Re-Plantation Of Amputated Part

The aim of replantation after a traumatic amputation is the proper restoration of the blood supply, sensation and function. With the advancement of microsurgical techniques, the rate of success of a replantation surgery has drastically increased. Success depends upon the nature and time of the injury and the condition of the amputated part and stump. Cleanly amputated extremities have a higher chance of a return in function. Some of the causes of such amputations could include vehicle injuries, machine injuries, and self-mutilation. The replantation of amputated part involves a systematic process that comprises of the following steps. The order may vary depending on the kind of injury.

1. Temporary arterial shunting in major replantation
   Osteosynthesis with the shortening of bone or without it.
2. Flexor muscle/tendon repair.
3. Extensor muscle/ tendon repair
4. Nerve repair.
5. Arterial repair (vein grafts are done if required).
6. Venous repair (vein grafts are done if required).
7. Skin grafting
8. Flap coverage in case of major soft tissue defect.

Hand Contracture

Hand Contracture refers to a deformity or distortion caused in hand. The most common spontaneous onset  hand contracture is Dupuytren’s contracture. This is a disease which causes the fingers to permanently bend or flex towards the palm making activities of daily living difficult. Injection, Needle fasciotomy or open surgery are offered depending upon severity of the condition. The treatment advice aims at reducing the symptoms and disability that has resulted from the disease.

Other common causes of contracture seen are post burn , post traumatic and congential contractures, for which staged release and reconstruction gives good cosmetic and functional results.

Birth Defects Of Hand

Birth defects of the hands are common. There may be deficiencies with the formation of the hand; there may be extra thumb or fingers, hands maybe weblike and unable to separate, there may be undergrowth or overgrowth of the hand, fingers, and or thumb. Some of the common congenital hand differences are Radial club hand, Thumb Polydactyly, Syndactyly, and Cleft Hand. Often surgery is done to correct congenital disabilities of the hand. These surgeries are aimed at improving the function and appearance of the hand. Modern surgical techniques have made the correction of most such deformities possible especially if done in infancy or before age 3, so that pen holding and pincer grasp develop appropriately by school going age.

Nerve Compression/Injury

Nerve compression syndromes are very common in IT professionals, housewives and technical workers due to constant friction and synovitis. Most common amongst those is Carpal Tunnel Syndrome , in which median nerve is compressed just distal to wrist crease. Nerve compression of the hand can be caused by a soft tissue tumor, ganglion, chronic pressure on that area of the hand and repetitive trauma. Some of the common symptoms of the nerve compression of the hand include increasing numbness, increasing weakness and pain. As the nerve compression increases various day to day activities become difficult to perform such as opening jars, holding objects, playing a musical instrument and other activities that involve the coordination of the fingers. It will gradually weaken the hand grip. Initial phases of nerve compression responds well to medications, splinting and physiotherapy. Injection/ Surgery may be needed for non responding cases.  Best hand surgery in Indore is undertaken at our hospital, and appropriate post-operative rehabilitation and special exercises are prescribed by our surgeons.

Tendon Transfer/Grafting

A tendon transfer surgery involves the movement of a functional tendon or a muscle and replacement of the non-functional muscle or tendon. You may require a tendon/ muscle transfer to retrieve function after loss of tendon or muscle function caused by a muscle injury, nerve injury, birth defect or a neuromuscular disorder like stroke, cerebral palsy, spinal muscle atrophy, and traumatic brain injuries. The tendon transfer surgery is aimed at redistribution of tendon/muscle power not the recreation of the same. Less important tendons are chosen to power more important functions.

Nerve grafting refers to as a surgical technique in which a section of the unrelated nerve is utilized to bridge or replace an injured part of the nerve. Nerve grafting is also aimed at restoring maximum functionality level.

Micro-Vascular Surgery

Micro-Vascular surgery refers to a surgery that is performed on very small blood vessels which have a diameter of 3-5 millimeters. It is performed through an operating room microscope utilizing specialized precision instruments. Micro-Vascular Surgery is an intricate operation. It is performed for various purposes such as replantation of amputated parts like the fingers, arms, hands. It involves reconnecting the small blood vessels and retrieving the blood circulation before the tissue begins to die. Microvascular surgery can also be used as a part of reconstructive surgery. If you suspect that you need a Micro-Vascular surgery or if you are facing decreasing hand function, don’t waste time and approach the best hand surgeons in India at our hospital and get started on your path of recovery immediately. Any delay in microvascular surgery has grave consequences on results. We have the latest Zeiss Operating Microscope and imported S & T microvascular instruments which are essential to to perform the skillful procedures meticulously.

Periphral Nerve Injury

The reasons why a hand surgeon would advise a Micro Nerve Surgery include nerve injury, infection or inflammation of the nerve, nerve tumors and peripheral neuropathy. A few symptoms that are associated with a nerve problem are pain, numbness, difficulty in controlling hand movements, weakness of paralysis, abnormal finger or hand posture, loss of muscle bulk and strange sensations such as electric shocks, ants biting, burning, freezing cold, Squeezing sensation and crushing sensation. Some of the benefits associated with Micro Nerve Surgery include long-term pain relief, improved functionality level and higher quality of life. You may require a nerve repair to cure a sole nerve related problem or in conjunction with other procedures for treating more complex problems.

Arthritis Of Hand

The multiple small joints present in hand and the wrist work together to create motion. When these joints are impacted by arthritis, daily life activities can become difficult. Arthritis in hand can occur for more than one reason and in a number of hand and wrist areas. A few commonly found arthritis types impacting hands are osteoarthritis and rheumatoid arthritis. Some of the common symptoms of Arthritis of the hand include pain, swelling, and feeling of warmth in the joints, crepitation and looseness, cysts and changes in the surrounding joint. Doctors often advice nonsurgical procedures such as medications, injections, splinting, dietary supplements that help the cartilage build. When the non-surgical treatment does not bring relief to the patient, then the doctors opts for injections and surgical treatments such as joint fusions, and joint replacements. Updated with the latest medical techniques and backed with immense experience, our professional and highly skilled medical experts have the reputation of performing the best hand surgery in Indore to treat Arthritis of Hand. If you notice any of these symptoms, don’t just wait, approach us, get the right treatment and enhance your life’s quality.

Wrist Surgery

You may need a wrist surgery if you are suffering from medical conditions such as Osteoarthritis, Kienbock’s disease, Scaphoid fracture of the wrist, Distal radius fracture, Carpal Tunnel Syndrome, DeQuervain’s Tendinitis, DeQuervain’s Tenosynovitis, Ganglion Cyst of the wrist, cartilage damage, ligament tears, and TFCC Damage. Wrist surgery is only advised when the non-surgical procedures are not working well. Wrist Surgery is undertaken with the aim of treating painful and functionally limiting problems of the wrist. The severity and complexity of wrist conditions vary widely. Fixations and ligament reconstruction using micro Quickanchor ( de Puy Synthes) is done wherever needed to expedite rehabilitation.

Deformity Correction

Medicare excels in correcting hand and wrist deformities such as Swan Neck Deformity, Dupuytren contracture, Boutonnière deformity, Clubhand, Symbrachydactyly, Syndactyly, and Polydactyly. Our doctors also excel in treating deformities that are formed as a result of injuries and other medical conditions such as arthritis. Deformities are very common these days, and with advancement, in medical science and technology, most deformities can be corrected. Whether the deformities are birth defects or whether are developed later in life, our medical experts are highly qualified and experienced professionals who perform immaculate surgeries to correct deformities.  Before your deformity gets you, you get your deformity to us and get it treated with the help of our renowned doctors.

Bone Lengthening

Bone lengthening surgery is a reliable method to treat a number of congenital hand deficiencies such as post traumatic amputation or bone loss,  Hypoplasia of the small finger, Hypoplastic Thumb, Cleft Hand, Amniotic Band Syndrome, Metacarpal Synostosis, Symbrachydactyly, and Brachymetacarpia. Bone lengthening surgery is done keeping in mind the relationship between the particular disease and the subsequent bone growth. Bone lengthening process is a complex process and requires expertise for best outcomes. The bone lengthening surgeries performed at Medicare by the best hand surgeons in India are carefully planned and executed to ensure maximum results. Dynamic distraction devices are applied and carefully monitored self controlled program is planned to achieve desired bone lengthening.