Reconstructive surgery is primarily performed to rebalance the hand for useful function. It can also often improve the appearance of the hand cosmetically, and in doing so, improve the patient's self-image.
The real reason for reconstructive surgery is to rebalance the hand and fingers in order that they work in normal positions that allow the hand to be used satisfactorily. Post-operative rehabilitation is needed in order to make the surgery successful and maximize the result. Hand therapists have developed specialized techniques for the restoration of hand function that maximize the effectiveness of reconstructive surgery.
Hands that have already developed contractures can often be improved by reconstructive surgery, but a period of treatment to reduce the contracted joints and remobilize fingers and thumbs is often required before surgery can be effective. This is because a joint that is stiff before surgery will also be stiff after surgery, unless mobilization of the skin tissue and bony joints has been achieved.
Reconstructive surgery in hands that have developed fixed contractures and finger absorption should be approached carefully, as it is not always possible to restore normal use. Surgical improvement is not always warranted as the patient has functioned for a long period with his hands in learned patterns. Surgery is most helpful to restore a particularly desired function, such as pinch, or a movement that a patient desires for work or recreation - such as playing a musical instrument or golf - that give quality of life.
Dr. Vinay C. Kamble is a highly qualified and skilled medical professional with a career objective focused on seeking a challenging role in a progressive organization. He aims to utilize his skills, abilities, and education in academic pursuits.