Our Summary

This research paper tells about a successful hand replant surgery on a 63-year-old patient who had multiple levels of amputation. Usually, such surgeries are only performed on young patients, so this success could open up possible treatment options for older adults. The study also mentions that because of advancements in transportation and communication technology, more patients will be able to get to the hospital in time for such surgeries. Therefore, it encourages hand surgeons to consider this treatment option for patients with multiple amputations after evaluating their specific situation.

FAQs

  1. Can hand replant surgery be successful on older adults?
  2. How have advancements in transportation and communication technology impacted the feasibility of hand replant surgeries?
  3. Should hand surgeons consider replant surgery for patients with multiple amputations?

Doctor’s Tip

A doctor might tell a patient undergoing hand surgery to follow their post-operative care instructions closely, including keeping the hand elevated and following a prescribed rehabilitation plan to ensure optimal healing and function. They may also recommend attending regular follow-up appointments to monitor progress and address any concerns that may arise during the recovery process.

Suitable For

Patients who are typically recommended for hand surgery include those with:

  1. Traumatic injuries: This can include injuries such as fractures, dislocations, tendon injuries, nerve injuries, and amputations.

  2. Congenital deformities: Patients born with conditions such as polydactyly (extra fingers) or syndactyly (fused fingers) may benefit from hand surgery to improve function and aesthetics.

  3. Arthritis: Patients with severe arthritis in the hand may require surgery such as joint replacement or fusion to alleviate pain and improve function.

  4. Tumors: Patients with benign or malignant tumors in the hand may require surgery to remove the tumor and restore function.

  5. Nerve compression syndromes: Patients with conditions such as carpal tunnel syndrome may require surgery to release pressure on the affected nerve.

  6. Chronic conditions: Patients with chronic conditions such as Dupuytren’s contracture (a condition that causes the fingers to bend towards the palm) may require surgery to improve hand function.

  7. Cosmetic concerns: Patients who are unhappy with the appearance of their hands due to aging or injury may opt for cosmetic hand surgery to improve aesthetics.

Overall, patients who have limitations in hand function, severe pain, or aesthetic concerns related to their hands may be recommended for hand surgery after a thorough evaluation by a hand surgeon.

Timeline

Before hand surgery:

  1. Injury or medical condition necessitating hand surgery occurs.
  2. Patient seeks medical attention and is evaluated by a hand surgeon.
  3. Pre-operative consultations and tests are conducted to assess the patient’s overall health and suitability for surgery.
  4. Surgical date is scheduled and patient receives instructions for pre-operative care such as fasting and medication adjustments.

After hand surgery:

  1. Surgery is performed and patient is monitored in the recovery room.
  2. Patient may stay in the hospital for a period of time for observation and pain management.
  3. Physical therapy and rehabilitation may be initiated to help with hand function and mobility.
  4. Patient is discharged from the hospital and provided with post-operative care instructions.
  5. Follow-up appointments are scheduled to monitor healing progress and address any concerns or complications.
  6. Over time, patient gradually regains hand function and strength through continued therapy and rehabilitation efforts.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with hand surgery?
  2. What is the expected recovery time and rehabilitation process after hand surgery?
  3. Will I need additional surgeries or treatments after the initial procedure?
  4. What type of anesthesia will be used during the surgery?
  5. How experienced are you in performing hand surgeries, particularly in cases of multiple amputations?
  6. What are the success rates for hand replant surgeries in patients my age?
  7. Are there any alternative treatment options to consider before proceeding with hand surgery?
  8. How long can I expect to be in the hospital following the surgery?
  9. What kind of long-term care or follow-up appointments will be necessary after the surgery?
  10. Are there any lifestyle changes or modifications I will need to make post-surgery to ensure optimal healing and functionality of my hand?

Reference

Authors: Kwak SH, Lee SH, Jang HS, Kim DH, An SJ, Kim YJ. Journal: J Hand Surg Asian Pac Vol. 2021 Dec;26(4):742-746. doi: 10.1142/S2424835521720279. PMID: 34789111