Evaluation and Deliverance of prompt treatment by Proficient Hand Doctor
A unique functional part of body:
Bones, joints, ligaments, tendons, muscles, nerves, skin and blood vessels come together to frame the anatomy of the hand enabling it to perform multiple activities. The relationship between these structures is delicate and complex and an injury to even one of these structures can impair the functioning of the hand.
Injuries and Disorders of Hand comprise of:
Fractures, Dislocations, Ruptured Ligaments, Osteoarthritis, Tendinitis, Ganglion Cysts and other complications, resulting in restricted movement, stiffness, swelling, pain and weakness to the part of hand affected and need to be looked over by diligent hand doctor to relieve the patient of complex trauma.
As Qualified and specialist hand doctor:
Dr. Vikas diagnoses the conditional problems in the hand with advanced technology methods, treats all disorders with corrective treatment plan accordingly to provide maximum relief and insistently stresses on after care procedural methods to bring back rejuvenation in the patient.
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Considerations:
Fractures may be mild or severe in nature causing intense pain and swelling which usually result in partial or total impairment of the hand. The patient should immediately seek a hand doctor who after in depth evaluation and diagnostic tests concludes the presence of fracture and its nature. The type of fracture that are treated by the hand doctor are –
- Simple fractures in which the bone pieces are stable - Fractures in which the bone pieces have not shifted from their position - Fractures which are mild in nature and have slightly shifted from their positionTechnique:
After the hand doctor has concluded the presence of fracture he moves ahead with the treatment technique. The broken bone needs to be stabilized and supported carefully to enable healing. The techniques that are taken up by the hand doctor are:
Closed reduction and internal fixation- Under this technique the hand doctor physically realigns the bone to its proper position and then holds them together with internal fixators which are:
Plates- Plates are a kind of internal splints which hold bones together by being attached to them with screws.
Screws- Screws are the most used implant for internal fixation and come in various sizes for different bones. They are either used as an individual implant or as support with plates, rods or nails.
Nails/Rods- Rods or nails are used as implant to fix long bones. They are inserted through the hollow centre of the bone and then held with screws on both ends to stabilize it.
Wire/Pins- Wires or pins are used as internal fixators for very small bones that cannot be held together by screws.
Closed Reduction and External Fixation- Under this technique the hand doctor physically realigns the bone to its proper place and then holds the bones together on the outside by framework of metal pins or screws. Metal pins or screws are inserted by making small incisions thereby enabling them to hold the bones together. Since they are externally inserted, they are termed as external fixators.
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Pre Fixation:
After the evaluation of the fracture the hand doctor has in depth discussion with the patient where the patient is informed about the exact technique that will be most applicable to his case. Either the patient is referred to a hand surgeon for severe cases that need treatment by open reduction technique or the hand doctor ensures relief by adopting closed reduction technique.
Post Fixation:
After the fixation the hand doctor prescribes a set of medications and rehabilitation protocol to be followed by the patient to facilitate quick recovery. Along with is a set of instructions which include the activities to be avoided, follow up visit and guideline to help the patient take care of the fractured hand fixation. The hand is placed in a sling or brace to immobilize it for a definite period of time.
Complications:
The possible complications that the patient could be affected vary from - Delay union- it takes a longer time to heal - Non union- it may not heal at all - Mal union- it may heal with a visible deformity - Infection- in the incisions to insert the external fixators implants or by the metal implants themselves.Benefits:
The benefits of the technique used by the hand doctor are- - Less pain as compared to an open reduction - The patient is saved from the anxiety caused by surgery - The technique is completed in much less time as compared to surgical techniqueRehabilitation:
A well defined and purposeful rehabilitation program under an expert physiotherapist is an essential prerequisite for healing. Stiffness in the hand takes time to subside even after the bones have healed and it is only with a well framed exercising regime, therapy and massages under the guidance of a physiotherapist that strength and motion is retrieved in the hand.
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More about hand doctor:
Dr. Vikas Gupta an MBBS and MS in Orthopedics has been in the field of upper extremity for the last 25 years and has provided relief to more than 6000 patients by surgical releases and innumerable with nonsurgical techniques. He is well renowned for his sharp and accurate diagnosis with equally deft hand in surgery. His intuitive and evaluating skills make patients seek his consultation steadfastly.
The various hospitals from where he has delivered his professional services are AIIMS, Fortis, Medanta-The Medicity and at present he is an integral part of Max Healthcare- The super specialty hospital in Saket and Gurgaon.
There is no debilitating condition of the hand that hand doctor, Dr. Gupta, is not skilled to treat. Fractures, dislocations, ligament tear, soft tissue injuries or any other condition that affects the hand are effervescently treated by him.