Leading the World in

Transformative Surgeries

that Restore Form, Function, & Independence.

Debilitating hand and arm injuries affect millions each year, disrupting even the simplest daily activities. Our surgeons are globally recognized for their proven expertise in complex microsurgical techniques. From limb loss and crush injuries to fractures and nerve or tendon conditions, we are the access point to world-class treatments that truly change lives.

By The Numbers

Trauma Surgeries Performed Annually
Publications and Presentations
# Of 5-Star Reviews

About Our Center

At The Center for Hand and Upper Extremity Surgery, we don't follow, we lead. Our skilled surgeons transform lives through advanced surgical techniques that are rooted in science and backed by extensive research. As the foremost destination for the treatment of injuries and disorders affecting the shoulders, arms, wrists, hands, and fingers, our team of elite specialists unlocks new possibilities for patients facing functional impairments or chronic pain.

Our surgeons, specially trained in intricate procedures of the upper limbs, combine fellowship training and decades of experience with groundbreaking technology to provide unmatched patient outcomes. We treat everything from traumatic finger amputations and limb reattachment to nerve and tendon damage that results in loss of control or sensation. No matter how complex your condition, we create customized treatment plans that consider both physical healing and emotional well-being. We are constantly redefining what is possible for hand and upper extremity surgery to offer our patients a brighter tomorrow. 

Where Research Drives Restoration

The physicians at HUES, a division of The Institute, are setting the gold standard for hand and upper extremity care, completing the most complex procedures with expertise. We utilize cutting-edge techniques and the latest technology so we can deliver the most advanced care available to get you back to full mobility. Our patients' satisfaction and well-being are our top priorities, so you can trust you'll receive compassionate, five-star care from our specialist team every step of the way.

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Groundbreaking Treatments

Our team is led by renowned orthopedic and plastic surgeons who specialize exclusively in hand, wrist, and arm procedures. Their training goes far beyond general orthopedics, mastering techniques specially designed for the intricate anatomy of the hands and arms. They can reattach individual nerve fibers thinner than a human hair, reroute muscle function to enable movement, and reconnect bones, blood vessels, nerves, muscles, tendons, and skin to reattach a missing finger or limb. 


State-of-the-Art Clinics

We practice in 8 conveniently located clinics across New Jersey and Ohio. Our state-of-the-art facilities allow our experts to perform innovative procedures with precision, made possible by advanced technologies found in few other clinics. Our intimate outpatient centers are designed around patient comfort, offering advanced diagnostics and procedures in one convenient location.
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Patient-Centered Approach

While our capabilities are world-class, our team never loses sight of the compassionate care that sets our patient experience apart. Every patient that walks through our doors is treated with friendly, honest, personalized care and support. The breakthrough techniques deployed by our surgical team gives hope to patients with complex or debilitating conditions who have been told by other providers that their options are limited. 

Life-Changing Care, Perfected. Unparalleled Expertise Backed by Cutting-Edge Research.

Our dedicated team of surgeons are fellowship-trained at the most prestigious institutions, including Yalke and NYU. Each integrates cross-disciplinary expertise spanning hand surgery, orthopedic surgery, plastic surgery, pain management, and rehabilitation to achieve transformative patient outcomes that allow patients to live life unhindered by chronic pain or impairment.

Real people. Real results.

Meet Matthew Kane,

Who received a new prosthetic hand after living with chronic pain for 10 years.

“I'm just so hopeful and thankful, to be honest with you. I'm very grateful for Dr. Shah, that he took that pain from me. He's given me a new life.”

Hear What Patients Say About Us

Last December, I had to go to the ER at Capital Health due to a fractured hand. Upon discharge and confirmation that I would need surgery as soon as possible, they referred me to Dr. Tsai. I had to do some research on him and was impressed by his credentials, so I had high confidence that I’ll be fine. When I met him the first time, he patiently explained the different options that they may perform to “fix” my hand. His attendant was also accommodating in providing information about what to expect before, during, and after the medical procedure. My surgery went without any problems, and I am very impressed with the applied surgical technique. He did mention that his approach will quicken the healing process to about a few weeks compared to months when doing the “usual” way. Five weeks after my surgery, I was cleared of any physical restrictions and was back doing activities as if I didn’t break any bone, thanks to Dr. Tsai’s expertise.
Xerxes M.
I really recommend Dr. Iyer. He genuinely care[s] for his patients. Thank you so much, Dr. Iyer [for] helping me. Very knowlegable doctor. Help[ed] me a lot to regain my motion. Broke my elbow and had surgery in India about 6 months ago. I lost 90% of palm up and palm down motion due to surgery in my elbow within 1 month. After visiting him, he found out that pins were blocking my motion. He performed surgery [to] remove pins. He helped me get my motion back about 95% within 2 months after having 2nd surgery. Explain[ed] really well how he is going to operate on me. He guided me [with] correct exercises I needed. He inspired me to regain my motion, [kept] track of my all progress with my therapist. His staff is really friendly and helped me with all paperwork I needed for work.
Priyanka S.
I was treated by Dr. Shah this past April for an injured index finger.I had long neglected this injury and now the finger was extremely swollen, painful, and non-functioning. Dr. Shah diagnosed the injury with confidence , patience and precision and prescribed a course of physical therapy. In one consultation I went from total despair to a sense that my injury was treatable without major surgery. The physical therapy was at times quite painful as he predicted. However within six weeks I was well on the road to recovery. I have only gratitude and respect for Dr. Shah and his staff
Brian F.
I’ll start by saying Dr. Ajul Shah is a surgical genius and wonderful person! I broke my 4th metacarpal bone in 3 places in my right hand during handstand walking in a CrossFit competition. Not only was I tremendously concerned about returning to working out, but was in fear of even just normal hand usage. Dr. Shah’s supreme surgical skill has enabled me to get back to doing handstand push ups, pull ups, lifting, and successfully competing! He also provided me with the most highly skilled Occupational Therapist. They were an amazing team focused on my health and healing. Even more important is his personality – he gets to know you as a person, not a patient. He truly cares. He’s in constant communication, thoroughly explains everything, and makes himself accessible for any question, concern, and even appreciated when I would share my workout videos!
Jackie B.
Dr. Ferro has excellent bedside care and attentiveness to her patients! Makes you feel very comfortable! Listens intently and will not rush you. I have had nerve blocks and steroid injections before several times; but my experience with Dr. Ferro by far has been the best experience and best results!
Jeffery N.
Dr Tsai provided me with excellent service. He talked with be before and after surgery to ensure I properly understood everything He answered all of my questions and addressed my concerns. His staff was absolutely wonderful. I highly recommend Dr. Tsai!!
Susan B.
I had a wonderful experience with Dr. Tsai. He and his staff are extremely professional and took the time to explain the entire process to me.
Barbara J.
Not only did Dr. Iyer get rid of my carpal tunnel, [he] also operated on my special needs daughter. He solved both of our needs, and his bedside manner is exceptional. He is the doctor to seek out for your upper extremity surgical needs.
Jayne M.

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