• Hand injuries:
  • Simple lacerations
  • Finger tip injuries – nail bed injuries
  • Tendon injuries
  • Vascular injuries
  • Nerve injuries
  • Avulsion injuries
  • Crush injuries
  • Firearm / blast injures
Severity of hand injures may vary from a simple skin laceration to loss of a major part or whole hand. How so ever minor, it definitely affects the working of concerned person and his family. In majority of the situations injured person is the sole earning member of the family and any such incapacitating injury deprives the whole family of its livelihood. Goal of treatment should be restoration of a functional hand in least possible time and not just wound healing. There are certain important aspects of structural and functional anatomy of hard, which we must honor white managing an injured hand:
  • Length of digits
  • First web space i.e. gap between thumb and index finger
  • Unique position of thumb which is important for its opposition
  • Quality of skin on palmar and dorsal aspects of hand
In finger tip injuries nail bed is usually damaged and if left unrepaired it may cause tender scar or odd looking non- adherent nail. Hence nail bed must always be repaired. Most often these types of injuries are caused by door hinges and children are the usual victims. In case of finger amputationsevery effort is made to restore or at least preserve the remaining finger length that is so much necessary for optimum hand functioning. This is more so important in cases of multiple finger tip amputations, commonly seen in factory workers. Seemingly minor looking lacerations may have underlying tendon, vascular or nerve injuries.Results of primary repair are always better in such cases. Avulsion injuries are best managed by wound debridement and provision of skin cover as early as possible. In most of these cases it’s possible to graft these areas within 4-5 days. Crush injuries (combined soft tissue and bony injuries) are best managed by a team of plastic surgeon & orthopaedician. Orthopaediciondoes the skeletal fixation and plastic surgeon does wound debridement and provides skin cover. Gone are the days when these injuries were treated by dressings and dressings…till granulation tissue was fit to accept skin graft. Time should not be wasted in waiting for good granulation tissue. In most of the cases it’s now possible to provide skin cover within a week after injury, which not only improves results but but also saves time and ultimately money of the patient. Delay in provision of skin cover increases the chances of infection, fibrosis, scarring leading ultimately to restriction of joint movement. Once the skin cover has matured, next step is surgery for tendon or nerve repair or ever tendon transfer in selected cases.
Tandon transfer:
  • Ulnar nerve palsy (claw hand) e.g. in patients of leprosy
  • Radial nerve palsy (wrist drop)
  • Median nerve palsy.

Congenital deformities: Syndactyly, polydactyly, absence of thumb, contractures, constriction rings, cleft hand, macrodactyly, hypoplasia etc.
Age for surgery: As far as possible all major surgical reconstructions should be complete before school going age so that maximum possible function can be achieved during development period.
Howsoever minor, it definitely affects the working of concerned person. In many situations injured person is the sole earning member of the family and any such incapacitating injury may deprive the family of its livelihood. Goal of treatment should be restoration of a functional hand in least possible time and not just wound healing. Injuries may be-
1 Simple lacerations,
2 Finger tip injuries – nail bed injuries,
3 Tendon injuries 81,
4 Vascular injuries,
5 Nerve injuries,
6 Avulsion injuries 82,
7 Crush injuries,
8 Firearm / Blast injurie
Severity of hand injury may vary from a simple skin laceration to loss of a major part or whole hand. There are certain important aspects of structural and functional anatomy of hand, which we must honour while managing an injured hand:
i Length of digits,
ii First web space i.e. gap between thumb and index finger,
iii Unique position of thumb which is important for it’s opposition,
iv Quality of skin on palmar and dorsal aspects of hand.
In finger tip injuries nail bed is usually damaged and if left unrepaired it may cause tender scar or odd looking non-adherent nail. Hence nail bed must always be repaired. Most often these types of injuries are caused by door hinges and children are the usual victims. In case of finger amputations every effort is made to restore or at least preserve the remaining finger length that is so much necessary for optimum hand functioning. This is more so important in cases of multiple finger tip amputations, commonly seen in factory workers. One should never attempt to shorten the phalyngeal bone and suture the stump.Seemingly minor looking lacerations may have underlying tendon, vascular or nerve injuries. Results of primary repair are always better in such cases. Avulsion injuries are best managed by wound debridement and provision of skin cover as early as possible. In most of these cases it’s possible to graft these areas with in 4 – 5 days. Crush injuries (combined soft tissue and bony injuries) are best managed by a team of plastic surgeon & orthopaedician. Orthopaedician does the skeletal fixation and plastic surgeon does wound debridement and provides skin cover. Gone are the days when these injuries were treated by dressings and dressings… till granulation tissue was fit to accept skin graft. Management in such cases is wound debridement, skeletal fixation followed by skin cover as early as possible. Time should not be wasted in waiting for good granulation tissue. In most of the cases it’s now possible to provide skin cover with in 4 to 5 days after injury, which not only improves results but also saves time and ultimately money of the patient. Delay in provision of skin cover increases the chances of infection, fibrosis, scarring leading ultimately to restriction of joint movement and poor results. Once the skin cover has matured, next step is surgery for tendon or nerve repair or even tendon transfer in selected cases.
Tendon transfer: For –
1 Ulnar nerve palsy (claw hand) e.g. in patients of leprosy,
2 Radial nerve palsy (wrist drop),
3 Median nerve palsy.
Our Vision
take a look
Cash and Profit are not Important for us. Each and every life spared or a patient restored would give us more fulfillment than insignificant monetary profit.
Our Center
take a look
7/202, Swaroop Nagar, Kanpur, Near Medical College, Oberio Petrol Pump, Uttar Pradesh
Our Mission
take a look
To be a worldwide medicinal services establishment that joins the best in therapeutic treatment with solid moral standards and a culture of consideration and empathy.