The Hand & Micro Surgery unit is a sub unit of Department of Orthopaedics headed by Dr Latheesh Leo. It has OPD consultation on Tuesday, Thursday, and Saturday. The Hand & Micro Surgery unit spectrum of cases done:
- Hand & Wrist injury
- Open Fracture of upper limb and lower limbs
- Burned Hand
- Brachial plexus injuries
- Vascular injury
- Tumour of the hand
- Spastic Hand
- Congenital Hand
- Amputation and replantation
- Neuropathic foot ulcer
Traumatic loss of Right thumb at Metacarpal base with groin flap
A young man who was a driver by occupation lost his right thumb ; following an accident a year back. The lost thumb incapacitated him from doing his daily activities. He was evaluated and treated in Father Muller medical college hospital ,unit of Hand & Microsurgery under Department of Orthopaedics.
The Seven hours long surgery were the patient's own second toe was transferred from the right foot and made it as his new thumb .This unique and advanced microsurgery surgery was performed by a team of doctors lead by Dr Latheesh Leo, Unit chief of Hand & Microsurgery, Dr Sagar.S, Dr Hilda; Anaesthesiologists and the supporting staffs.
The patient is showing good recovery and is expected to be fit for work in a month's time.
Procedure: Exploration of brachial plexus and wang's procedure
findigs : spinal accessory ,phrenic nerves not ecitable
complete avulsion of C5,6,7 ,8 & T1 roots with the roots distracted to the infraclavicular region
- AD LT
- Anterior division of contralateral C7 connected to the anterior division of Lower trunk ( AD-LT) using a 5cm long sural nerve cables (three ) over the scalenus anterior on the left side Contalateral C7 tunnel in front of the cervical spine (length 6cm)
- supraclavicular sensory nerves connected to the lateral cord of median nerve directly ( Lat -MED)
- The medial cutaneous nerve of forearm (MCNF) connected to the musculocutaneous nerve (MCN).
Diagnosis : Post traumatic avulsion amputation of Right index finger at distal PPX level and near total amputation of Right middle finger at proximal PPX level following hand getting caught inside a machine.
Procedure : Debridement + Stabilisation of PPX fracture and critical revascularisation of right middle finger + Replantation of right index finger