What is hand surgery?
Las Vegas, NV board-certified plastic surgeon Dr. Christopher Khorsandi is also an experienced hand surgeon. To further his surgical skills early on in his training, Dr. Khorsandi studied minimally invasive hand surgery and peripheral nerve reconstruction. As a result, Dr. Khorsandi is able today to produce a functioning hand with a normal, healthy appearance. Hand surgery is a highly specialized microsurgery that repairs a hand that has suffered severe trauma, has a congenital disfigurement, has tendon/nerve damage, or other injuries. It is important to find a hand surgeon who has the mastery of both hand biomechanics and aesthetic appeal.
Hand Surgery Reviews
"After years of suffering from carpal tunnel syndrome, constant swelling and numbing of my fingers, I decided to consult with Dr. Khorsandi about having carpal tunnel surgery. I worked construction and was worried about the long term affects of the surgery. Dr. Khorsandi reassured me that I would be back to work in no time. He performed surgery on both my hands, one at a time. His staff was spectacular, Patricia especially, she made sure I had everything I needed before surgery, and post op. Patricia also constantly checked on me to make sure I had what I needed and to make sure I was healing well. I was able to return to work after four weeks, good as new. I no longer suffered from swollen hands or numb fingers.I could not be more thankful for Dr. Khorsandi and his amazing work. "- J.R. / Google / Apr 25, 2015
"Dr Khorsandi repaired several injuries to my hand as well as released a carpal tunnel via endoscopy. He is very professional and answers all questions without rushing. His office staff and OR staff are very kind and caring. A close co worker of mine had open carpal tunnel release the same day I did. He had his at a large medical center, I had mine done via endoscopy at the Brown Hand Center. I was functional in less than one week and my co worker is expecting to be off work another 3-4 weeks. The only pain I had was dealt with by taking two ibuprophen tablets. The team at Brown Hand center know what they are doing and I recommend them for any type of hand surgery. George Y."- Anonymous / RateMDs / Feb 02, 2011
Hand Surgery Conditions Treated
One of the most disabling conditions a person can suffer is one that involves the hand. After all, we use our hands for everything, from small mundane tasks, to heavy lifting. There are a multitude of hand conditions that can affect function and appearance, but with the advancement of today’s technology and medical knowledge most of these conditions can be corrected. Some common conditions include:
Dupuytren’s disease occurs when the tissue under the skin becomes thicker in an abnormal fashion. The condition occurs in the palm of the hand but can also affect the fingers, which is known as Dupuytren’s contracture. There are times when a person affected by the disease will also experience thick skin on top of the knuckles; this can happen on the soles as well.
Ulnar neuropathy, also known as Cubital tunnel syndrome, affects one of the three main nerves that innervate the hand. The ulnar nerve gives the hand its strength, and malfunctions with the nerve can lead to motion and sensory problems. Some symptoms of this type of neuropathy may include weakness in the hands, numbness and tingling of the fourth and fifth fingers, elbow soreness, or weakness of the interosseii muscles.
Ganglion cysts are small, fluid-filled lumps in the wrist and hand. They form next to joints and tendons in the following locations: on the top or palm side of the wrist and on the bottom or top joint of a finger. The cysts may be soft or hard, symptom-free or quite painful. They are no more than an inch long, and some are too small to see. All ganglion cysts have these things in common: they are almost never malignant, do not spread, can appear in people of all ages, and sometimes disappear without medical intervention.
Lateral Epicondylitis: The term tennis elbow refers to a painful arm condition that usually results from overexerting the arm. Such overuse is generally associated with playing tennis; hence the name. However, it can occur as a result of any action that requires repetitive movement of the arms and wrists. The professions often associated with this condition include mechanics, plumbing, carpentry, butchery, and painting. Its other name is lateral elbow pain. If the condition remains untreated for some time, it can worsen and lead to extreme pain.
A trigger finger is a condition that is very painful and results in the fingers or the thumb of an individual’s hand to lock or catch when they are bent. If it is the thumb that locks or catches it is then called a trigger thumb. Trigger finger affects individuals in varying ways.
Carpal Tunnel Syndrome is a common condition affecting the “MEDIAN” nerve of the hand. It is essentially a pinched nerve in the wrist that leads to pain, numbness, weakness, loss of dexterity, and loss of hand function over time.
Other Common Conditions
- Congenital conditions (polydactyl or syndactyly)
- Vascular or circular issues
- Rheumatoid arthritis
- Tumors, cysts, or cancers
- Traumatic injuries
- Open wounds, scars and burns
Hand Surgery Surgical Technique
There is not a single standard procedure for hand surgeries. Each procedure is designed and tailored specifically to the patient’s hand condition. Congenital problems that disfigure the normal appearance may be treated with a bone or skin grafting or z-plasty. Reconstructive or restorative techniques are focused on repairing the damages of nerves, tissues or tendons. In some cases, microsurgery is implemented whenever working with tendons and nerves. With this type of surgery, special equipment is used and a magnifier enables the surgeon to perform the operation. Regardless of the technique used, the primary focus remains, and that is restoring the patient’s normal hand function and improve its natural look.
Hand Surgery During/After Surgery
Depending on the treatment and the complexity of the case, hand surgery could be an outpatient procedure or the patient may be required to stay the night in the hospital. Treatment will be performed at an accredited surgical facility. Recovery time varies. In many cases where hand trauma was involved, physical therapy may be needed. Postoperative therapy is especially important to those who need to work on normalizing hand function.
Hand Surgery Expected Cost
The cost for hand surgery varies depending on the complexity of the case and which techniques are implemented. Sometimes combination procedures are also required. Many insurance companies will cover some costs of the surgery. Our office billing coordinator will work with the patient and their provider to confirm what benefits will be covered.
Plan Your Procedure
- Average Cost
- $500 - $2,500
- Recovery Time
- Average Procedure Time
- 1-3 Hours
- Post-op Follow-up
- Procedure Recovery Location
Hand Surgery FAQs
Do I Need Microsurgery?
For cases in which tendons and nerve repairs are necessary, microsurgery may be required in which surgeons use mini magnifying instruments. Not all hand surgery requires this, but it is common for tendon damage as well as crush injuries.
Plastic Surgeon or Orthopedic?
All hand surgeons, either a plastic surgeon or an orthopedic, fully understand the biomechanics of the hands. Some injuries in which joints and bones are mainly affected may be better treated by an orthopedic as these are their areas of specialties. However, a skilled plastic surgeon with experience and training in hand surgery will be able to restore both function and a natural, normal appearance.
Typical Surgeries Done?
Hand problems as a result of an injury are the most common reasons why a patient may visit a plastic surgeon. Injuries such as broken bones, crushed hands, severed fingers, major cuts and burns, top the list. Flap surgeries, transplants, and tissue grafts are typical resolutions to these problems.