Hand Surgery

The approach of the surgery of hand and the habilities required are very variable since the micro vascular anastatomosis to design of a oseum graft of an special configuration.

In all procedure of surgery of hand exist a dominator point special care and union to an specific and gentle technique that is necessary to have success.

The modern advances in magnification aloud us to repair fine structures whit better techniques of reconstruction anatomic and functional.

The injuries and illness that affect the hand are many and they have place over the structures that make the hand.

In this way the injuries of etiologic traumatic affect many structures like the skeleton in its different segments it can be damage in any phalange the metacarpiano ,the forearm bone in the same way the traumatism that affect very often the articulations in different levels.

The reconstruction of the different structures signed involve particular techniques and each one will be in relation to the individual physiologic

In this way the advanced techniques of osteosintesis semi-rigid reduction with biocompatible materials like titanium along with mini plaques however they continue in use the synthesis with pins of kirschner overcoat in phalanges it has been created systems of dynamic traction in those cases of multifragmented fractures .

The (tendinosa) reconstruction has an evolution to conserve or aloud the circulation sinovial , across of the tendinosas and through the (paratendon)

By means of suture (peritendinosas) to have a better sensitive and motor function .

The tisular transferring microsurgical has aloud the reconstruction of the different extremities (thoracic) an example of this transferences (osteofaciocutaneas) of the opposite forearm the muscle transferences the (miotendinosa) of the flexors the oseum transferences of perone vascularizaded oseum reconstruction of the radio and cubito .

The early treatment of the arthritis rheumatoid has handicapped the discapacities and aloud the function of rheumatic hands by means of what we call prophylactic surgery.