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24/7 Service

Save Function, Preserve Precision

Microsurgery-led hand care with replantation, tendon balancing, and rehab pathways for workers, artists, and athletes

Book Hand Surgery Consult
91%
Nerve Repair Success
Meaningful sensory recovery at 6–12 months
72 hrs
Replant Window
Digits revascularised within optimal timeframe
21 days
Return-to-Work Median
Light-duty resumption after protected tendon repair

When to Consult

  • Machine, kitchen, or sports injuries causing deep cuts, amputations, or crush damage to fingers and hands
  • Numbness, tingling, or loss of grip following trauma or nerve compression
  • Trigger finger, tendon ruptures, or inability to flex/extend digits after injury
  • Chronic nerve palsy needing tendon transfer or muscle balancing
  • Complex congenital hand differences requiring staged reconstruction
  • Failed previous surgeries or adhesions causing stiffness and pain

Hyderabad's Trusted Hand Trauma Network

Industrial zones like Jeedimetla, Kukatpally, and Shamshabad rely on Ajuda Hospitals for rapid hand trauma response. Our plastic surgeons, orthopaedicians, vascular specialists, and anaesthetists are on-call round the clock, ensuring damaged nerves and tendons are repaired before stiffness sets in. We coordinate with factory safety officers, insurance teams, and government schemes for seamless admissions.

What to Expect During Your Visit

  • Emergency Room: Vitals stabilised, bleeding controlled, and amputated parts preserved in sterile saline with ice.
  • Imaging & Marking: X-rays, ultrasound, and nerve stimulators map injuries while consent and counselling happen simultaneously.
  • Microsurgical Theatre: Operating microscopes and micro-instruments allow nerve, vessel, and tendon repair with utmost precision.
  • Post-Op Care: Continuous Doppler monitoring, anticoagulation protocols, and splinting keep repairs safe.

Rehabilitation Drives Results

Hand therapy milestones include:

  • ✓ Early passive motion to prevent adhesions
  • ✓ Custom thermoplastic splints adjusting weekly
  • ✓ Sensory re-education and desensitisation drills
  • ✓ Strength training, work simulation, and fine-motor retraining

Therapists liaise with employers to plan light-duty roles, ensuring compliance without risking reinjury. For musicians and artists, therapy includes instrument-specific drills.

Advanced Techniques We Offer

  • Supermicrosurgery: Vessel anastomosis under 0.8 mm for fingertip replantation.
  • Wide-Awake Hand Surgery (WALANT): Selected tendon and nerve procedures done without general anaesthesia, enabling intraoperative movement testing.
  • Tendon Transfers & Nerve Transfers: Restore thumb opposition, finger extension, and intrinsic muscle balance after complex injuries.
  • Scar & Stiffness Management: Tenolysis, capsulotomy, collagenase injections, and laser therapy to regain mobility.

Preventing Reinjury

We provide ergonomic assessments, safety workshops for factories, and protective gear recommendations. For athletes, we tailor return-to-sport protocols with sports physiotherapists.

Book Your Evaluation or Emergency Slot

Whether you need urgent salvage, second opinion after failed surgery, or staged correction for congenital differences, Ajuda’s hand microsurgery team crafts a personalised roadmap focused on strength, dexterity, and confidence. Reach out anytime—your hands deserve expert care.

Diagnosis Approach

1

Emergency Triage & Viability Check

Perfusion assessment, X-rays, and amputated part preservation with replantation alerts.

2

Microscopic Evaluation

Operative microscope and loupes identify nerve/tendon integrity; nerve stimulators map function.

3

Imaging & Electrodiagnostics

Ultrasound, MRI, nerve conduction studies, and EMG to plan reconstructions.

4

Rehab & Workplace Analysis

Occupational therapist assesses job demands and designs splinting plus return-to-work strategy.

Treatment Options

Emergency Hand Trauma Surgery

Debridement, fracture fixation, vascular repair, nerve/tendon primary repair under operating microscope.

Saves digits and preserves long-term function
2–6 hours depending on complexity

Microsurgical Nerve Repair & Grafting

End-to-end repair, nerve grafts, nerve transfers, and conduits for sensory and motor recovery.

Restores protective sensation and dexterity
2–4 hours; sensory rehab begins within weeks

Flexor/Extensor Tendon Reconstruction

Primary repair with epitendinous sutures, staged tendon grafting, or tenolysis for adhesions.

Reclaims finger motion with early active mobilisation
1.5–3 hours; splinting protocol 6–8 weeks

Replantation & Revascularisation

Microvascular anastomosis of amputated digits or hands with bone fixation and tendon repair.

Maintains limb length and function
5–10 hours; ICU monitoring for 72 hours

Secondary Procedures

Tendon transfers, joint arthrodesis, nerve decompression, and scar revision for chronic issues.

Optimises strength and reduces pain long-term
Day-care or short-stay depending on procedure

Expected Outcomes

Treatment Timeline

Week 1

Swelling controlled; splints customised; early passive therapy begins

Week 3

Protected active motion under therapist supervision

Month 3

Grip strength improves; return to light-duty tasks

Month 12

Sensory recovery plateau; final strength training and refinement surgery if needed

Success Metrics

  • TAM (Total Active Motion) within functional range
  • Two-point discrimination <10 mm post nerve repair
  • Return to baseline ADLs and job tasks