Hand Injuries

About Hand Injuries at Kayakriti

The human hand is an extraordinary structure, combining skin, muscles, tendons, nerves, arteries, veins, bones and ligaments into a precise working unit. Injury to any of these layers can disturb grip, pinch and fine movement. Because all components work together, hand surgery is one of the most demanding subspecialties in plastic and reconstructive practice.

Most serious hand injuries involve more than one structure at the same time, so a careful examination is essential. Time-critical issues include uncontrolled bleeding, open fractures, exposed tendons or nerves, threatened circulation and any total or partial amputation. At Kayakriti in Lucknow, our team is geared to assess all of these on arrival and plan urgent treatment quickly.

Clean, isolated injuries to a single tendon, vessel or nerve are uncommon. More often, hand injuries combine fractures, tendon ruptures, nerve cuts and vessel damage. When a finger or part of the hand is amputated, replantation can sometimes be considered as an emergency procedure, ideally within six hours of injury, when the severed part has been kept cool and clean.

Surgery for a hand injury is delicate, lengthy and skill-intensive. Tiny vessels, nerves and tendons are stitched together under high magnification using a microscope and microsurgical instruments. Every layer that is missed or repaired poorly can compromise the final result, so meticulous technique and unhurried operating time are essential to a strong recovery.

Hand injuries are often associated with fractures, and stable bony fixation is the first step before soft tissue repair. Damaged skin is replaced with grafts, local flaps or microvascular free flaps to give a soft, pliable cover. Repair of injured median, ulnar and radial nerves is vital for muscle power and sensation, and Dr. Agarwal, FRCS Edinburgh, follows established principles to optimise long-term function.

What people in Lucknow ask us about: hand trauma surgery · emergency hand surgery · hand reconstruction · injury repair