Hand Surgery

Hand surgery is a specialized branch of orthopedic, plastic, and reconstructive surgery focused on treating injuries, diseases, and deformities affecting the:
✔ Hand
✔ Wrist
✔ Forearm
✔ Elbow (in some cases)

Hand surgeons combine surgical precision and rehabilitation to restore function, relieve pain, and improve quality of life.

Conditions Treated by Hand Surgery

1. Traumatic Injuries

🔹 Fractures & dislocations (fingers, wrist, metacarpals)
🔹 Tendon & ligament tears (mallet finger, jersey finger)
🔹 Nerve damage (lacerations, compression injuries)
🔹 Crush injuries & amputations (replantation surgery)

2. Degenerative & Inflammatory Conditions

✔ Osteoarthritis (joint degeneration)
✔ Rheumatoid arthritis (autoimmune joint damage)
✔ Carpal tunnel syndrome (median nerve compression)
✔ Trigger finger (inflamed tendon sheath)

3. Congenital & Acquired Deformities

🔸 Dupuytren’s contracture (thickened palmar tissue)
🔸 Congenital differences (syndactyly, polydactyly)
🔸 Ganglion cysts (fluid-filled lumps)
🔸 Tumors & infections (benign/malignant masses)

Common Hand Surgery Procedures

1. Fracture Repair

  • Pins, screws, or plates to stabilize broken bones

  • External fixation for severe fractures

2. Soft Tissue Reconstruction

✔ Tendon repair (flexor/extensor injuries)
✔ Nerve repair (microsurgery for function restoration)
✔ Skin grafts/flaps (for severe tissue loss)

3. Nerve Decompression

🔹 Carpal tunnel release (open or endoscopic)
🔹 Cubital tunnel surgery (ulnar nerve entrapment)

4. Joint Surgery

✔ Arthroplasty (joint replacement)
✔ Arthrodesis (joint fusion for stability)

5. Reconstructive & Microsurgery

🔸 Replantation (reattaching severed fingers/hands)
🔸 Congenital defect correction (webbed fingers, extra digits)

Advanced Techniques in Hand Surgery

1. Minimally Invasive Approaches

  • Endoscopic carpal tunnel release (smaller incisions)

  • Arthroscopy (for wrist/joint diagnostics)

2. Microsurgery

✔ Nerve & vessel repair under high-powered microscopes
✔ Free tissue transfer (transplanting skin/muscle)

3. Biologic Treatments

🔹 PRP (Platelet-Rich Plasma) therapy
🔹 Stem cell injections (experimental for tendon healing)

Recovery & Rehabilitation

1. Post-Op Care

  • Splinting/casting (protection during healing)

  • Wound care (preventing infection)

  • Pain management (medications, ice therapy)

2. Hand Therapy (Critical for Recovery)

✔ Occupational therapy (restoring fine motor skills)
✔ Strengthening exercises (grip, pinch, dexterity)
✔ Scar management (massage, silicone sheets)

3. Expected Recovery Timeline

🔸 Tendon repairs: 6–12 weeks
🔸 Fractures: 4–8 weeks
🔸 Nerve repairs: Months to years (regrowth is slow)

Why Choose a Hand Surgeon?

Hand surgeons complete additional fellowship training in:

  • Orthopedic surgery (bone/joint focus)

  • Plastic surgery (soft tissue expertise)

  • Microsurgery (nerve/vessel repair)

Early intervention improves outcomes—don’t delay treatment for:
🚨 Severe pain/numbness
🚨 Inability to move fingers/wrist
🚨 Visible deformities after injury

FAQs About Hand Surgery

Q: Will I regain full hand function?

A: Most patients achieve near-normal function with proper surgery + therapy.

Q: How long until I can return to work?

A: Depends on the procedure—desk jobs: 1–2 weeks | Manual labor: 6+ weeks.

Q: Are there non-surgical options?

A: Yes! Splints, injections, and therapy help many conditions.

💡 Consult a board-certified hand surgeon for personalized care.

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Hamidreza Shahbazi

Hamidreza Shahbazi

General Surgeon

Dr. Hamidreza Shahbazi is a highly experienced and accomplished hand surgeon based in Tehran, Iran, with a robust educational and […]

Roozbeh Taghavi

Roozbeh Taghavi

Hand Surgery Fellowship

Dr. Roozbeh Taghavi is a highly skilled orthopedic surgeon specializing in hand and shoulder surgeries, practicing in Tehran and Karaj. […]

Iran, Tehran