HAND RECONSTRUCTION SURGERY

The real reason for reconstructive surgery is to rebalance the hand and fingers so that they work in normal positions that allow the hand to be used satisfactorily. Post-operative rehabilitation is needed in order to make the surgery successful and maximize the result. Hand therapists have developed specialized techniques for the restoration of hand function that maximize the effectiveness of reconstructive surgery. Reconstructive surgery should be performed while the fingers are still supple as later when contractures have become fixed, optimum surgical results are harder to achieve.

Reconstructive surgery in hands that have developed fixed contractures and finger absorption should be approached carefully, as it is not always possible to restore normal use. Surgical improvement is not always guaranteed as the patient has functioned for a long period with his hands in learned patterns. Surgery is most helpful to restore a particularly desired function, such as pinch, or a movement that a patient desires for work or recreation - such as playing a musical instrument or golf – that adds to a quality of life.