Hand injuries Treatment

Plastic surgeons are often involved in the treatment of hand injuries due to their expertise in hand surgery and microsurgery. Hand injuries can range from simple lacerations to complex fractures, amputations, or severe soft tissue damage.

Here are some common treatments @ Delight Clinic by Dr. Ashit Gupta for hand injuries:
  1. Initial assessment and stabilization: The plastic surgeon begins by assessing the hand injury, determining its extent, and evaluating any associated injuries. They focus on stabilizing the patient, controlling bleeding, and ensuring proper blood flow and nerve function.

  2. Wound cleaning and debridement: The surgeon cleans the hand wound thoroughly to remove debris, foreign objects, and contaminants that may increase the risk of infection. Debridement involves removing any non-viable tissue to promote wound healing.

  3. Wound closure: Depending on the type and severity of the hand injury, the plastic surgeon may choose different closure techniques. Simple lacerations may be closed with sutures or skin adhesive. In more complex cases, the surgeon may need to perform layered closure, using deep sutures to repair structures such as tendons, nerves, or blood vessels.

  4. Fracture management: Hand injuries often involve fractures. Plastic surgeons work closely with orthopedic surgeons to manage fractures in the hand. This may involve realigning and stabilizing fractured bones using techniques such as internal fixation (plates, screws) or external fixation (pins, wires).

  5. Tendon and nerve repair: Hand injuries may damage tendons and nerves, leading to functional impairment. Plastic surgeons with specialized training in hand surgery may perform tendon repairs or grafts to restore hand function. They may also perform nerve repairs or nerve grafts to improve sensation and movement in the hand.

  6. Soft tissue reconstruction: In cases of severe soft tissue damage, plastic surgeons may use techniques such as local tissue flaps or microvascular free tissue transfer to reconstruct and restore soft tissue coverage in the hand. These procedures help promote healing, improve function, and prevent contractures or deformities.

  7. Rehabilitation and hand therapy: Plastic surgeons work closely with hand therapists to provide comprehensive rehabilitation for hand injuries. Hand therapy aims to restore hand function, improve range of motion, reduce swelling, and manage pain. It may involve exercises, splinting, scar management, and functional training.

  8. Scar management: Plastic surgeons are skilled in managing scars resulting from hand injuries to optimize functional outcomes and aesthetics. They may use techniques such as scar revision surgery, laser therapy, corticosteroid injections, or the application of specialized dressings or silicone sheets to minimize scar formation and improve the appearance of the hand.

It’s important to note that the treatment of hand injuries by Dr. Ashit Gupta  (Sr. Plastic Surgeon) highly individualized and depends on the specific characteristics of the injury and the patient’s needs.


Hand Injury – Frequently Asked Questions

What are common causes of hand injuries?

Hand injuries can result from various causes, including accidents at home or work, sports-related injuries, falls, crush injuries, cuts, burns, and repetitive motion or overuse injuries. These can lead to fractures, dislocations, tendon injuries, nerve injuries, lacerations, or other damage to the structures of the hand.

When should I seek medical attention for a hand injury?

It’s generally recommended to seek medical attention for hand injuries that involve severe pain, deformity, inability to move or use the hand, open wounds, deep cuts, significant swelling, or signs of infection. Prompt medical evaluation is important to assess the extent of the injury and initiate appropriate treatment.

How are hand injuries diagnosed?

Hand injuries are typically diagnosed through a combination of physical examination and imaging studies. A healthcare professional will evaluate the hand, assess the range of motion, sensation, and circulation, and may order X-rays, CT scans, or MRIs to visualize the bones, joints, tendons, and other structures of the hand.

What are the treatment options for hand injuries?

The treatment for hand injuries depends on the type and severity of the injury. Minor injuries such as sprains, strains, or small lacerations may be treated with conservative measures like rest, immobilization, wound care, and pain management. More severe injuries, such as fractures, tendon or nerve injuries, or deep lacerations, may require surgical intervention, including repair, reconstruction, or tendon transfers.

How long does it take to recover from a hand injury?

Recovery time for hand injuries varies depending on the nature and severity of the injury, as well as the specific treatment provided. Minor injuries may heal within a few weeks, while more complex injuries or surgical procedures may require several weeks to months for complete recovery. Hand therapy and rehabilitation are often essential components of the recovery process to regain strength, function, and dexterity.

Will there be any limitations in hand function after a hand injury?

The extent of limitations in hand function after a hand injury depends on the specific injury, the treatment provided, and the individual’s healing process. Some injuries may result in temporary or permanent loss of range of motion, strength, or sensation in the hand. However, with appropriate medical care, hand therapy, and rehabilitation, many individuals can achieve significant improvement in hand function and regain the ability to perform daily activities.

Can hand injuries result in long-term complications or disabilities?

Depending on the severity and nature of the hand injury, there can be potential for long-term complications or disabilities. These may include chronic pain, stiffness, loss of sensation, reduced grip strength, impaired fine motor skills, or functional limitations. However, early and appropriate medical intervention, including surgery and hand therapy, can help minimize these complications and optimize functional outcomes.