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Hand Reconstructive Surgery

Great Surgical Care at Marina del Rey Hospital

Why Choose Cedars-Sinai Marina del Rey Hospital for Hand Reconstructive Surgery?

Hands are among the most vital parts of our body. It is very debilitating if hands become impaired due to either injury or disease. It may severely affect one’s quality of life. Reconstructive hand surgery is a specialized procedure that treats diseases causing pain, restores function, strength, and flexibility of your wrists and fingers. Surgery can also restore normal function of your injured hands. Congenital hand deformities can be corrected through these surgical techniques.

At Cedars-Sinai Marina del Rey Hospital you can find the best team of plastic surgeons ready to offer you the most comprehensive medical services. The latest technology will be used for the reconstructive surgery to be a major success.

  • Hand injuries: lacerations, amputations, fractures, nailbed injuries, and flexor tendon injuries
  • Congenital malformations: missing finger (thumb), mallet finger, polydactyly (extra fingers), syndactyly (webbed fingers), and abnormally shaped fingers or hands
  • Ulnar nerve compression
  • Ganglion cysts: these are non-cancerous, fluid-filled cysts that occur on the front or back side of the hand
  • DeQuervain’s disease: this is a common type of tenosynovitis disorder, which involves the swelling of the tendon sheath of the thumb
  • Tendonitis: inflammation of a tendon causing pain, swelling and discomfort.
  • Trigger finger: it is a condition, which involves the inflammation and thickening of tendon sheath and inhibits smooth extension or flexion of the fingers/thumb
  • Carpal tunnel syndrome: pressure over the median nerve situated within the wrist which may occur as a result of overuse or repetitive motion, retention of fluids during pregnancy, nerve injury, or rheumatoid arthritis
  • Rheumatoid arthritis: it is a condition that causes deformation of fingers and impaired movements
  • Dupuytren's contracture: it is a disorder causing restricted movement of fingers due to the formation of thick, scar-like tissue bands within the palm.
  • Vascular disorders

Plastic and reconstructive surgeons have developed specialized techniques to restore hand functions. The surgical procedure involves the following steps:

  • Step 1: Administration of anesthesia: The choice of anesthesia during the procedure is between intravenous sedation and general anesthesia. Your surgeon will recommend the best route suitable to your health conditions.
  • Step 2: Incision: Your surgeon makes an incision depending on your condition - treatment of injury, tendon repair, carpal tunnel syndrome relief, or repair of birth deformities (syndactyly). Surgical techniques such as skin grafting or local flap procedure (Z-plasty) may be performed to provide flexibility and restore finger movements. Your plastic surgeon will recommend one or a combination of these techniques to achieve your specific goal. The surgical techniques include microsurgery, grafting of skin, bone, nerves or other tissues from healthy parts of the body, and Z-plasty.
  • Step 3: Closure: Closing the incisions through placement of removable or non-removable sutures.

Your surgeon will explain to you all the postoperative instructions about wound care, taking prescribed medications, and hand therapy exercises. There is a risk of re-injury if you try to return to normal activities too early. It is essential to attend your follow-up visits and continue your hand exercise regimen as advised by your plastic surgeon, to ensure a successful surgical outcome.

Frequently Asked Questions About Hand Reconstructive Surgery

The amount of time it will take you to heal after hand surgery will vary based on the type of surgery you have and the severity of your condition.

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Some postoperative symptoms are expected after hand reconstructive surgery. There are nonetheless some you should watch out for as they might indicate complications.

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The success of hand reconstruction depends largely on what you do after it. Your doctor will provide you with clear guidelines that can maximize the surgery’s result.

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