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Hand & Wrist Surgery in India

Hand & wrist

The movement and power of your hand and wrist are controlled by muscles and tendon. Hand and wrist surgery is refered to the treatment of bones and soft tissue injuries with the use of the latest technology and tools.

Hand Joint Replacement Surgery

Hand surgery is an orthopedic process which deals with problems  with the fingers, hands and wrists. This surgery helps in improving the range of motion, for repairing muscles, tendons or  damage in bones due to injury or disease. It also helps in restoration of the appearance of hands and fingers, due to any reason.
Common types of hand surgery include:

  • carpal tunnel release
  • Dupuytren’s contracture fasciectomy
  • trigger finger release
  • tendon repair
  • ganglion removal
  • knuckle (MCP joint) replacement
  • thumb joint surgery.

Carpal tunnel release

Carpal tunnel syndrome occurs when pressure is put on the median nerve as it passes through your wrist under the carpal tunnel ligament. This results in pins and needles and numbness in your fingers. Surgery is sometimes needed to ease pressure on the nerve. This is done by splitting the carpal tunnel ligament under local anaesthetic

Dupuytren’s contracture fasciectomy

Dupuytren’s contracture is a condition caused by tissue forming in the palm of your hand and your fingers. It’s often painless may only cause only skin nodules, but it can also form bands that make your fingers curl down into your palm. You may need surgery to remove the tissue and release your fingers

Trigger finger release

If you have trigger finger, the affected finger can often bend normally but becomes stuck in a curled position. This is caused by the tendon which allows your finger to bend becoming thickened, so it becomes stuck in the tunnel where the tendon enters your finger. You may need to use your other hand to help ‘trigger’ your finger straight – which is where the condition gets its name from.
You may be referred to a hand therapist for a splint to be made for you to stop your finger triggering while you’re using it. A local injection helps in most cases. If this fails, you may need a minor day-case operation to open the tunnel and free the tendon.

Tendon repair

Tendon or nerve repairs are  for patients with conditions due to trauma, infections and sports injuries. It is performed within 24 hours of injury for best results. These are very complex procedures and need to be done carefully.

Ganglion removal

A thick fluid called synovial fluid helps joints and tendons move slowly. Sometimes this fluid leaks out of the joint or tendon sheath. The fluid then becomes very thick and sticky, and it may form pockets of fluid (cysts) known as ganglions. These ganglions:

  • feel firm or hard when pressed
  • are commonly found on the back of your wrist, but they can occur elsewhere
  • are commonly associated with osteoarthritiswhen seen on the tips of the backs of your fingers and in your wrist.

Ganglions sometimes disappear on their own, but if they become painful or reduce movement the fluid can sometimes be drainined using a needle. You may need minor surgery to remove them, although it’s likely

  • knuckle (MCP joint) replacement

The MCP joints are the large knuckles at the base of your fingers, often referred to as ‘back knuckles’. These joints enable us to position our fingers correctly during tasks as well as allowing for strong gripping and pinching. We use our hands in this way throughout the day so these joints can wear down and become painful. Some conditions, such as rheumatoid arthritis, can also cause joint changes. You may have noticed some deformity at these joints, a loss of movement and less ability to use your hand normally. A MCP joint replacement involves removing the old joint and replacing it with a new silicone hinged joint.

thumb joint sur

Thumb joint surgery is necessary in condition of Arthritis.It  is a condition that irritates or destroys a joint. Although there are several types of arthritis, the one that most often affects the joint at the base of the thumb (the basal joint) is osteoarthritis (degenerative or “wear-and-tear” arthritis)

Treatment

Nonsurgical Treatment

In its early stages, arthritis at the base of the thumb will respond to nonsurgical treatment.

  • Ice the joint for 5 to 15 minutes several times a day.
  • Take an anti-inflammatory medication, such as aspirin or ibuprofen, to help reduce inflammation and swelling.
  • Wear a supportive splint to limit the movement of your thumb, and allow the joint to rest and heal. The splint may protect both the wrist and the thumb. It may be worn overnight or intermittently during the day.

Because arthritis is a progressive, degenerative disease, the condition may worsen over time. The next phase in treatment involves injecting a steroid solution injection directly into the joint. This will usually provide relief for several months. However, these injections cannot be repeated indefinitely.

Surgical Treatment

The most common joint replacement procedure for the thumb base is done with natural material. The procedure is termed the ligament reconstruction-tendon interposition procedure (LRTI). This procedure uses the patient’s own tendon to stabilize the thumb and resurface the joint. LRTI provides stability and pain relief. Long-term results have been excellent. This has also been called the tendon roll or “anchovy” procedure because the tendon used is curled to form the new joint cushion. When nonsurgical treatment is no longer effective, surgery is an option. The operation can be performed on an outpatient basis, and several different procedures can be used.
One option involves fusing the bones of the joint together. This, however, will limit movement.

wrist Surgery

Arthritis in the wrist joint is common in people with rheumatoid arthritis. Some people may need an surgery if the joint is very painful and not responding to other treatment. If your wrist is badly affected, moving your hand up, down and sideways may be very painful and it’ll be very difficult to twist your forearm to place the palm of your hand upwards –
There are two options for wrist surgery

Wrist fusion

Wrist fusion may be suggested if your wrist is badly damaged. This is where the bones in your wrist are fixed to the bones in your hand. This reduces pain and increases strength but usually stops you moving your wrist up and down

Wrist joint replacement

Wrist joint replacement isn’t yet a common operation. The aim is to keep some wrist movement and get rid of pain.
There are other types of conditions seen in the wrist joint:

Ligament Injury

A sprain is an injury to a ligament. Ligaments are the connective tissues that connect bones to bones; they could be thought of as tape that holds the bones together at a joint. Writs have many ligaments (soft tissues) to connect bones to each other. If due to any trauma, it gets ruptured, this surgery is performed.
Treatment may range from wearing a splint or cast to surgery. Surgery may consist of arthroscopic (with an internal camera) or open surgery. A variety of repair methods exist, which could include metal pins, screws, and other specialized devices.

Facture

A wrist fracture is a medical term for a broken wrist. The wrist is made up of eight small bones which connect with the two long forearm bones called the radius and ulna. Although a broken wrist can happen in any of these 10 bones.. Some wrist fractures are stable. “Non-displaced” breaks, in which the bones do not move out of place initially, can be stable. Some “displaced” breaks (which need to be put back into the right place, called “reduction” or “setting”) also can be stable enough to treat in a cast or splint.
Treatment depends on many factors :

  • Type of fracture, whether it is displaced, unstable or open
  • Your age, job, hobbies, activity level, and whether it is your “dominant” hand
  • Your overall general health
  • Presence of other injuries

A padded splint might be worn at first in order to align the bones and support the wrist to provide some relief from the initial pain. If the fracture is not too unstable, a cast may be used to hold a fracture that has been set. Other fractures may benefit from surgery to put the broken bones back together and hold them in correct place.
Fractures may be fixed with many devices. Pins, screws, plates, rods or external fixation can all be used. Sometimes the bone is so severely crushed that there is a gap in the bone once it has been realigned. In these cases, a bone graft may be added to help the healing process.

Cost of Hand and wrist surgery in India

The major benefit  of low cost with  excellent-quality services internationally-trained medical practitioners and hospitals with top most technique and equipment for hand and wrist surgery makes India best destination for medical tourism as compared to countries like USA,UK,Europe and rest of the world.