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Hand surgery requires special skills and training. The origin of hand surgery and its development has included microsurgery, surgery of the peripheral nerves, bone fixation and soft tissue reconstruction as its subspecialties. It requires mastery of these various disciplines and establishing a treatment strategy from the beginning by the treating team. The ideal is to perform all the reconstruction in time to start an early mobilization.
All hand surgery procedures have hand function and early mobilization as the main goals of treatment.
For open and dirty hand wounds, an initial debridement is performed and then continued with the repair of all tissues in hand. Coverage is another crucial step and is ideally covered in urgent care. The hand must begin its rehabilitation immediately as otherwise, it will lead to the installation of rigidity. When it has not been possible to leave basic forceps of the hand, the reconstruction of this one goes through using techniques of transfers of toes by hand. The transfer of the hallux and other toes are widely used today and with excellent functional results.
The best treatments are available now for a perfect result from Dr. Francesco Gargano, plastic and reconstructive surgeon in New York. Dr. Gargano has trained in the Hand Fellowship at Mount Sinai and NYU under the supervision of Dr. Rober Bealey, Dr. David Chiu and Dr. Michael Hausmann. He has also trained extensively around the world and is committed to healing through individualized care. He is certified by the American Board of Plastic Surgery and the European Board of Plastic Reconstructive and Aesthetic Surgery.
Due to the functional importance of the hand, this type of intervention should only be undertaken by specialists capable of solving the wide range of surgeries that can be applied to any anomaly, from fractures and dislocations to reconstructions after vital rheumatic changes, infections or congenital deformities.
We refer to common pathologies such as tendon ruptures, carpal tunnel syndrome, tenosynovitis (inflammation of the synovial membrane that covers a tendon generally associated with arthritis, lupus, or gout) and its most common variants, such as stenosing tenosynovitis or the spring finger or “trigger” finger, finger tumors, ulnar collateral ligament injuries of the thumb, etc. In all these cases, it is not only a matter of restoring the appearance of the hand, but of restoring its functionality, hence the importance of the technique and the experience of the physician when undertaking such interventions.