Hand reconstruction surgery can help reattach or repair damaged nerves, tendons, bones, and tissues in the hands and upper extremities. For some, the need for hand reconstruction surgery is due to trauma, such as a crush injury or an accident that results in finger or hand detachment. For others, hand reconstruction surgery can address congenital abnormalities, or amputation. At the Institute for Advanced Reconstruction, we specialize in some of the most advanced hand reconstruction procedures in the field, including:
Reattachment or Replantation
Replantation is the reattachment of a detached hand, finger, or arm to help you regain function and usage of the affected body part. Replantation is a technically demanding surgery that requires exceptional skill and cutting-edge techniques to ensure the affected limb will function properly and without pain. A reattachment involves bone healing, tendon and tissue repair, and repairing and attaching microscopic nerves and blood vessels.
If you have a detached finger that is too damaged to be reattached, your surgeon may recommend the transplant of a toe in place of the unusable finger. A toe-to-finger transfer will allow you to have improved grip and functionality over a complete amputation of a finger. In addition to improved hand functionality, many patients prefer the aesthetic appearance of a toe-to-finger transfer rather than a complete finger amputation.
Sometimes, the damage to a finger, hand, or arm is so severe that your surgeon will not recommend reattachment or transfers. Your surgeon's primary goal is to restore the greatest recovery of function without pain. If this isn't possible due to the extent of the injury (or depending on your age, possible co-morbidities, or type of work), your surgeon may advise you to consider a completion amputation. This procedure involves cleaning, smoothing, and covering the cut to give you a faster and better recovery.