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Hand Surgery

Hand and Upper Extremity Surgery

Precision Care for Restoring Mobility, Grip, and Fine Motor Function

Our hands are our primary tools for interacting with the world, making any injury, deformity, or chronic condition life-altering. Hand and Upper Extremity Surgery is a dedicated sub-specialty addressing complex issues affecting the hand, wrist, forearm, and elbow. Combining elements of orthopedic, plastic, and microscopic surgery, this discipline focuses on repairing delicate tendons, complex joints, and intricate nerve networks to restore strength and manual dexterity.

Common Applications of Hand Surgery

Traumatic Hand Injuries & Replantation:

Emergency microscopic reattachment of completely severed fingers, thumbs, or entire hands, alongside repair of crushed bones and soft tissue.

Tendon & Ligament Repairs:

Treating acute lacerations, such as flexor or extensor tendon cuts, and chronic sports injuries like TFCC tears or skier's thumb.

Nerve Decompression & Repairs:

Resolving painful nerve compressions such as Carpal Tunnel Syndrome (median nerve) and Cubital Tunnel Syndrome (ulnar nerve), as well as direct micro-stitching of severed nerves.

Chronic & Degenerative Conditions:

Managing arthritis of the thumb and wrist, Dupuytren’s contracture, trigger finger, and ganglion cysts.

Advanced Techniques and Technology

WALANT (Wide Awake Hand Surgery):

Utilizing a combination of local anesthesia and epinephrine, allowing patients to remain fully awake during surgery. This enables surgeons to check active tendon movement and finger flexion during the procedure for optimal outcomes.

Wrist Arthroscopy:

Minimally invasive keyhole surgery using tiny cameras to diagnose and treat internal wrist joint ligament tears without large incisions.

Patient Outcomes

Early, precise surgical intervention coupled with specialized hand therapy ensures optimal recovery. Patients significantly regain grip strength, preserve fine motor coordination, achieve relief from chronic neurological pain, and successfully return to work, hobbies, and daily tasks.

Need Expert Hand Care?

Consult our specialist for advanced hand surgery and restore strength, movement, and function.

Frequently Asked Questions – Hand Surgery

The hand is an incredibly dense anatomical structure containing dozens of tiny bones, intricate tendons, delicate blood vessels, and sensitive nerves. A specialized hand surgeon has extensive, dedicated training to safely navigate this microscopic landscape without damaging surrounding functional fibers.

WALANT stands for Wide Awake Local Anesthesia No Tourniquet. It allows you to undergo complex hand surgery without general sedation. Because you are awake, you can move your fingers when asked, helping the surgeon confirm that a repaired tendon or nerve is functioning perfectly before closing the incision.

Post-operative hand therapy is absolutely vital. Because the hand is highly prone to stiffness and scar tissue formation, a customized rehabilitation program with a certified hand therapist is essential to regain full range of motion and strength.