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Hand Reconstruction

If you have suffered injury or deformity to the hands that inhibits proper function and has an affect on your appearance, there are ways to correct these conditions that can give you an improved aesthetic and better functionality. The Long Island Plastic Surgical Group includes some of the most skilled and experienced hand reconstruction surgeons in the area. One of our Centers of Excellence here at LIPSG is devoted to Microsurgery and Hand Reconstruction, serving patients with state-of-the-art procedures performed by surgeons with extensive, specialized training. Hand reconstruction surgery may involve reconstruction or repair or replacement of limbs, joints, skin, and other affected tissue. Many of our hand reconstruction surgeons have been trained and educated at some of the most respected medical institutions in the country that specialize in these types of complex procedures.

For more information on hand reconstruction surgery at our Long Island, New York practice, or to schedule a consultation with one of our plastic and reconstructive surgeons, please contact LIPSG.

Reasons for Hand Reconstruction

Hand reconstruction is often necessary to improve mobility and aesthetics in hands that have been affected by a number of different conditions or incidents. These include:

  • Traumatic crush injuries
  • Limb or finger detachment
  • Blood vessel damage
  • Nerve damage
  • Congenital deformity
  • Rheumatoid Arthritis
  • Carpal Tunnel Syndrome

Procedures to repair and treat these issues may include medication for less severe cases such as Carpal Tunnel Syndrome, or more invasive surgery such as nerve and tendon repair, microsurgical replantation (reattachment) of detached limbs, and resetting of fractured bones. Several procedures are typically necessary for hand reconstruction surgery. Surgery to correct injury to the hand is usually coupled with skin, muscle, and other tissue replacement or reconstruction in order to restore some feeling and movement to the hands.

Techniques involved in tissue, skin, and muscle reconstruction include:

  • Grafting, transfer of bone, skin, tissue, or nerves from a healthy area of the body to treatment site
  • Flap Surgery, movement of fat, blood vessels, muscle, and skin from a healthy donor site on the patient’s body to the injured hand
  • Transplantation / Replantation, reattachment of hands or fingers through a precise microsurgical procedure

Congenital Deformities

Birth defects of the hand can prevent proper growth and ultimately cause problems with mobility. Our LIPSG plastic and reconstructive surgeons can perform surgery as early as infancy to help the hand develop normally. Common congenital deformities include those characterized by the fusion of two or more fingers, which can be corrected with separation of the fused tissue and grafting new skin to the treatment site. Patients with short, deformed, or missing fingers, as well as those with abnormal nerves, blood vessels, and immobile tendons can also benefit from hand reconstruction surgery.

Rheumatoid Arthritis

Rheumatoid arthritis is a common condition which is characterized by an inflammation of the joints. This inflammation disables movement and disfigures the appearance of the hands or other afflicted areas of the body. The hand takes on a deformed appearance with joints and fingers often forced into abnormally bent positions. Severe cases of rheumatoid arthritis often necessitate hand surgery to restore movement to the joints. Areas of the hand are reconstructed by removing tissue from inflamed joints and repositioning tendons. Sometimes, artificial joint implantation is performed. Several surgeries may be necessary to significantly improve form and function of affected joints.

Carpal Tunnel Syndrome

Carpal Tunnel Syndrome is a common condition which affects people who have suffered a strain injury brought on by overuse of the hands, repetitive motion, or fluid retention. The carpal tunnel is the pathway through the wrist where the tendons and major nerves can be found. Nerves in this pathway can become strained with excess pressure, causing tingling, numbness, aching, and impaired function of the hand. Some cases of Carpal Tunnel Syndrome can be treated with splinting and anti-inflammatory medication; however, more severe cases may require surgery. Surgical procedures for Carpal Tunnel Syndrome typically involve the surgeon cutting tissue that is pressing on the nerve in order to relieve aggravating tension. Surgery for this condition is designed to recover and restore hand function and feeling. Recovery of normal use will depend on how much damage the nerves have taken.

Recovery

Recovery from hand surgery will depend on how many procedures you undergo and the condition for which you are being treated. More severe cases often require comprehensive time and rehabilitation therapy. It is important to remember that the actual surgery is often only the first step to regaining maximum use of the hand. Mild to severe pain can often be expected after hand surgery; however, our doctors will do everything possible to minimize your discomfort during recovery.

Ready for Your Consultation?

Please contact the Long Island Plastic Surgical Group to schedule a consultation for hand reconstruction surgery. Our experienced and skilled surgeons can improve the quality of your life, as well as your aesthetic appearance, with safe and effective hand reconstruction procedures.