Name of the Procedure:

Repair, intrinsic muscles of hand, each muscle

Summary

This procedure involves the surgical repair of one or more of the intrinsic muscles in the hand. These are the small muscles located within the hand that are responsible for fine motor movements. The surgery aims to restore muscle function that may have been compromised due to injury or disease.

Purpose

The primary purpose of this procedure is to correct dysfunction or damage to the intrinsic muscles of the hand, which can result from trauma, overuse, or certain medical conditions. The goal is to restore normal hand movement and strength, improve dexterity, and reduce pain or discomfort.

Indications

• Severe hand injury or trauma
• Conditions like rheumatoid arthritis or Dupuytren's contracture affecting hand muscles
• Chronic pain or limited mobility in the hand
• Muscle tears or lacerations
• Congenital abnormalities affecting hand function

Preparation

• Pre-surgical consultation to assess the condition and determine eligibility
• Diagnostic tests including X-rays, MRI, or ultrasound
• Fasting for at least 6-8 hours before surgery
• Cessation or adjustment of certain medications (e.g., blood thinners, anti-inflammatories)
• Arranging for post-surgical transportation and care

Procedure Description

1. The patient receives anesthesia, either local (for small repairs) or general (for extensive repairs).
2. An incision is made over the affected muscle.
3. The surgeon repairs the muscle using sutures or, if necessary, grafts tissue from another part of the body.
4. The incision is closed and bandaged.
5. A splint or cast may be applied to immobilize the hand during initial recovery.

Duration

The procedure typically takes 1 to 2 hours, depending on the extent of the damage and the number of muscles being repaired.

Setting

The surgery is usually performed in a hospital or surgical center.

Personnel

• Orthopedic or hand surgeon
• Surgical nurses
• Anesthesiologist
• Physical therapist (for post-surgical rehabilitation)

Risks and Complications

• Infection at the surgical site
• Bleeding or hematoma
• Nerve damage
• Stiffness or reduced mobility
• Adverse reaction to anesthesia
• Incomplete recovery of muscle function

Benefits

• Restoration of hand function and strength
• Reduction in pain and discomfort
• Improved ability to perform daily activities
• Enhanced overall quality of life

Recovery

• Post-operative care includes pain management, wound care, and possibly antibiotics.
• Physical therapy to restore range of motion and strengthen the hand.
• Recovery time varies but generally ranges from a few weeks to several months.
• Restrictions on heavy lifting or strenuous activities until cleared by the surgeon.
• Follow-up appointments to monitor healing and progress.

Alternatives

• Non-surgical treatments such as physical therapy, medication, or splinting.
• Minimally invasive procedures depending on the specific condition.
• Each alternative has its own risks and benefits and may not be as effective for severe cases.

Patient Experience

• During the procedure: Minimal discomfort if under local anesthesia; no awareness if under general anesthesia.
• After the procedure: Possible swelling, bruising, and moderate pain managed with medication.
• Physical therapy can help restore movement and reduce stiffness.
• Gradual improvement in hand function over the recovery period.