Congenital anomalies have always been a challenge for surgeons & patients, as it requires great skills, infrastructure & patience. New-age surgeons have acquired excellent microsurgical skills & also developed infrastructure with the invention of microscopes & microsurgical instruments. At Bones&Nerves, our team, recognized as the best hand surgeon in Jaipur, prioritizes early and precise interventions for congenital upper limb anomalies. our idea is to catch such patients young rather than the common notion to ask them to wait till the age of 6-12 years. With the advent of magnification loupes & microscopes, it has become possible to operate on such patients early & also the tissues are more prone to regeneration. A few examples are:
RADIALIZATION in club hand: A key aspect of our radial club hand treatment, involves early radialization of the ulna leads to a stable wrist & forearm & eventually, a pollicization procedure can be done at a later stage if the thumb is Hypoplastic or absent as such patients usually have.
POLLICIZATION: As a major development in Hand Surgery, pollicisation which was the most difficult procedure in hand surgery & congenital anomalies of the upper limb is being routinely done at our centers. It is very rewarding for a patient with a Hypoplastic thumb or with radial club hand or radial dysplasia. It involves a very technical procedure with step by step approach & needs microsurgical skills but a boon for a child requiring it. The thumb is the most integral & necessary part of the hand which is required for opposition & also for a normal grip.
SYNDACTYLY: As we know, fused fingers or digits are a challenge for children having it & pose functional & cosmetic issues. If the release of such digits is done timely before the child starts realising about it & also the digits start deformity due to varied lengths. In a nutshell, tissues adapt well if done at a tender age & child also escapes stigma.
