Hand surgery
Between Wythenshawe and RMCH the Manchester Centre for Plastic Surgery and Burns covers the entire medical subspecialty of Hand surgery. This immense topic can be roughly divided into emergency and elective operations and adult versus paediatric surgery:
Emergency Hand Surgery
In the MCPSB we accommodate all aspects of traumatic hand emergencies in adults or children
- Upper limb replantation/traumatic amputations/revascularisation – from the humerus to the distal fingertip
- Severe degloving/soft tissue loss
- All hand fractures and dislocations
- All tendon injuries
- Nerve injures – from the brachial plexus to the digital nerves, including designated plexus surgeons able to reconstruct injuries with nerve grafting or perform nerve or tendon transfers in the case of irreversible injury.
- Hand Burns
- Nailbed/fingertip injuries including flap reconstruction.
Adult Elective Hand & Wrist Surgery
- Degenerative conditions of the hand inc. rheumatoid and osteoarthritis – treatments including joint injection, fusion, arthoplasty, soft tissue arthroplasty, trapeziectomy with soft tissue interposition and tendon transfers for ruptures. Wrist instability including disorders of the forearm and joint replacement for distal radioulnar joint
- Wrist Arthroscopy and ligament reconstruction.
- Mucocystic degenerative disease such as ganglia and trigger fingers.
- Dupuytren’s contracture of any severity.
- Peripheral compression neuropathies - carpal and cubital tunnel syndromes, Gyuons canal compression.
- Bone and soft tissue tumours of the hand.
- Management of spasticity/contractures of the upper limb by tendon lengthening or tendon transfer.
Children’s Hand Surgery
Mr Bedford and Mr Winterton offer the full range of management of congenital and developmental disorders of the hand including microsurgical free tissue transfer such as toe transfers. Whilst not a exhaustive list we offer:
- Excision of polydactyly
- Release of syndactyly
- Management of radial or ulnar longitudinal arrest
- Pollicisation in the case of absent thumbs, and toe-to-hand transfers in the case of absent digits.
- Surgical management of obstetric brachial plexus palsy.
- Full paediatric/clinical genetics support for investigation/diagnosis of children whose upper limb anomaly is associated with other systemic problems.