crystal clinic orthopaedic center summit hand

Microsurgery

Conditions

  • Finger and Hand Amputation

    Amputation is the surgical removal of a body part such as the finger or hand due to extensive damage or to avoid the spread of disease. Your doctor will decide on amputation to improve the health, function or comfort of your hand or arm.

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  • Nerve Injuries

    Nerve Injuries

    Nerves form the central nervous system and are involved in conducting messages from the brain to other parts of the body.

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  • Artery Injuries

    Trauma can result in injury to the arteries supplying the arm and hand. This includes cutting or stretching of an artery or damage to the artery wall leading to clot formation. The hand may become cold and painful due to reduced blood supply and may require emergency care.

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  • Hypothenar Hammer Syndrome (Ulnar Artery Aneurysm)

    The hypothenar eminence is a muscular protrusion on the palm below the little finger. Trauma to this area can lead to thrombosis or aneurysm of the ulnar artery which can reduce blood supply to the fingers and cause pain and abnormal sensations in the hand.

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  • Tendon Injuries and Lacerations

    A laceration is a tear or ragged opening in the skin usually caused by an injury or trauma.

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  • Aneurysms

    An aneurysm is a ballooning of an artery in an area of weakness in the artery wall. An aneurysm in the arm or hand may produce a painless swelling. A clot may sometimes develop blocking blood flow through the artery.

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  • Cold Hand

    Cold hands may indicate decreased blood flow which can occur due to blockage or constriction of the blood vessels and vascular disorders.

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  • Raynaud's Syndrome

    Raynaud’s disease is a condition which affects the blood vessels reducing blood supply to the hands and feet during certain periods. During these attacks, the extremities feel extremely sensitive to cold. If Raynaud’s disease is associated with other conditions such as lupus or rheumatoid arthritis, it is referred to as Raynaud’s syndrome or phenomenon.

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  • Buerger's Disease (Thromoangiitis Obliterans)

    Thromboangiitis obliterans is commonly called Buerger’s disease. This is a rare disease which causes inflammation and blood clots in the blood vessels of the arms and legs.

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  • Complex Regional Pain Syndrome

    Complex regional pain syndrome (CRPS) is a chronic pain condition characterized by severe pain, swelling and changes in the skin. It usually affects the arms, hands, legs or feet.

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Procedures

  • Artery and Nerve Repair

    Damaged arteries and nerves of the forearm and hand may be repaired by microsurgical techniques using fine instruments. Severed arteries are sutured together so that blood flow can be restored. Cut nerves are also stitched together after carefully realigning the nerve fibers to guide nerve growth.

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  • Nerve Transfers

    A nerve injury to the upper extremity can result in loss of function. A nerve transfer procedure involves using nerves with less important functions to restore crucial functions of damaged nerves.

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  • Tendon Transfers

    Tendon transfer surgery is a surgery to restore the lost functions of the hand by shifting functioning tendon from its initial attachment to the new one.

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  • Artery Reconstructions

    Artery reconstruction is surgery to repair an artery which is extensively damaged and cannot be repaired by suturing in a tension-free manner. It involves filling a gap in the artery by using a vessel graft obtained from a suitable donor site.

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  • Finger and Hand Replantation

    Replantation is a surgical procedure performed to reattach a severed body part such as a finger or hand, with the goal of restoring the appearance and function of the body part to its full potential.

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  • Nerve Supercharging

    Nerve supercharging is a technique to enhance nerve regeneration after injury for improved recovery of motor functions. It involves transferring the end of a motor nerve with less important functions to the side of the injured motor nerve. This increases the number of available nerve fibers and facilitates early reinnervation of the muscles.

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  • Sympathectomy

    Sympathectomy is a procedure that may be used to improve blood supply to the upper extremity to treat conditions such as Raynaud’s disease. It involves cutting the nerve supply to the arteries which in turn causes the arteries to grow larger and improve blood flow.

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  • Emergency Surgery for The Hand

    Hand surgery is performed to restore the structure and functionality of the fingers, wrist and hand secondary to a traumatic injury, medical condition, severe infection, or birth defect causing pain and/or deformity of the hand.

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  • Vascularized Tissue Transfer

    A vascularized bone graft is transplanted bone tissue which has a blood supply. It may be used in the wrist to treat nonhealing fractures or avascular necrosis especially of the scaphoid and lunate bones.

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  • The American Board of  Orthopaedic Surgery
  • Allegheny General Hospital
  • University of Pittsburgh  Medical Center
  • University of Cincinnati College of Medicine
  • American Society for Surgery of the Hand
  • American Association for Hand Surgery: AAHS
  • Alpha Omega Alpha