Centre of Excellence

Hand & Microsurgery Unit

The hand is a unique area of the human body that is made up of bone, joints, ligaments, tendons, muscles, nerves, skin, and blood vessels. Our hands serve many purposes, help us eat, dress, write, earn a living, create art, and do many other activities.

To accomplish these tasks and activities, our hands require sensation and movement, such as joint motion, tendon gliding, and muscle contraction. These elements must all be in good working order for the hand to function well.

The function of the entire upper extremities is to position the hand in space.  In all its spatial locations, the hand not only grasps and releases objects but transports them as well.

Through the hand, as though sight and hearing, we form a conception of our outside world. When a problem takes place in the hand, care must be given to all the different types of tissues that make the function of the hand possible.

Hand Surgery

Hand surgery is the field of medicine that deals with problems of the hand, wrist, and forearm. Hand surgeons are orthopedic, plastic, or general surgeons who have additional training in surgery of the hand. They treat hand problems with and without surgery and only operate when necessary.

The hand surgeon also trained in musculoskeletal reconstruction, a surgery that required compensating the dysfunction of the musculoskeletal normal structure.

At this unit, the hand surgeon operates the clinic to assess the new cases and review the follow-up visit of the patients.  Hand therapists also may be present during the hand surgeon review to receive the guide for the physiotherapy session or provide feedback on patient progress.

Hand Therapy

“Working with a knowledgeable hand therapist can make the difference between success and failure in complex hand surgical cases. The therapist extends the continuum of our care, as well as functioning as coach and trainer for our patients.” – Marybeth Ezaki, MD, Past President, American Society for Surgery of the Hand

Hand Therapy is a type of rehabilitation performed by an occupational therapist or physiotherapist with patients that suffer from conditions affecting the hands and upper extremities.

The dedicated therapist performs a precise and timely rehabilitation program with a clinical guide of the hand surgeon to achieve the best possible outcome to enables the patient to hasten their return to a productive lifestyle.

Patients with chronic conditions, such as arthritis, or neurologic conditions, such as a stroke, can benefit from therapy through education on joint protection and energy conservation, and with recommendations for adaptive equipment or devices to improve function.

A hand therapist can also provide assistance to the industrial world through consultation, employee training, and site assessment in healthy work habits, injury prevention, and return to work programs for the injured employee.

Hand Unit

The hospital is well equipped with microsurgery facilities and imaging systems such as mini c arm with good support of clinical staff and facilities to facilitate the surgical work of the hand surgeon.

The scope of work for the hand surgeon covers the complex problem affecting the hand such as amputation, trauma, infection, tumor, or congenital anomalies up to the simple cases such as pain, numbness, and weakness.

Integrated care with other medical specialists as well will ensure the patient receives comprehensive medical care as needed.

We are committed to providing our hand patients with comprehensive and compassionate care.

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