Hand surgery

At the Carolina Medical Center, we specialize in the comprehensive treatment of injuries and diseases of the hand and wrist. We treat post-traumatic changes (fractures, ligament injuries, tendon injuries) and degenerative changes (arthrosis, enthesopathies, tendinitis), hand deformities and birth defects. In order to identify the problem, we perform X-ray, ultrasound and magnetic resonance imaging.

We offer consultations with hand surgeons, specialists in orthopedics, and trauma surgery specialists with many years of treatment experience, as well as plastic, reconstructive and vascular surgeons. The cooperation of specialists in these fields allows for a full range of treatments within the hand – the most complex part of the body in terms of anatomical structure.

Our team of surgeons uses innovative medical techniques and procedures, including reconstructive surgery for extensive injuries resulting from accidents.

We also specialize in conservative treatment. We do not immobilize the limbs in ordinary casts. We use modern, lightweight and waterproof thermoplastic, resin, rigid and semi-rigid casts. The advantage of orthoses is that when removing them, there is no need to use an oscillating saw, of which children are often afraid.

Our physiotherapists dealing with hand rehabilitation use a variety of techniques, including the most effective manual therapy. It restores the muscular balance and thus the motor functions of the hand.

A qualified team and modern treatment

In our clinic, we use modern surgical techniques in hand surgery, including arthroscopy, which allows the reconstruction of damaged tissues without the need to open the joint. We use growth factors, hyaluronic acid and even stem cells to support the process of surgical treatment and in the case of degenerative changes in joints. Their aim is to slow down the degeneration of articular cartilage, reduce pain and accelerate the regeneration of damaged tissues.

Hand surgery specialists are available to:

• children and adults after trauma in case of edema, deformity, restriction of mobility;
• patients suffering from degenerative changes in the joints;
• people with symptoms of neuropathy, such as carpal tunnel syndrome (numbness of the thumb and index finger, night discomfort) and ulnar nerve entrapment (pain in the flexed elbow, numbness of the fifth finger);
• patients with tenosynovitis (de Quervain’s syndrome, snapping finger).

At the Carolina Medical Center, we perform minimally invasive surgical procedures in the scope of hand surgery in an operating room. They are performed under the conditions of “local field sterility”, which means that the treatment area is disinfected and sterile and the surgeon is dressed as in the operating theater, i.e., in a sterile gown and gloves. The patient, on the other hand, remains in the clothes in which they came to the clinic.

Safety – “WALANT” anesthesia

The area of the operated hand is anesthetized with a local buffered lidocaine solution with adrenaline approx. 30 minutes before the incision is performed. It is a regional anesthesia that does not require the use of a tourniquet for ischemia. This method is extremely effective and safe for patients, as evidenced by numerous scientific publications.

Advantages of minimally invasive hand treatment:

• safety – low blood loss, negligible risk of infections;
• low risk of postoperative complications related to the administration of anesthesia, in line with the principle: “the safest sedation is no sedation” – patients can breathe independently under local anesthesia. This is especially important for people with heart or lung disease.
• no need for detailed tests, including laboratory tests, before the procedure, which are required during consultations with the anaesthesiologist.
• during the procedure, the patient has constant contact with the doctor,
• “WALANT” anesthesia allows the patient to move the hand, which allows the physician to perform a functional assessment during the procedure,
• procedures performed in the office are actually less painful than procedures performed in the operating room.
• unnoticeable post-treatment scars,
• no hospitalization – the patient leaves the clinic immediately after the procedure,
• savings for the patient,
• shorter recovery and rehabilitation time,
• environmentally-friendly solution – surgery in the office generates about 1/10 of medical waste that is generated in the operating room.

In the clinic, we perform:

• mini-open carpal tunnel surgery – the aim of the procedure is to decompress the median nerve in the carpal tunnel.
• mini-open trigger finger operations under Walant anesthesia or needle anesthesia under ultrasound – flexor tendon decompression in constricting sheath inflammation – sheath cutting.
• non-surgical treatment of Dupuytren’s contracture (needle) – the aim is to release Dupuytren’s contracture.
• de Quervain’s syndrome mini-open surgery – the aim of the procedure is to decompress the tendons of the 1st extensor compartment in constricting sheath inflammation.
• mini-open surgery of Lacertus syndrome (compression of the median nerve at the level of the elbow under the biceps aponeurosis, accompanied by weakening of the flexors) decompression of the median nerve under the biceps aponeurosis.