Dr. Girish Gupta
23 A, Manav Ashram Colony (Opp.Suresh Traders), Gopalpura Mod, Tonk Road, Jaipur
+91 9828058480

Author: bonesandnerves

Blog: Ruminations of a hand surgeon

Posted on by bonesandnerves

Hand surgery is the art and science of restoring the delicate functions of the hands and upper limbs, which are central to our daily lives. Whether it’s repairing fractures, treating nerve injuries, tumors or addressing congenital deformities, the goal is always the same: to return functionality and improve quality of life.

As a Hand Surgeon, My job is endlessly fascinating because no two days are ever the same. Every surgery presents a unique challenge, an opportunity to solve complex problems of hand and make a tangible difference in someone’s life. Whether it’s restoring function to an injured hand, making unresponsive digits move again, or alleviating pain, I witness the incredible resilience of the human body—and the profound impact of precision and care. This ever-changing, deeply rewarding journey is what drives me every day

Through this series, I will be chronicling a few of my experiences to share with others, but also, in my heart, to thank the Almighty for allowing me to be His instrument in making a difference in people’s lives.

This Patient was Operated elsewhere for wrist Fractures in 2016

Posted on by bonesandnerves

This patient was operated elsewhere for wrist fractures in 2016. He came after 5 years to us with a thumb falling in palm and not being able to lift it or extend it. On clinical examination we found that there is chronic rupture of the important tendon of the thumb which is called EPL(Extensor Pollicis Longus) in medical terms, due to continuous rubbing over a prominent screw end on the dorsal side of bone.
As this was a chronic case and the original muscle got atrophied, we did a Tendon Transfer(Taking an extra tendon and making it do the function of EPL) from EIP to EPL. Now he’s absolutely fine and his thumb is working normally after 3 years of surgery.

 

This Girl had Polydactyly (extra toe in right foot)

Posted on by bonesandnerves

This girl had polydactyly (extra toe in right foot). Operated her & reconstructed her foot & now she is having a normal foot like her left foot & very happy as she got rid of daily harassment & difficulties in wearing shoe wear & running/walking.
NB: These surgeries should be done preferably at an early age of 11/2 to 3 years for few reasons namely
1. when a child is innocent and not going to school
2. ⁠This prevents harassment by peers
3. ⁠Tissues are soft and more adaptive and scars of surgeries also go away.
4. ⁠if a child later on requires an admission to Army or getting married it doesn’t show off anywhere.

 

 

Innovative Approaches to Congenital Anomalies of the Upper Limb

Posted on by bonesandnerves

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.