Restore Function & Vitality
We use our hands to communicate, build, create, and interact with our environments. This can be changed by injury, infection, age, disease and deformity. The goal of hand surgery is to restore function and maximize a hand’s appearance.
During a consultation with Dr. Manuel Gigena, FACS, he will review your current condition and discuss possible treatments or procedures.
Hands, due to exposure, are one of the first places to start showing the signs of aging. Injectables can help create smoother looking skin by adding volume, thus creating a more youthful appearance.
A fracture is a broken bone and can range in size from barely visible on a xray to being very obvious, displaced, or even shattered. Treatment is determined by the fracture type and severity, and may or may not require surgery.
Closed Reduction Internal Fixation
This procedure includes the setting of the broken bone(s) without surgery.
Present at birth, congenital deformities create challenges for a newborn infant who is learning to interact with their environment. Deformities include:
- Simple syndactyly (fusion of tissues between fingers)
- Complex syndactyly (fusion between hand bones)
- Polydactyly (duplicate digits)
- Underdeveloped digits
- Macrodactyly (overgrown digits)
- Congential construction band syndrome
Carpel Tunnel Release
Carpel tunnel involves compression of the media nerve at the level of the wrist, which causes tingling and numbness in the thumb, index, middle and half of the ring finger. To relieve the compression, the carpal ligament is surgically divided.
Endoscopic Carpel Tunnel Release
This minimally-invasive procedure requires two small incisions to divide the carpal ligament, thus relieving the symptoms of carpal tunnel syndrome.
Trigger Finger Release
This procedure, done to correct stenosing tenosynovitis (trigger finger), involves releasing the A1 pulley by cutting it open via a small incision in the palm.
To repair a nerve the damage is first explored followed by removal of injured tissue or scar from the nerve endings. After that, and with enough length on the ends to allow for a good quality repair without tension, the nerve can be directly reconnected.
Tendon repair is needed when one or more hand tendons rupture or are cut, causing the loss of normal hand movements. To complete a repair both ends of the tendon must be located and then they will be stitched together.
Ganglion cysts are fluid-filled lumps that develop along the tendons or joints of wrists and hands. Often harmless, these cysts may become painful or impede motion and require surgical removal.
This procedure involves removing abnormal bone and lining structures of a joint, and replacing them with metal, plastic, or carbon-coated implants.
Trapeziectomy (CMC Arthoplasty)
Surgical removal of the trapezium bone (trapeziectomy) is a possible treatment for basal joint arthritis. This painful form of oseteoarthritis affects hand function, especially the use of the thumb in pinching and gripping.
Successful restoration of function is the goal of a finger replant, or reattachment. Replantations are completed after a traumatic amputation.
This slow, progressive contracture mainly affects the ring finger and pinky and the layer of tissue that lies under the palm. Knots form under the skin that create a thick cord that maintains the fingers in a bent position. Treatment options include surgery and injections.
Surgical Drainage and/or Debridement
Surgical drainage and/or debridement may be needed to treat a variety of hand infections including:
- superficial infections
- infections of the nail
- infections of the tendon and tendon sheath
- infections of the deep spaces of the hand
- septic arthritis
A scar is an area of fibrous tissue that replaces normal skin after injury. While a natural part of the healing process, scars can make a person self-conscious. Scar revision minimizes a scar so it is more consistent with your skin tone and texture.
Skin Cancer Removal
Using special techniques to preserve your health and appearance, skin cancer can be surgically remove cancerous growths and other skin lesions.