Hand Surgery
Specialized reconstruction of tendons, nerves, skin, and soft tissue to restore strength, dexterity, and functional hand movement.
What Is Reconstructive Hand Surgery?
Reconstructive hand surgery addresses trauma, nerve injury, tendon rupture, post-burn contractures, and congenital deformities that impair movement and daily function. Because the hand is a dense network of tendons, pulleys, vessels, and nerves, treatment must restore anatomy layer by layer.
Dr. Gandhi applies precision reconstructive techniques including tendon repair, nerve grafting, local flap coverage, and scar release to preserve both utility and form. The objective is not only healing tissue, but recovering grip, pinch, sensation, and confidence in day-to-day use.
What Concerns Does Hand Surgery Address?
- 01Tendon lacerations causing loss of finger movement
- 02Nerve injuries causing numbness, pain, or weakness
- 03Crush injuries and soft tissue loss
- 04Post-traumatic stiffness and contractures
- 05Painful scar adhesions restricting function
- 06Congenital or acquired structural deformities
Conservative Care vs. Surgical Reconstruction
Splinting, anti-inflammatory treatment, and therapy can help selected overuse injuries or mild stiffness. But complete tendon rupture, deep nerve transection, and significant tissue loss generally require surgery.
Definitive reconstruction restores structural continuity and creates the foundation for meaningful functional recovery.
.png)
The Reconstructive Difference
Successful hand reconstruction requires a staged strategy: stabilize, restore coverage, recover tendon glide, and rebuild sensibility. Superficial closure alone may heal skin but leaves long-term disability.
Dr. Gandhi emphasizes tissue-preserving dissection, tension-free repair, and early coordinated rehabilitation with hand therapy to maximize functional return and reduce scar tethering.
Dr. Gandhi's Insider Tip
"In hand surgery, the operation is only half the outcome. The other half is disciplined rehabilitation and guided movement at the right time."
— Dr. Giriraj Gandhi
Tendon Repair and Grafting
Direct tendon repair or grafting restores finger flexion and extension while preserving gliding planes.
Nerve Repair and Neurolysis
Microsurgical nerve coaptation or decompression improves sensation and motor control when feasible.
Flap and Graft Coverage
Local or regional flaps protect exposed tendon, nerve, or bone and improve durable wound closure.
How long is recovery?
Recovery depends on injury complexity, but functional gains usually continue for several months with therapy.
Will I need physiotherapy?
Yes. Structured hand therapy is central to outcomes after most reconstructive procedures.
Can strength fully return?
Many patients achieve major improvement, though outcomes vary by injury severity and timing of treatment.
Phase 1: Imaging and Function Mapping
Clinical exam and imaging define tendon, nerve, and bone involvement for surgical planning.
Phase 2: Medical Optimization
Control diabetes, stop smoking, and review medications that may increase bleeding risk.
Phase 3: Rehab Planning
Pre-book hand therapy and plan early post-operative follow-up for splint and motion protocol.
First Week
Protective splinting, swelling control, and wound care are prioritized while pain is stabilized.
Weeks 2 to 6
Guided motion begins based on repair type to prevent stiffness and protect healing structures.
Months 2 to 6
Strength, dexterity, and functional endurance improve progressively with therapy and home exercises.
Related Insights
Fingertip and Nail Bed Injuries: What Actually Needs Surgery Versus Time
A father called my clinic from Nigdi at ten at night, his four year old's fingertip caught in a car door minutes earlier, the nail already lifted and blood soaking through a kit...
7 Min ReadHand Injuries & Loss of Function: When Reconstructive Surgery Is the Path Back to Normal Life
A crushed finger, a kitchen glass injury, a machine press accident at work by the time most people reach a consultation for hand surgery reconstruction India, they have already...
6 Min ReadHand Surgery Recovery, Rehabilitation & Functional Return: What the Journey Looks Like
Most patients preparing for hand surgery recovery India assume the operation is the hard part and the weeks after are just "resting." It is almost the opposite. What actually de...
6 Min ReadReady to discuss your goals?
Schedule a private consultation at our Nigdi clinic to explore your surgical options with absolute discretion and expert guidance.
