In Hand surgery two souls coexist. The soul “orthopedic” is dedicated to reconstruct the bone-cartilage components torn by aging or any important trauma after an acute accident. The soul “Plastic and Reconstructive” is dedicated to reconstruct soft tissues or to correct congenital malformations. In the best expression of this specialization the two souls join each other.
Moreover Hand Surgery is usually linked to reconstructive microsurgery in terms of restoring the sensitivity of the hands or to maintain the viability of a distal part after a post-traumatic transient ischemia. The restoration of body integrity after a finger replantation is topical to live a normal life and not to be socially discriminated
Basic hand surgery is nowadays performed by many doctors, but the most complex and long operations are in the hands of who have spent a long surgical and microsurgical training in a certified and accredited Hospital for hand surgery teaching and a proven CV. Thanks to the collaboration of skillfull anethesiologists and dedicated nurses most of the procedures are now performed under local anesthesia and as outpatients. Most of the procedures are less than one hour long with early recovery of the active and passive range of motion to prevent stiffness with faster recovery time from activities of daily living and sports.
The capability of treating dislocated fractures of the upper extremity as soon as possible with the most advanced technical devices (see above) and small incisions on the dorsum of the hand allow people to restart moving the hand the day after the operation, playing football or performing manual works in 4-6 weeks (see above)
Treatment of compression neuropathies (carpal tunnel syndrome and ulnar nerve compression at the elbow) or arthritis with the use of small cameras introduced into the wrist/elbow (endoscopic, arthroscopic or mini-invasive techniques) to reduce the pressure on the nerves minimize the risk of unaesthetic scars (see above) with immediate free active motion with short-term splint or definitely no immobilization. The night after the operation the patient restart sleeping with no more tingling and numbness. Moreover recovery time is dramatically reduced in the post-operatively with a faster return to work. The long-term results are excellent with several advantages for the patient compared to the traditional surgical techniques.
The use of an operating microscope to reconstruct nerves after traumatic lesions or peripheral palsies of the upper and lower extremity is helpful in restoring the sensory or motor function of the extremities, topical to perform daily, sports and work activities. So dramatically your life changes because you can restart shaking hands, writing, combing, tying shoes, carrying heavy objects, turning a key or eating with utensils (see above).
The reconstruction of the upper limb after nerve palsy on the basis of congenital or cerebrovascular disease improves the cosmetics, hygiene or function deeply changing patients’ as well as relatives’ lives. See in the picture above the postoperative result of this patient now being able to wash the hands, drinking by himself and writing after years on the wheelchair (see above)