Hand surgery is a specialized branch of orthopaedic that addresses conditions affecting the hand, wrist, and forearm. These surgeries can range from minor tendon repairs to complex reconstructions involving bones, nerves, and vessels. The goal is to restore function, relieve pain, and improve aesthetic appearance when necessary.

Surgical Experience

• Pre-operative Process
  • Patients undergo physical exams, imaging (X-ray, MRI), and may receive a nerve conduction study.
  • Informed consent is crucial; risks like infection, stiffness, or nerve damage are discussed.
• Anaesthesia
  • Varies by procedure: local, regional (brachial plexus block), or general.
  • Outpatient surgeries are common unless extensive work is needed.
• Intraoperative Care
  • Surgeons often use a tourniquet and magnification tools.
  • Meticulous technique is vital to preserve function.

Recovery and Rehabilitation

• Post-operative Pain
  • Usually well-managed with oral pain medications and elevation.
  • Pain typically subsides in a few days to a week.
• Splinting/Casting
  • Immobilization is common post-op, especially for tendon or bone work.
  • Duration ranges from a few days to several weeks depending on the surgery.
• Physical Therapy
  • Critical component of recovery.
  • May include passive and active range of motion exercises, strength training, and scar management.
  • Occupational therapy helps patients regain daily function.

Risks and Complications

• Common risks:
  • Infection
  • Nerve injury
  • Stiffness or reduced range of motion
  • Scar sensitivity
  • Recurrence of the original condition
• Rare but serious risks:
  • Complex regional pain syndrome (CRPS)
  • Non-union or malunion of fractures
  • Loss of limb viability (in trauma cases)

Hand surgery can be transformative for those suffering from injury, degenerative disease, or congenital abnormalities. While outcomes are typically positive, success heavily depends on:

• Surgeon expertise,
• Timely intervention,
• Commitment to rehabilitation.

It’s not a one-size-fits-all solution, but when approached with proper planning and realistic expectations, hand surgery can significantly improve quality of life.