Hand, Elbow, and Microsurgery Unit
Specialists in hand, wrist, elbow, microsurgery, minimally invasive surgery, sports medicine, and congenital/child hand conditions.
Microsurgery
Microsurgery is a surgical technique that, using a microscope, precision instruments, and micro-sized sutures, allows the repair of blood vessels and/or nerves of extremely small dimensions, usually less than 1 mm.
Microsurgery enables the reconstruction of bone or skin defects, malformations, reimplantation of amputated body parts, and brachial plexus injuries.
It also facilitates vascularized tissue transplants (bone, muscle, skin) or limb transplants (fingers, joints, etc.) between different parts of the body, often representing the highest-quality option for the patient.
Flaps are sacrificial biological segments used to replace losses in other parts of the body. These require vascularization to survive, necessitating transplantation with their blood vessels (artery and veins). These are connected to other blood vessels through microvascular anastomosis, restoring circulation.
The periosteum is a membrane that covers the bone, aiding in its growth in thickness and fracture repair. In children, the periosteum is thicker and richer in stem cells on its inner surface than in adults. Vascularized periosteal transfer is a reconstruction technique where the periosteum is used to cover non-union bone fractures (pseudoarthrosis), promoting rapid consolidation of large bone defects caused by tumors, infections, severe trauma to extremities, or pseudoarthrosis.
Conditions suitable for microsurgery
- Amputations.
- Reimplantations: Urgently reconnecting (within six hours) arteries, veins, nerves, bones, and tendons of injured structures (fingers, hands, feet, extremities) to maximize functional recovery.
- Transplants: In cases where reimplantation is not possible, transplants (e.g., toe-to-hand transplants) restore maximum functional precision.
- Mutilations.
- Bone defects: Bone flaps from another body area to cover missing bone sections.
- Skin defects: Skin flaps from another area to cover missing skin sections.
- Pseudoarthrosis: Fractures or bone infections unresponsive to traditional methods.
- Peripheral nerves:
- Nerve paralysis.
- Nerve injuries or sections.
- Neurorrhaphy (nerve repair).
- Nerve grafts.
- Nerve transfers.
- Neuroma treatment.
- Brachial plexus:
- Adult brachial plexus injuries.
- Obstetric brachial plexus injuries.
