Hand and Wrist Surgery

Hand and wrist surgery costs less in India as compared to other western countries. Most of the foreign patients choose India for the quality orthopedic treatment and their satisfaction. The cost of hand and wrist surgery in India varies between USD 4,000 (INR 3,17,218) and USD 7,000 (INR 5,55,131). It is dependent on the hospitals and the complexity of the treatment.

Orthopedic surgeons specialize in hand and wrist issues, addressing complex structures like bones, nerves, arteries, and tendons. Treatment options, surgical or non-surgical, depend on diagnosis. Wrist arthroscopy is utilized to examine ligaments and cartilage surfaces, enabling repair of some ligaments with good blood supply while removing those without. During the procedure, a small camera is inserted into the wrist joint through a small hole, projecting images onto a screen for precise visualization.

The hands and wrists rely on muscles and tendons for mobility and strength. Flexor muscles control bending, while extensors facilitate opening. Precise movements are achieved by lumbricals and interossei muscles. Tendons are covered by synovium and protected by tendon sheaths. Sensation is provided by the median nerve (thumb to half of ring finger) and ulnar nerve (little finger and part of ring finger). Blood supply is facilitated by radial and ulnar arteries on the palm side of the wrist.

- Recovery duration varies; wrist immobilization for 2-6 weeks enhances healing and function. Physiotherapists provide guidance on post-operative care.

Risks-

Possible complications include infections, nerve/tendon/cartilage damage, joint rigidity, and stiffness.

Candidate for Hand and Wrist Surgery:

- Surgery is considered based on the severity of the condition, patient's needs, and response to alternative treatments.

Common Hand Surgical Procedures:

1. Release of Carpal Tunnel Syndrome: Relieves pressure on the median nerve; outpatient procedure with minimal hospital stay.
2. Fasciectomy for Dupuytren's Contracture: Removes tissue causing hand deformity; outpatient procedure with a brief recovery period.
3. Release of Trigger Finger: Corrects finger locking caused by tendon thickening; can be managed with local injections or minor surgery.
4. Tendon Repair: Repairs torn tendons; post-surgery rehabilitation aids in restoring hand function.

Recovery:

- Bandage immobilizes the wrist post-operation; physiotherapy and hand exercises expedite healing and prevent stiffness.

Advantages of Surgery:

- Long-term pain relief and improved hand aesthetics are key benefits.

Disadvantages of Surgery:

- Replacement joints may not be as durable as natural ones; scarring and limited joint movement are potential drawbacks.

Complications:

- Rare complications include infections and increased pain, swelling, or redness post-surgery. Early detection and treatment are crucial.