Hand Surgery

Understanding Hand Anatomy and Its Importance

The human hand, a complex structure with bones, joints, muscles, and tendons, is essential for daily activities. Its intricate design allows for a range of movements, making it crucial for tasks from simple grasping to intricate manoeuvres. Maintaining hand health is vital for functionality and overall well-being.

When Surgery Becomes Necessary

Hand surgery is often required for conditions like arthritis, carpal tunnel syndrome, or injuries that impede function, causing pain and limited mobility. When non-surgical treatments fail, surgery by a skilled hand specialist becomes a vital option to restore function and alleviate discomfort.

Overview of the Surgical Procedure

Hand surgery involves various techniques, each addressing specific conditions. These surgeries, performed by experienced hand surgeons, aim to repair or reconstruct affected areas, focusing on restoring functionality and reducing pain.

Surgical Procedures Explained

• Trapezium Bone Removal (Trapeziectomy): Treats thumb arthritis by removing the trapezium bone, easing pain, and improving mobility.
• Trigger Finger Release Surgery: Addresses finger stiffness and locking by cutting the affected tendon sheath, enhancing movement.

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Hand-Related Concerns

Hand conditions requiring surgery often stem from a range of medical issues, notably affecting the intricate network of bones, tendons, and muscles. Common concerns include chronic pain, reduced mobility, stiffness, and in severe cases, loss of hand function. These symptoms can significantly impact daily life, from simple tasks to complex activities.

Causes of the Issues

The underlying causes of hand issues vary. They may arise from repetitive strain injuries, degenerative diseases like arthritis, or acute trauma. In some cases, genetic predispositions play a role. The onset of symptoms can be gradual, as seen in arthritis, or sudden, as in injuries.

Treatment Approaches

Treatment for hand-related issues spans from conservative methods like physiotherapy and medication to surgical interventions. Hand surgery options include minimally invasive procedures and more complex surgeries, tailored to individual conditions. Non-surgical treatments are often the first line of defence, with surgery considered when these methods do not yield sufficient relief.

Service Overview

Hand surgery, such as Trapezium Bone Removal and Trigger Finger Release Surgery, involves precise techniques to correct the specific issues. These surgeries offer significant benefits like pain relief, restored mobility, and improved hand function. Trapezium Bone Removal, for example, is effective for arthritis in the thumb, while Trigger Finger Release Surgery is ideal for resolving locking finger issues. Each procedure is designed to target the root cause of the problem, offering a tailored solution for patients seeking relief and improved hand functionality.

Step-by-Step Guide to Trapezium Bone Removal

Pre-Surgery Preparations

Before the surgery, a thorough consultation with a hand specialist is essential. This includes a physical examination, discussing medical history, and understanding the procedure. Pre-operative tests may be required to ensure suitability for surgery.

The Surgical Procedure

During the surgery, the patient receives local or general anaesthesia. The surgeon makes an incision at the base of the thumb to access the trapezium bone. The bone is carefully removed, and the area is often reconstructed using a tendon graft to stabilise the thumb. The incision is then closed with sutures.

Post-Operative Steps

Post-surgery, the hand is typically immobilised in a cast or splint to aid healing. Pain management and possibly antibiotics are provided. Rehabilitation, involving physiotherapy and exercises, begins after a few weeks to restore mobility and strengthen the hand.

Conditions Warranting Trapezium Bone Removal

Trapezium Bone Removal is advised for severe arthritis in the thumb, especially when it severely limits mobility and causes significant pain, impacting daily tasks and quality of life.

Benefits of Trapezium Bone Removal

The surgery primarily offers pain relief and improved thumb mobility, enabling patients to perform daily activities more comfortably and improving overall hand function.

Risks of Trapezium Bone Removal

Potential risks include infection, nerve damage, and anaesthesia complications. These risks are generally low but should be discussed with the hand surgeon beforehand.

Preparation for Surgery

Patients might need to stop certain medications and prepare for restricted hand use post-surgery. A thorough pre-surgery assessment is essential for optimal outcomes.

Pre-surgery Procedures and Checks

Routine hospital checks are conducted before surgery, including vital signs monitoring and marking the surgical area. Preoperative medications are also administered.

Postoperative Care

After the surgery, the hand is carefully bandaged, and pain management starts. Regular follow-up appointments are scheduled to monitor healing.

Recovery and Rehabilitation

The recovery process involves physiotherapy and exercises to gradually regain hand strength and mobility. Progress is typically observed within weeks, though full recovery varies.

Alternatives to Surgery

Alternatives include physiotherapy, medication for pain management, and lifestyle adjustments. These can be effective for mild cases but may not suffice for advanced arthritis.

• American Society for Surgery of the Hand
• Mayo Clinic
• WebMD
• OrthoInfo