Hand is the biggest gift to man kind, Life is possible without eyes but not without hands. Hand is the most commonly involved body part in accidents both at home & at place of work. Reconstruction of the hand defects and injuries to hand have to be of superlative degree and are best performed by Plastic surgeons trained in Hand surgery and microsurgery . Hand is often injured at home or at place of work. Even a simple looking cut over the hand may have damaged important structures in the depth.This is because of the complex nature of hand anatomy therefore a proper examination & repair of all the divided structures is very important for good recovery of hand function.
Injuries may be as trivial as child getting a finger in the door to complex crushing in machinery or some times complete amputation of the hand or parts of hand. Repair and restoration of all divided and damaged structures need to be done care fully under magnification for best functional recovery. Fractures of the Hand that are associated with wound needs attention of Plastic Surgeon trained in hand & microsurgery. The use of microsurgery and use of muscle flaps in the early period of injury has improved recovery and made even very severely injured limbs salvageable.
Reconstruction of hand deformities is performed keeping hand function in hand. It is possible to repair and reconstruct almost every component of hand. A missing thumb in an adult folloing injury is reconstructed by transferring the Second toe or parts of great toe to construct the thumb by microsurgery. Thumb so reconstructed has normal function.