Hand Surgery
Hand Surgery
Hand surgery is a branch of medicine that deals with surgically treatable conditions of the hand. At Spirit Plasztika, we offer a comprehensive diagnostic background for hand surgery consultations.
In some cases, not all hand functions can be fully restored, but with certain conditions, symptoms can be alleviated, and lost movements can often be restored using various plastic surgery solutions. Procedures such as nerve transplants, bone reconstructions, tendon transfers, surgical replacements, or in simpler cases, bone fusion surgeries and nerve-tendon sutures provide the anatomical conditions for normal function. Carpal tunnel syndrome, trigger finger, ganglion diagnosis and surgical treatment, as well as tenosynovitis, tennis elbow, and golfer’s elbow can all be treated conservatively, with injections, or surgically to restore full function.
Many congenital hand anomalies, such as webbed fingers, supernumerary digits, or missing structures, can be surgically corrected.
With advancements in our anatomical knowledge, the care of hand injuries, the treatment of hand deformities, and the development of surgical instruments and suturing materials, as well as microsurgical techniques, hand surgery has become an independent scientific discipline.
The restoration of hand structures—nerves, tendons, blood vessels, bones, and joints, all working together to enable coordinated hand movements—requires specialized knowledge and exceptionally delicate surgical techniques.
Our hands play a significant role in daily activities, sports, and work, as well as in expressing emotions through gestures or touch. For a hand surgeon-traumatologist, restoring a lost function is an incredibly fulfilling task. Helping a patient regain their original abilities through hand reconstruction is immensely rewarding.
Dupuytren’s Contracture
Dupuytren’s contracture is a deformity that develops over several years. It is caused by the thickening and shortening of the connective tissue layer beneath the skin of the palm and fingers, known as the fascia. As the fascia forms thick cords over time and contracts, the fingers begin to bend toward the palm, making it difficult to straighten them.
Benefits of Dupuytren’s Surgery
Dupuytren’s surgery can help straighten the fingers affected by Dupuytren’s contracture and improve hand function.
What Does Dupuytren’s Surgery Involve?
The surgery for Dupuytren’s contracture involves loosening or removing the thickened tissue in the palm and fingers. Different methods can be used for the procedure. During your consultation, Dr. Péter Vancsó, our chief hand and plastic surgeon, will discuss the treatment options with you.
Surgical Options Include:
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Open or Needle Fasciotomy: Performed under local anesthesia as an outpatient procedure. A sharp blade or a fine needle is inserted into the fibrous cords of the palm or fingers to separate the thickened connective tissue and release the contracture. The recurrence rate is higher with needle fasciotomy.
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Dupuytren’s Contracture Surgery: Performed under general anesthesia, this surgery involves the complete removal of the contracted fascia from the affected fingers while preserving the blood vessels and nerves using microsurgical techniques. The wounds can usually be closed directly, although skin grafts may be necessary in some cases.
The main types of palmar fasciectomy are:
- Segmental fasciectomy (removal of short sections of the cord through one or more small incisions),
- Regional fasciectomy (removal of the entire cord through a single longer incision),
- Dermofasciectomy (removal of the cord along with the overlying skin, which requires a skin graft).
When is Dupuytren’s Surgery Necessary?
If Dupuytren’s contracture progresses to a moderate or severe stage, surgery is recommended to reduce the contracture and improve the movement of the affected fingers. Dupuytren’s surgery is advised when the patient is no longer able to lay their palm flat on a surface.
How Quickly Will I Recover After Dupuytren’s Surgery?
Most patients can go home the same day after surgery. To ensure good recovery and minimize scar tissue, special hand therapy may be necessary, including physiotherapy, massage, and guided exercises to improve hand function and range of motion. You may initially need to wear a hand splint. It may take some time to regain full hand function after the surgery, especially if the procedure was extensive.
There is a possibility that the condition may return, as surgery does not stop the underlying process causing the contracture.
If you are ready to regain hand function and improve your quality of life, don’t hesitate to act! Book a consultation online or contact us directly at +36 1 445 0108 for scheduling. The Spirit Plasztika team is ready to help treat your Dupuytren’s contracture and restore full mobility to your hand.