Our hands are constantly at risk for injury and infection. When injured, the procedure may include surgical and non-surgical treatment of wounds that take place on hand. There are many types of surgeries that may be performed on hand depending on the cause of the problem. The common ones include hand injuries, rheumatic diseases, infection, degenerative changes, etc. In this article, we will discuss different types of hand surgery procedures and their procedure steps.
It involves replacing or attaching the skin from where it is missing on the hand. The surgeon or physician begins the procedure by removing the skin from the donor. Once it is done, the surgeon will place it over the transplant area and then cover it with surgical dressing or stitches, whatever is required.
The procedure of skin flaps is similar to skin grafts. The difference between the two procedures is that, unlike grafts, a skip flap includes the attaching of skin to the infected area from another part of the same person’s body. It may be treated when the area that is missing skin does not have enough blood supply.
Closed reduction and fixation
This procedure is used to treat a broken or fractured bone in any part of the hand, including fingers. It is usually rare in hand but might be necessary if the injury is severe. The procedure requires the realignment of the broken bone and then placing it in the right position and immobilizing it while it heals. Immobilization can be done with wires, rods, splints, and casts.
Tendon repair refers to the surgery which includes the treatment of the structure of the fibers that join muscle to bone. Tendons can be injured due to infection or sudden rupture. There are 3 types of tendon repair: primary, delayed primary, or secondary.
- Primary repair is done within 24 hours of the injury and it is usually a direct surgery.
- Delayed primary repair is done a few days after the injury while there is still an opening in the skin from the wound.
- Secondary repair is done 2 to 5 weeks or longer after the injury. This includes tendon grafts, replacing the infected tendon from another part of the body.
The treatment of the damage caused to the nerves in the hand. This can be healed with time but severe cases might require surgery. If the nerve repairs are linked to other complicated injuries, then the treatment procedure takes place 3 to 6 weeks after the time of the incident. If not, then the surgery takes place soon after the injury. If the nerve is cut, it may be fixed by reattaching or graft (as briefed above) procedure.
Replantation refers to the reattachment of a body part such as hand, finger, toe, etc. If any finger or the whole hand is detached, this procedure is implemented. This surgery is done under magnification using a microscope. And, in some cases, several surgeries may be required.