Traumatically-amputated fingers and hands are replanted (reattached) by us routinely and successfully since 1991.
Finger tip is the part of the finger close to the nail before the adjacent joint of the finger, it is the commonest injury seen in a hand surgery clinic.
It usually follows the finger getting jammed in the door or caught in a machine. The spectrum of fingertip injuries may be confined to just avulsion of the nail plate to amputation of the fingertip.
If the nail is avulsed, it is necessary to thoroughly clean the part to eliminate all contamination, eliminate any possibility of infection and then to re position the nail. This step ensures that the new nail grow nicely.
The part may be reattached by microsurgery. On other occasions the fingertip is reconstructed. Ultimate aim is to provide length and cosmetically acceptable finger.
Sharp injury to the wrist cutting tendons, nerves and artery. After rehabilitation, good recovery was seen, with good finger movements. The nerve recovery is slow and takes some time. It may need a procedure called tendon transfer after a while to augment residual functional loss.
Nerves are structures which connect hand to the brain. They provides sensation and control the movements of the muscles. When the nerves are cut, a person may lose sensation to a certain part of the hand. Or function of a certain muscles may be lost depending on the location of the injury. The nerves are extremely delicate structures. They have to be repaired very early for optimum recovery. With passage of time, the quality of recovery gets poorer and sub-optimal. The repair is done under magnification to match the cut fibers. The repair material is barely visible to naked eyes and measured in microns or repaired with a special glue. The repair is done without any tension at the repair site. With passage of time, the nerve retracts. This means an early repair is the good repair. If the injury is present for quite some time, the nerve will retract. In such a scenario, the gap in the nerve is bridged and grafted with another spare nerve harvested from some other part of the body.
Fall of a glass piece on the forearm of a six years old child. The site of profuse bleeding and shrieking of the child raised an alarm in the family and the neighbourhood. Sharp injury is generally suggestive of nerve injury, hence wound was explored. Sure enough, the Ulnar nerve was found severed.
The Ulnar nerve repaired under microscope.
Traumatically-amputated fingers and hands are replanted (reattached) by us routinely and successfully since 1991.
See case studies: Injury & finger amputation, Amputation at the nail and arm replantation.
Patient guides: Bennett fracture, distal radius fracture and gamekeeper's thumb.
Sharp injury to the wrist cutting tendons, nerves and artery. After rehabilitation, good recovery was seen, with good finger movements. The nerve recovery is…
Amputation of the fingers, reattached with the help of microvascular surgery. The surgery is done under a surgical microscope, and successful reattachment…
Amputation at the level of the nail, reattached with the help of microvascular surgery. The surgery is done under a surgical microscope, and successful…
An 8-year-old sustained an amputation of the arm in a road accident. The child reported to the hospital after 3 hours with the hand in a polythene bag! Within…
It is an injury to the ligament of the thumb due to a fall with the load of the body transmitted to the thumb. Following a fall on the stretched-out thumb, the…
Fracture of the wrist can occur following a fall on an outstretched hand. The pain and local swelling of the wrist are often mild and can lead to overlooking…
The index finger was jammed by a cricket ball.
A fall or injury followed by pain at the base of the thumb should immediately raise suspicion of a Bennett fracture.
17 min readFallen on an outstretched hand? A painful, swollen or deformed wrist may be a distal radius fracture (Colles' fracture).
12 min readA fall on an abducted thumb can tear the thumb's ulnar collateral ligament. Pain on the inner side of the thumb should raise suspicion.
16 min readOf innumerable causes of pain in the hand, a few are presented here.
The nerves are not immune to tumours.
Tingling, numbness, or the sensation of the hand “falling asleep” is a common complaint. This can affect part of the hand, the whole hand, or even just a single finger.
Medically reviewed by Dr. Pankaj Jindal (MS Orthopaedics & Reconstructive Microsurgeon), Specialist Hand Surgeon, Jindal Hand Surgery, Pune, Maharashtra, India.Maharashtra Medical Council Reg. No. 66746Last reviewed: 2026-10-03
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Hand, wrist and nerve surgery is all Dr. Jindal does, since 1991.
