include:

Skin Grafts: Skin grafts for the hand include supplanting or joining skin to a piece of the hand that has missing skin. It is done by taking a bit of healthy skin from another territory of the body.

Skin Flaps:Like a skin graft, skin flaps for the hand include taking skin from another piece of the body. In any case, this method uses skin that has its own blood flexibly. 

Closed reduction and fixation:This might be utilised when there is a bone crack, or broken bone, in part of the hand, including the fingers. This sort of surgery realigns the broken bone and afterward holds it in place, or fixes it, while it mends. Fixation should be possible with internal fixtures, for example, with wires, rods, splints and casts.

Nerve repair: An injury can harm the nerves in the hand. This can cause lose of the hand functions and lost inclination in the hand. Some nerve wounds may heal all alone. Others may require surgery. 

Fasciotomy This technique is done to treat compartment disorder of the hand. This painful condition happens when there is swelling and increased pressure in a little space, or compartment, in the body. This is caused by an injury.

Surgical drainage: Hand infections are normal. Treatment for hand infections may include rest, using heat, elevation, antibiotics and surgery. 

Joint replacement: Additionally called arthroplasty, is used in cases of extreme hand arthritis. It includes replacing a joint that has been destroyed by arthritis with an artificial joint. This artificial joint might be made of metal, plastic, silicone elastic, or your own body tissue.

Replantation: This kind of surgery deals with immediate loss of finger or part of the hand which is completely dissociated with hand. For example, a finger, hand, or toe, which has been totally cut off from the body. The objective to restore as much function as possible.

Examination and Assessment of hand Injury

  1. Assess your hand:
  2. Determine if you have numbness in your fingers
  3. If  the bones are shattered
  4. Check the range of motions in your fingers
  5. Look at the position of your fingers
  6. If the bones in your hands are unstable such as in compound fracture 

Risk:

  1. Anesthesia
  2. Bleeding
  3. Infection
  4. Incomplete healing
  5. Loss of feelings or movements in the hand or the fingers
  6. Formation of Blood clots

Result:

The ultimate result of your hand surgery will come after some time. For certain traumatic wounds, it may not be possible to accomplish totally normal function. The recovery depends upon the grade and severity of the injury 

Recovery:

Tendon repair of the hand can take as long as 12 weeks for your hand to come back to full strength and as long as a half year for you to regain a full scope of movement. Other types of surgeries, for example, stress fractures, can take somewhere in the range of 6 to 14 weeks to heal.

After care: 

After your hand is healed, your surgeon might call you for removing the implants, however some doctors decide to leave them in place. They will suggest you some exercises to re store the strength and range in your hand.

Consult the best team of Cosmetic, plastic and reconstructive surgeons available at The Surgeons House (SHL) in different global locations, please check the link for more details.

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