Hand Surgery
Whether the defect is congenital or acquired, plastic surgeons can usually restore comfort, mobility, and normal appearance to patients with hand problems. Make a selection below …
Carpal Tunnel Syndrome
Characterised by pain, numbness or tingling in the thumb and adjacent 2 to 3 fingers. It is due to compression of the median nerve in the wrist.
Symptoms can progress over months to include weakness of the muscles of the hand.
Surgery to release the nerve in the palm allows relief of the symptoms and return of hand function.
The surgery is performed as a day case. The hand is splinted for 5 to 7 days and normal function recovers in 3 to 4 weeks.
Trigger Finger
This results in locking of a finger when trying to straighten it. It usually follows tight clenching of a fist. The problem is due to a tight pulley or localized tendon thickening which results in a sudden arrest in the movement of the tendon. The tendon may slip through with some difficulty and discomfort if one forces the finger straight. Surgery is minor and very successful and results in freeing of the obstruction thus allowing normal free movement of the finger. Surgery is performed as a day procedure and the patient returns to normal activity 7 -10 days later.
Dupuytren’s Disease
Dupuytren’s disease is a condition, which affects the palm and fingers. There is gradual contraction and tightening of the tissue in the palm, which results in deformity and inability to straighten one or more fingers. The process tends to be progressive. Early surgery is recommended to reverse the deformity and allow normal finger and hand functions. If the condition is not treated early enough, the deformity becomes so advanced that surgical access to the palmar aspect of the hand is restricted making surgical correction difficult. The surgical procedure involves one day in hospital and the hand is placed in a cast for one week. Early postoperative movement is encouraged in order to get the best possible result. One returns to office work by one week and to manual activities 2-3 weeks after surgery
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Congenital Deformities
Although there are many hand deformities, two of the commonest are also amongst those with a best surgical outcome. SYNDACTYLY or joining of the fingers (or toes) and POLYDACTYLY or extra digits or duplication of digits need to be assessed in early childhood. Preferably in the first six months so that correct assessment and surgery can be planned.
Function as well as appearance needs to be as normal as possible. Most surgery is performed in the second year of life. Correct surgery results in normal function and appearance of the hand without the social stigma associated with hand deformities.
Ganglion
A ganglion, most commonly seen on the back of the wrist, is a very common condition. It presents itself as a swelling which may or may not be tender but usually causes discomfort.
Surgery is performed as a day procedure and one is back at work within 3-5 days.
