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Department of Hand Reconstruction Surgery

Department Of Orthopedic


You need your hands for performing various activities in your everyday life, such as opening doors, writing, typing, cooking, brushing your teeth, operating tools, etc. You want to perform all your daily tasks without pain and effortlessly. Any condition, congenital disability or injury to hands can significantly affect your quality of life. 

So if you are facing any difficulties in your hands, a reconstructive hand surgery can help restore the hand’s function and appearance. The surgery focuses on improving function & flexibility and reducing pain to recover fast and get back to your routine activities.

Quick Facts To Read Under Hand Reconstruction Surgery

What is Hand Reconstructive Surgery?

Reconstructive hand surgery is a common surgical procedure that is done to restore function, relieve pain, and improve the hand’s appearance after disease, birth deformities, or trauma. Reconstructive surgery can also be done for traumatic cases, which involves repairing an injured portion of the hand to reattachment of the severed part or transplanting a portion of a limb done in a toe-to-thumb transplant. 

This surgery is preferred in patients with joint deformities, traumatic injuries, or conditions like carpal tunnel syndrome, rheumatoid arthritis, and other hand disorders. Sometimes, normal wear-and-tear can also trigger pain in the hand that may also be relieved with surgery. 

Emergencies such as crushing injuries or deep wounds may need surgery and hand reconstruction, followed by physiotherapy and wound care. Surgery is also considered the only option to correct birth abnormalities.

What conditions do we treat?

Here are some of the conditions for which Reconstructive Hand Surgery is considered the first choice of treatment:

Carpal tunnel syndrome: This condition is caused by long-term pressure on the median nerve present within the wrist. Its symptoms include tingling sensation, pain, weakness, aching or numbness in fingers. 

Rheumatoid arthritis of the hands: It is caused by severe inflammation in the hands, where it can cause pain, deformity in fingers and impair movement.

Dupuytren’s contracture: A disabling disorder where scar-like, thick tissue bands start forming within the palm, extending to the fingers. This condition can cause bending the fingers into an abnormal position, or restricted movement of fingers or entire hand.

Tumours in hand: An abnormal lump or mass in hands, fingers, wrists or any other part of the body is referred to as a tumour. It can be cancerous or non-cancerous. It may put pressure on nerves and blood vessels on the hand and trigger pain and swelling.

Tendon injury: Damage or strain in the tendons or muscles of the hand can occur from an injury that can happen during sudden fall or twisting. This injury can be extremely painful and may require a long time to heal. 

Swan Neck Deformities: Swan neck appearance formed by bending the base of the finger, straightening out of the middle joint, and again a bending of the outermost joint is a typical feature of this deformity. It can be caused by rheumatoid arthritis, looseness in fingers, chronic muscle spasm or injury. 

Procedures we do under Hand Reconstructive Surgery:

  • Reconstructive hand surgery often includes the repair of tendon lacerations. The procedure involves a tendon graft to bridge the gap formed in the injury. 
  • Fractures of the hand are surgically corrected by repositioning the displaced or broken bone fragments with screws, plates, or wires to hold the bones in their original place.
  • Swan neck deformities need a tendon graft placement to restore the function of the fingers. Extensive rehabilitation is required to restore mobility after this procedure.
  • For rheumatoid arthritis, reconstructive surgery is performed through joint replacement and soft tissue releases to improve the appearance and restore function. At times joint fusions are needed depending on the involved area.
  • Dupuytren’s disease requires extensive reconstruction with skin grafts or flaps once the involved tissue is removed.
  • Tumours in hand are removed, followed by reconstruction with grafts and soft tissue. If the tumour is malignant, then wide excision or partial or complete amputation of tissue is done, followed by placement of a restorative flap.
  • Reconstructive surgery is also necessary for the correction of congenital deformities. For example, transposing any digit like an index finger into a thumb when the thumb is not functioning or absent.

What to expect during the surgery?

If you experience unexplained pain or unusual appearance in your hands, schedule a consultation with our specialists as soon as possible. The surgeon will examine your hand to determine if you’re eligible for hand reconstruction. Once the surgery is planned, you will be explained about any risks, complications and steps involved during surgery. Some specific instructions prior to the surgery will also be given.

  • On the surgery day, you’ll be administered anaesthesia to avoid the feeling of pain throughout the procedure. Your surgeon will be using surgical techniques based on your case to achieve the desired results. 
  • Microsurgery for tendon repair involves using a surgical microscope to reconnect and repair tendons in the hands or fingers.
  • If a less invasive surgery is done for carpal tunnel syndrome, an endoscope (a small tube with a tiny camera) will be used.
  • Skin grafts, bone grafts, or other tissue from healthy parts of the body may be used for reconstructing in complex surgical procedures.

Why choose us?

Sahyadri Hospital is the right place to choose while planning a Reconstructive hand surgery. Ours is one of the most reputed and trusted hospitals in Pune and around the globe. We have a team of highly trained hand surgeons and other professionals with significant expertise in the type of procedure designed and tailored especially for you.

Thousands of hand procedures have been performed in our hospital with the highest success rates. The fingers and hands are complex in design and need significant attention to restore function and appearance. Our hospital’s surgical ward and operation theater is equipped with cutting-edge technology and world-class facilities to give the best possible treatment and avail pre and post-surgical care to all our patients.

If you want to heal your hands, choose the best healing hands at Sahyadri Hospitals.

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