The Center for Hand & Upper Extremity Surgery

Hand Reconstruction Surgery

Hand reconstruction surgery is a specialized procedure aiming to restore functionality, appearance, or both to hands affected by trauma, deformity, or injury. This surgery often involves intricate techniques, such as microsurgery, tissue transfers, tendons re-arrangement, nerve reconstruction, or joint replacement, tailored to each patient's unique condition. Success rates vary depending on the specific case and procedure performed. 

Conditions Treated

Procedure Time
3+ Hours (depending on the severity)
Treatment Location
Hospital
Sedation
General Anesthesia
Recovery Time
6 Months to 1+ Years

Benefits of Hand Reconstruction Surgery

Hand reconstruction techniques allow patients to regain mobility, strength, and appearance when severe injuries would otherwise result in permanent impairment. Unlike simpler surgical fixes, complex reconstruction can comprehensively restore multiple structures simultaneously.

  • Restore hand strength and dexterity
  • Regain fine motor skills
  • Alleviate pain
  • Restore natural appearance

 

Are You a Candidate?

Candidates for hand reconstruction surgery typically undergo thorough assessments by surgeons to determine eligibility. Pre-qualifiers include the overall health of the patient, the severity of the condition, and the feasibility of surgical intervention. Factors such as good overall health, realistic expectations, commitment to post-operative rehabilitation, and a lack of contraindicating medical conditions often make someone a suitable candidate.
However, certain factors might disqualify individuals from this treatment, such as:

  • Poor overall health or medical conditions that pose significant surgical risks.
  • Severe vascular or nerve damage that might hinder successful reconstruction.
  • Inadequate tissue for transfer or reconstruction.

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Find Your Surgeon

Our team of board-certified, fellowship-trained surgeons are internationally recognized pioneers in advanced reconstruction surgery. As experts in microsurgery and nerve reconstruction, we offer the most advanced minimally invasive surgical options to reduce your recovery time and improve outcomes.
Dr. Ajul Shah
Ajul Shah
MD, FACS
Hand & Upper Extremity Surgeon
Double Board Certified in Plastic Surgery and Surgery of the Hand
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Dr. David Tsai
David Tsai
MD
Hand & Upper Extremity Surgeon
Double Board Certified in Plastic Surgery and Surgery of the Hand
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What to Expect

Before

Patients can expect a thorough pre-operative assessment. This might involve discussions with the surgical team, finalizing the surgical plan, reviewing pre-operative instructions, and completing any necessary paperwork. Patients might also be advised about dietary restrictions, medications, and other preparations needed before the surgery. It's crucial to follow the surgeon's instructions diligently to ensure a smooth surgical process.

During

During hand reconstruction surgery, the patient is typically under general or regional anesthesia to ensure comfort. The procedure involves meticulous techniques tailored to the specific needs of the individual. Surgeons might perform tissue transfers, nerve repairs, tendon re-arrangement, bone realignment, joint reconstruction, or other procedures as indicated by the patient's condition. Microsurgery might also be utilized for intricate repairs, often involving specialized tools and a high level of precision. The surgery can take several hours depending on the complexity of the reconstruction required.

After

Immediately after hand reconstruction surgery, patients are moved to a recovery area where they are monitored closely as they wake from anesthesia. Pain management and monitoring for any immediate complications are priorities during this period. Depending on the extent of the surgery, patients might have bandages or splints on their hands. Post-operative instructions about wound care, medications, physical therapy, and follow-up appointments will be provided. Rehabilitation and healing timelines can vary, and it's essential to follow the surgeon's guidance diligently for optimal recovery.

 

Recovery

The recovery process after hand reconstruction surgery is typically staged, beginning with a period of immediate post-operative care focused on pain management, wound healing, and monitoring for any complications. In the initial weeks, patients might experience swelling, discomfort, and limited mobility. Physical therapy or occupational therapy often begins early to aid in restoring hand function, improving range of motion, and gradually strengthening the hand muscles.

As the weeks progress, the focus shifts toward regaining functionality. Patients may gradually start using their hands for basic tasks under the guidance of their healthcare team. Follow-up appointments with the surgeon are essential to monitor progress and adjust the rehabilitation plan as needed.

 

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Real people. Real results.

Meet Linda,

Who underwent complex surgery to reconstruct her hand after a traumatic accident.

Linda Scanlon severely cut her hand in a miter saw accident in July 2020, requiring Dr. Shah to perform a 3.5-hour surgery to repair the extensive damage. After following Dr. Shah's treatment plan along with hand therapy from Alta Fried, Scanlon regained good motion and use of her hand over the next year.

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Patient Resources

Visit our Patient Resource Center online to access useful information such as intake forms, tips for your first appointment, ways to prepare for surgery, and more.

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FAQs

What are the risks associated with hand reconstruction surgery?

Risks may include infection, bleeding, nerve damage, stiffness, or failure of the reconstruction. Discussing these risks with your surgeon before the procedure is essential.

How long does the recovery process take after hand reconstruction surgery?

Recovery timelines vary depending on the complexity of the surgery and individual healing. It can range from several weeks to months, with full recovery potentially taking up to a year, or longer.

Will I regain full function and sensation in my hand after surgery?

Complete recovery and restoration of function depend on various factors, including the extent of damage and the success of the surgery. Physical therapy and rehabilitation significantly contribute to maximizing hand function.

What type of anesthesia is used for hand reconstruction surgery?

Hand reconstruction surgery is typically performed under general anesthesia or regional anesthesia, depending on the specific procedure and patient's condition.

Are there alternatives to surgery for hand reconstruction?

Depending on the condition, non-surgical options such as splinting, physical therapy, or medications might be considered. However, in many cases, surgery is the most effective option for significant hand reconstruction.

Will insurance cover hand reconstruction surgery?

Insurance coverage varies based on the type of insurance and the specifics of the procedure. It's crucial to check with your insurance provider to understand coverage, including pre-authorization requirements and potential out-of-pocket costs.

How soon can I resume daily activities and work after hand reconstruction surgery?

Return to daily activities and work depends on the nature of the surgery and individual healing. Your surgeon will provide guidance on gradually resuming activities based on your progress.

Will I need ongoing therapy after the initial recovery period?

Depending on the extent of the surgery and individual progress, some patients might benefit from ongoing therapy to maintain hand function and strength.

Can hand reconstruction surgery completely eliminate scars or deformities?

While surgery aims to improve appearance and function, complete elimination of scars or deformities might not always be possible. Your surgeon can provide realistic expectations based on your case.

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