Hand surgery is very complicated and it requires the skill of a fully trained orthopedic surgeon who specialises in these kinds of procedure. Hand surgeons undertake extensive further training, above and beyond that of a general orthopedic surgeon, and this allows them to carry out very complex operations on your behalf. If you are in any doubt about your hand surgeon’s qualifications you can ask to see his certificates and to read testimonials from former patients.
This kind of surgeon will have undertaken further training in the care and management of hand, wrist and shoulder joints. Hand surgery is commonly undertaken when someone is in severe pain and/or their mobility is seriously restricted. Surgical procedures can help to restore movement and to great alleviate the pain and suffering experienced by the patient.
However, hand surgery, like any other procedure does not come without risks. Although the surgeon will do everything he can to minimise the risks, there is always the chance that complications may arise. These can include problems with severe bleeding, blood clots, infections, and further pain or even loss of sensation. Prior to any form of surgery the doctor will explain all the risks to you, and will help you to weigh them up against the expected benefits.
Unfortunately, although the majority of cases go well there are a number of things which can go wrong. One example of this is delayed healing which is caused by a decrease in blood circulation. Any problems with delayed healing can be dealt with by procedures such as debridement to remove any dead tissue, as well as attending to vascular re-attachment.
Swelling can also occur during the healing process following hand surgery. The best way to alleviate swelling is by raising the affected joint and moving it around, and the surgeon will explain how to do this. You should follow the surgeon’s instructions carefully post-surgery to enable your hand to heal in the quickest possible time.
Infection can also happen following any surgical procedure. The surgeon will take care to minimise the risks by giving you antibiotics before and after surgery, and you should make sure you complete the course of medication as prescribed. Mild exercise will also help to keep maintain strength and minimise the risk of infection.
The surgeon will take care to position splints and dressings carefully after surgery. However, if they are not positioned correctly or are too tight you will be very uncomfortable, and again this will hinder the healing process.
In a small percentage of patients an allergic reaction to anaesthesia may occur. If this should happen the medical team will be on hand to administer emergency procedures. However, this is quite rare and should not be a problem, especially if you have been under anaesthesia in the past with no ill effects.
Other things that may go wrong during hand surgery include nerve damage, infection or excessive bleeding. Again, the surgeon will explain all this to you prior to the operation and will have procedures in place should anything go wrong. Nerve damage could occur if a nerve is accidentally punctured by needle, but under the care of a good surgeon this is unlikely to occur.