Acute hand injuries can result from a number of things including penetrating injuries, lacerations, crush injuries, burns, etc. They can result in fractures/dislocations, tendon injury, nerve or vessel injury, ligament injury, and soft tissue injuries. These can sometimes be treated with a single surgery, or they may need multiple surgeries.
How much pain will I have?
Mild to moderate
What will it cost?
Your insurance will be verified, and you will be notified of your deductible, out of pocket expenses, etc. This can vary from patient to patient.
What is the hospital/surgery center time?
Surgery time will be determined on a case by case basis depending on the extent of your injury. Typically these surgeries are done on an outpatient basis, but you may be required to stay in the hospital.
What is the recovery?
Sutures are usually removed between 10-14 days after surgery. Return to work will depend on the type of work that you do, and when you get off of your pain medication. You may have a special splint that you need to wear after surgery. You will most likely need extensive physical therapy/occupational therapy. Usually around the 12th week after surgery you will be allowed to resume all activities. Scars will flatten and fade between 3 months and 2 years after surgery.
Will I need clearances from any other physicians?
Depending on your age and medical issues, Dr. Lovelace and her staff will set you up with your primary care physician, cardiologist, etc. for clearance prior to your surgery. At that time any necessary labs, EKGs, or chest x-rays will be done.
What are the risks?
The risks of tendon repair include bleeding, infection, scarring, hematoma, seroma, need for extension or more incisions, asymmetry, poor cosmesis, contour irregularities, failure of repair, the importance of OT, need for dynamic splinting, damage to surrounding structures like nerves/muscles/other tendons, poor/loss of use of hand/digit, contractures, scarring of tendon to surrounding structures, cardiac/pulmonary/stroke/DVT/PE events, death, etc.