Our Summary

This research paper discusses the high likelihood of needing secondary procedures after a severe upper extremity injury, which is one of the most common types of injuries. These injuries are so common that they account for 20 to 40 percent of patients who come to the emergency department. Secondary procedures are surgeries that are performed after the initial surgery, usually once the wound has healed. This can be days, weeks, or sometimes even longer after the first surgery. These procedures should be considered separate from the first surgery and should be carefully planned. The paper suggests that preparation, involving the patient, timing the surgery right, considering alternatives, and knowing when to stop are all important when planning these secondary procedures. By carefully considering these factors, the outcomes of these secondary procedures can be improved.

FAQs

  1. What are secondary procedures in the context of severe upper extremity injuries?
  2. How can the outcomes of secondary procedures be improved after severe upper extremity injuries?
  3. Why are secondary procedures considered separate from the initial surgery in the case of severe upper extremity injuries?

Doctor’s Tip

One helpful tip a doctor might tell a patient about hand surgery is to follow post-operative care instructions closely. This may include keeping the hand elevated, icing the area, taking prescribed medications, and attending follow-up appointments. Following these instructions can help prevent complications and promote proper healing after surgery.

Suitable For

Patients who may be recommended for hand surgery include those with severe upper extremity injuries, such as fractures, dislocations, tendon injuries, nerve injuries, and soft tissue injuries. These injuries can result from various causes, such as sports injuries, workplace accidents, car accidents, falls, and repetitive stress injuries.

Patients with chronic conditions, such as arthritis, carpal tunnel syndrome, trigger finger, and Dupuytren’s contracture, may also be recommended for hand surgery. These conditions can cause pain, limited range of motion, and functional impairments, impacting the patient’s quality of life.

Additionally, patients with congenital hand deformities, such as syndactyly (webbed fingers), polydactyly (extra fingers), and radial club hand, may be recommended for hand surgery to improve function and appearance.

Overall, patients who are experiencing pain, limited range of motion, functional impairments, or cosmetic concerns related to their hands may benefit from hand surgery. It is important for patients to consult with a hand surgeon to determine the most appropriate treatment plan for their specific condition.

Timeline

Before hand surgery:

  1. Patient experiences an injury to the hand or upper extremity.
  2. Patient seeks medical attention and is evaluated by a healthcare provider.
  3. Healthcare provider recommends hand surgery as a treatment option.
  4. Patient undergoes pre-operative tests and consultations to prepare for surgery.
  5. Surgery is scheduled and patient is provided with pre-operative instructions.

After hand surgery:

  1. Patient undergoes the hand surgery procedure.
  2. Patient is monitored in the recovery room and then discharged home or to a hospital room.
  3. Patient follows post-operative care instructions, including medication management, wound care, and physical therapy.
  4. Patient attends follow-up appointments with the surgeon to monitor healing and progress.
  5. If needed, patient may undergo secondary procedures to address any complications or improve outcomes.
  6. Patient continues with rehabilitation and therapy to regain function and strength in the hand.
  7. Patient gradually returns to normal activities and work, as advised by the healthcare provider.

What to Ask Your Doctor

  1. What specific type of hand surgery do I need?
  2. What are the potential risks and complications associated with the surgery?
  3. How long is the recovery period and what can I expect during the recovery process?
  4. What are the potential long-term effects of the surgery on my hand function?
  5. Will I need any additional procedures or therapies after the initial surgery?
  6. What alternatives to surgery are available and are they appropriate for my condition?
  7. How experienced are you in performing this type of surgery?
  8. What are the success rates for this type of surgery in patients with similar conditions to mine?
  9. What should I do to prepare for the surgery and optimize my recovery?
  10. What are the expected outcomes of the surgery in terms of pain relief and improved function in my hand?

Reference

Authors: Ng N, Das De S, Chong AKS. Journal: J Hand Surg Asian Pac Vol. 2021 Jun;26(2):152-157. doi: 10.1142/S242483552140004X. PMID: 33928856