Category : Hand Surgery

Hand Hand Surgery Replantation

What is Replantation?

Replantation is a procedure during which a surgeon will reattach a finger, hand or arm that has been completely cut from a person’s body. Replantation, however, isn’t always an option. A surgeon will only perform this procedure if the limb is still expected to function without pain. Sometimes, the body part is too damaged to perform a replant.

This procedure takes a number of hours to complete. The steps include:

  • Step 1: Damaged tissue is carefully removed.
  • Step 2: Bone ends are shortened and rejoined with pins, wires, or plates and screws. This holds the part in place to allow the rest of the tissues to be restored.
  • Step 3: Muscles, tendons, arteries, nerves and veins are then repaired. Sometimes grafts or artificial spacers of bone, skin, tendons and blood vessels may be needed, too. The grafts can be from your own body or from a tissue bank.
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Giving Back Hand Surgery

Random Fact: Giving Back

Did you know? Studies have shown that giving to others actually increases our health. Learn about how you can help adults and children who need life-changing hand surgeries around the world by visiting www.TouchingHandsProject.org.

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Hand Hand Surgeon Hand Surgery

Find a Hand Surgeon Near You

Need a hand surgeon? We have more than 3,000 for you in the Find a Hand Surgeon tool by the American Society for Surgery of the Hand (ASSH). Our tool, powered by Google Maps, allows you to search by city, state, zip code or doctor all around the world.

Here’s what else you should know about our tool:

  • Our database is limited to surgeon members of ASSH, which means they’ve completed a rigorous application process, demonstrating high moral, ethical and professional standing in hand surgery.
  • All of the surgeons in our database are either board-certified or on track to become board-certified.
  • Our tool will provide you with a photo, office address, website and phone number of each surgeon.
  • You can pinpoint each surgeon on our map, powered by Google.

Search for a hand surgeon today. Learn more about hand surgery and what a hand surgeon does by visiting www.HandCare.org, the patient site from ASSH.

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Hand Hand Surgery Hand Therapy

What is a Hand Therapist?

I have been told to see a hand therapist, but am unsure what that means. Who provides “hand therapy”?

A hand therapist is an occupational therapist (OT) or physical therapist (PT) who has specific training and expertise in treating hand and arm conditions. Typically, this person has spent many additional years gaining expertise with hand and arm injuries and treatment. When an OT or PT has reached this higher level of experience, they often become a Certified Hand Therapist (CHT).

So I can see anyone that is a PT, OT or CHT to take care of my problem?

You will want to ensure that the therapist you see, whether it is an OT or a PT, is qualified to treat your condition. If they are a CHT, it means they have had extra training and passed a rigorous exam to demonstrate their skill. If they are an OT or a PT, they may still treat hand and arm conditions, but you should ask questions to ensure they have spent extra time after their formal education learning about the hand and arm. To find a hand therapist near you, click here.

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Hand Hand Surgery Opioids Pain

How Do Former Opioid Addicts Safely Get Pain Relief After Surgery?

from NPR

Nearly 1.5 million Americans were treated for addiction to prescription opioids or heroin in 2015, according to federal estimates, and when those people get seriously hurt or need surgery, it’s often not clear, even to many doctors, how to safely manage their pain. For some former addicts, what begins as pain relief ends in tragedy.

Max Baker is one such case. He started using prescription pain pills as a teenager in New England and quickly moved on to heroin. His father, Dr. James Baker, is a physician in the Worcester, Mass., area, and says he saw signs that his son was high on opioids — in Max’s pupils and skin tone. He begged Max to stop.

“He would have slurred speech, and be nodding off at the dinner table, and we’d go to a concert together and he would disappear and come back acting differently,” James Baker says.

It was a long, painful slog, but Max eventually sought help. When he was 22, he was prescribed an opioid called suboxone, a standard relapse prevention drug that helps wean people off opioids. After a year, he’d worked his way off that medication, too.

Read the full story.

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Hand Hand Surgery Tendon Transfer Surgery Tendons

4 Reasons You May Need Tendon Transfer Surgery

Tendon transfer surgery is a procedure during which a tendon is shifted from its original attachment to a new one (see figure above). There are many reasons that this procedure may be necessary. Your hand surgeon will determine if this is the right surgery for you. Here are four potential reasons for tendon transfer surgery:

  1. Nerve Injuries: If a nerve is injured and cannot be repaired, it no longer sends signals to certain muscles, which paralyzes those muscles. This surgery can make those muscles work again. An example of this is a spinal cord injury.
  2. Muscle Injuries: If a muscle has been cut or broken and cannot be repaired, this surgery can help. A tendon can rupture due to something like Rheumatoid Arthritis.
  3. Disorder of the Nervous System: Sometimes, a disease may prevent nerve signals from being sent to muscles. Examples are cerebral palsy and a stroke. Tendon transfer surgery may help.
  4. Birth Defects: Sometimes, babies are born without certain muscle functions, and this surgery may bring back function.
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Hand Surgery Joint Pain Joint Replacement Joints

What is Joint Replacement Surgery?

Joint replacement surgery is a procedure in which bone and structures that line the joint are removed and replaced with new parts. This procedure is necessary when the articular cartilage (the substance on the surface of a bone) wears out or is damaged, which means the bones will no longer glide smoothly against one another. It may also stem from abnormal joint fluid.

The new parts may be made of metal, plastic, or materials that are carbon-coated. They allow the joints to move again without pain, increase range of motion, and can improve the look of the joints. Finger joints, knuckle joints, and wrist joints are commonly replaced.

After joint replacement surgery, you will most likely work with a hand therapist and could possibly wear a splint. However, with this procedure, there are always risks. There could be an infection, or the implant could fail, causing more joint pain. The implant could also wear out over time, resulting in the need for another surgery. In addition, vessels, nerves or other structures near the surgery site could be damaged. Talk to your doctor about the risks of joint replacement surgery before agreeing to the procedure.

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Hand Hand Surgeon Hand Surgery Leprosy

The Art of Surgery: Life Drawing and Leprosy

from The Guardian

“Life drawing”, “still life” and “life class” are all fairly mundane terms I thought only applied to nude figures or fruit bowls in an art studio. However, in November, I stood and drew in the corner of a plastic surgeon’s theatre in Lalgadh hospital, near Janakpur in Nepal. The theatre was set up to operate on the paralysed hands of leprosy patients. “Life drawing” became very appropriate very quickly.

Like many infectious diseases that predominantly affect those in poverty, leprosy is alive and well; there were more than 200,000 new cases were reported in 2015. The sad fact is that the disease is difficult to contract and relatively straightforward to treat. Many patients present late, when paralysis sets in. Although medication can make patients non-infective, the paralysis requires surgery to correct.

Each year, Working Hands – a Bristol-based charity run by hand surgeon Donald Sammut – spends two weeks, pro bono, operating on the backlog of patients in Lalgadh, training staff and providing hundreds of kilos of medical equipment and consumables. The work is highly skilled, but in many cases the objective is simple: to generate enough movement and power in a hand for the patient to go back to work, or to eat, or to look after themselves in a society where stigma is attached to those with the disease. Most of these patients are illiterate farmers whose only means of support depends on how much they can dig, or carry.

Read the full story.

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