Hand Surgery
Tendon Repair
Tendon Repair is surgery done to treat a torn or otherwise damaged tendon. Tendons are the soft, band-like tissues that connect muscles to bone. When the muscles contract, the tendons pull the bones and cause the joints to move. When tendon damage occurs, movement may be seriously limited. A deep cut on the palm side of your fingers, hand, wrist, or forearm can damage your flexor tendons, which are the tissues that help control movement in your hand.
Nerve Repair
Tendon Repair is surgery done to treat a torn or otherwise damaged tendon. Tendons are the soft, band-like tissues that connect muscles to bone. When the muscles contract, the tendons pull the bones and cause the joints to move. When tendon damage occurs, movement may be seriously limited. A deep cut on the palm side of your fingers, hand, wrist, or forearm can damage your flexor tendons, which are the tissues that help control movement in your hand.
Nerve Repair
Unfortunately, because of the complexity of the Brain and Spinal cord, little spontaneous regeneration, repair or healing occurs. Therefore, brain damage, paralysis from spinal cord injury and peripheral nerve damage are often permanent and incapacitating.
The proximal axons are able to regrow as long as the cell body is intact, and they have made contact with the Schwann cells in the endoneurial channel or tube. Human axon growth rates can reach 1 mm/day in small nerves and 5 mm/day in large nerves. However, if the regenerating nerve fibers do not make a correct connection, then no recovery will occur. Nerves regenerate at the rate of one inch per month.
Vessel Repair
Vessel Repair means use for repair and construction of vessels, and uses which are ancillary, accessory or incidental to vessel repair or construction. Tenant’s primary use, when Tenant is doing work on the underwater bodies of vessels, shall be vessels for which Te- nant uses a drydock or ship lift.
Tendon Transfer
A tendon transfer is a surgery that moves a working muscle and tendon to replace a non-working muscle and tendon. For example, after a broken wrist, the tendon to the thumb (EPL tendon) that allows you to make a “thumbs-up” can break. Often, the two ends of the tendon are very damaged and cannot be sewn back together.
Industrial Trauma
Hand Bone Fracture Fixation
A fracture (break) can occur in any of the bones in the hand. Each bone is named (See diagram). The fracture can be simple (two fragments) or comminuted (many fragments). The fracture can be closed (no break in the skin) or open (compound) where there is a break in the skin over the fracture. Fractures can be complicated by the involvement of the joints at either end of the bone (Intra-articular fracture). Fractures may occur as part of a more complex injury where there has been damage to other tissues such as tendons, nerves and blood vessels.
Finger/Toe Reimplantation, Revascularization
Vessel Repair
Vessel Repair means use for repair and construction of vessels, and uses which are ancillary, accessory or incidental to vessel repair or construction. Tenant’s primary use, when Tenant is doing work on the underwater bodies of vessels, shall be vessels for which Te- nant uses a drydock or ship lift.
Tendon Transfer
A tendon transfer is a surgery that moves a working muscle and tendon to replace a non-working muscle and tendon. For example, after a broken wrist, the tendon to the thumb (EPL tendon) that allows you to make a “thumbs-up” can break. Often, the two ends of the tendon are very damaged and cannot be sewn back together.
Industrial Trauma
Patients with extremity vascular traumas present daily in emergency departments (EDs) and trauma centers worldwide. While much of the current state-of-the-art information is the result of wartime observations, the incidence of civilian extremity vascular trauma is significant.
A basic understanding of both blunt and penetrating injuries to the extremities and the resultant vascular abnormalities that occur with these injuries helps minimize mortality and morbidity in these patients. Ocular trauma is a worldwide cause of visual morbidity, a significant proportion of which occurs in the industrial workplace and includes a spectrum of simple ocular surface foreign bodies, abrasions to devastating perforating injuries causing blindness.
Syndactyly Repair
A simple syndactyly refers to those with only soft tissue between digits, and a complex syndactyly refers to digits with bony or cartilaginous fusions. Complicated syndactyly refers to fingers with bony (ie, missing or extra phalanges), Musculotendinous and/or Neurovascular abnormalities.
Polydactyly Repair
An extra toe (or digit) is medically known as Polydactly or a Supernumerary Toe. It is a genetic condition resulting where the digit is duplicated, and can be fully functional or just fleshy. It may occur in the hands as well as the feet, and may involve both feet/hands.
Syndactyly Repair
A simple syndactyly refers to those with only soft tissue between digits, and a complex syndactyly refers to digits with bony or cartilaginous fusions. Complicated syndactyly refers to fingers with bony (ie, missing or extra phalanges), Musculotendinous and/or Neurovascular abnormalities.
Polydactyly Repair
An extra toe (or digit) is medically known as Polydactly or a Supernumerary Toe. It is a genetic condition resulting where the digit is duplicated, and can be fully functional or just fleshy. It may occur in the hands as well as the feet, and may involve both feet/hands.
Hand Bone Fracture Fixation
A fracture (break) can occur in any of the bones in the hand. Each bone is named (See diagram). The fracture can be simple (two fragments) or comminuted (many fragments). The fracture can be closed (no break in the skin) or open (compound) where there is a break in the skin over the fracture. Fractures can be complicated by the involvement of the joints at either end of the bone (Intra-articular fracture). Fractures may occur as part of a more complex injury where there has been damage to other tissues such as tendons, nerves and blood vessels.
Finger/Toe Reimplantation, Revascularization
Revascularization is the restoration of perfusion to a body part or organ that has suffered ischemia. It is typically accomplished by surgical means. Vascular bypass and angioplasty are the two primary means of revascularization. The most common type of revascularization procedure is Coronary Artery Bypass Grafting, sometimes called CABG ("cabbage").
We routinely use at least one artery from inside the chest (the internal mammary done through the same chest incision). Peripheral artery bypass is surgery to reroute the blood supply around a blocked artery in one of your legs. Fatty deposits can build up inside the arteries and block them. A graft is used to replace or bypass the blocked part of the artery.
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