Hand and Finger Disruptions
Partial or complete amputations of hands and fingers are situations in which early intervention is of great importance. In complete amputations, the limb is completely separated from the body. Since the veins are also severed at this time, the severed part must be urgently stitched back into place. In partial ruptures, the connection of the hand or finger with the body continues to some extent. If the veins are intact, some blood circulation occurs in the part that continues to be connected to the body. Therefore, it can be said that the time for intervention is longer. The biggest factor affecting the success rate of treatment and surgical interventions in hand and finger amputations is the speed at which the severed part is delivered to the healthcare institution together with the patient. The process of replacing the severed organ is called replantation. In cases of hand and finger amputations, it may not always be possible to reattach the organ; in this case, whether the part can be reattached depends on the level of damage to the organ.
Tendon, Nerve, Vascular Injuries
Trauma to the hands due to situations such as work accidents and traffic accidents causes damage to tendons, nerves and vessels. Initiating treatment for this damage as soon as possible is very important for the health of the organ. In such injuries, if you do not seek immediate medical attention and delay treatment, permanent damage such as decreased hand functions and mobility may occur. At the same time, if vascular injuries are not treated, the tissues may lose their vitality as oxygen cannot reach some parts of the hands due to the inability to feed the tissues that these vessels carry blood to. For all these reasons, tendon, nerve and vascular injuries that occur due to accidents must be treated urgently and with appropriate surgical techniques.
Fractures at Hand and Finger Level
Hands and fingers are complex organs formed by the combination of many small-sized bones. Hands and fingers, which have many joints, are more prone to fractures than many other organs. Fractures that may occur due to excessive load on the bones in cases such as falls, crushing, impact and sprains are manifested by severe pain and swelling. Especially in individuals over middle age or post-menopausal women, the likelihood of fractures and cracks is much higher due to the decrease in bone density. When such a situation occurs, serious surgical treatment and physical therapy is required. Although fractures in the fingers can be healed relatively easily, hand fractures require more serious and sensitive treatment as they can often affect the ability of the hands to work in the long term.
Nail Injuries, Ingrown Nail and Deformities
Nail injuries, ingrown nails and nail deformities are among the most common problems encountered in hand surgery clinics. Injuries and ingrown hairs may occur on fingernails and toenails as a result of constant pressure or accidents. As a result, deformities occur and cause an aesthetically unpleasant appearance. Especially if ingrown toenails are left untreated, they can progress and become more serious and painful, resulting in infections in the flesh around the nail. Such problems that may occur in the hands in daily life or business life cause many negativities. Therefore, nail-related problems should not be neglected and should be treated early.
Congenital Hand Anomalies
There may be congenital differences due to genetic factors such as extra fingers on the hands, conjoined fingers, and differences in the angulation of the fingers. Such problems can be eliminated with the help of surgical interventions in hand surgery clinics and a normal hand appearance can be achieved, or they can be partially treated to give the hands a better appearance. Elimination of anomalies in the hands with the help of interventions implemented in this way enables the individual to perform his/her daily tasks more easily and to feel better.
Nerve compression can occur in many parts of the body, as well as in the hands, elbows and wrists. Carpal tunnel syndrome and cubital tunnel syndrome are important diseases caused by nerve compression. In individuals with these diseases, mobility in the hands decreases, muscle loss occurs, and problems such as loss of sensation and sensation occur. Situations such as constantly keeping the hands, elbows or wrists in a folded position or constant pressure on a certain point may be effective in the emergence of the disease. In patients with nerve compression problems due to such reasons, it is possible to treat the disease with the help of microsurgical techniques applied in hand surgery clinics.
Benign and or the formation of malignant tumors may occur. Glomus tumors, hand and wrist cysts and ganglion tumors are the most common conditions, but they usually cause swelling in the hands and wrists. These masses, which appear on the hands and wrists, generally tend to grow and therefore usually need to be removed before they grow further. Since there is a risk of recurrence in tumors removed with the help of surgical interventions, it is useful to check them regularly after the treatment.
Tenosynovitis Trigger finger, also known as stenosing, is a type of disease that is responsible for snagging and sudden locking in the fingers. In this disease, fingers that suddenly contract involuntarily and remain contracted for a certain period of time also cause severe pain. In the treatment of this disease, which makes daily life and especially manual work very difficult, some muscle relaxants and different drug treatments can be tried first. However, if these methods do not work, the disease must be treated by surgical operations using microsurgery techniques.
Dupuytren's contracture, which begins with stiffness in the palm and causes bending and contraction in the fingers, usually occurs due to the thickening of the fibrous tissue called palmar apeneurosis, located under the skin of the palm. The disease progresses over time and may lead to difficulties in bending the fingers and even loss of mobility of the fingers. Therefore, it is an important disease that must be treated without delay from the moment it is diagnosed. In cases where nodules in the palm do not cause difficulty in movement, surgical operation is not required and progression-preventing treatment can be applied with cortisone injections. However, in more advanced cases, the disease should be treated by removing the contracted tissues with Dupuytren's contracture surgery, and then physical therapy support should be applied.