The most common injuries seen in hand surgery are hand tendon, nerve and vascular injuries. If one of these structures is damaged, then surgery will probably require surgery. An examination by a relevant branch physician is necessary to determine if there is any injury requiring surgery. Tendons (beams) are the last parts of the muscles and are responsible for moving the joints and sticking to the bones. The tendons that perform the bending of the fingers are the flexor tendons, and the opening movement is the extensor tendon. If there is difficulty with these bending or opening movements on the fingers, tendon damage has occurred. Surgical repair is required in almost all tendon damage caused by incision. The earlier the operation, the better, although it is usually recommended to be done within the first 7-10 days. Additional procedures may be required as delayed tendon cuts of more than three weeks cannot be repaired frequently. In addition, because the tendon is a moving structure, even if the surgery is performed on the first day, the skin incisions are widened for the repair process due to the retreat condition. In other words, after these operations, a larger incision should be expected.
The nerves have two tasks (sensation and motor nerves) to provide sensation and to exercise muscles. The most typical finding is numbness and tingling sensation in the task area of the nerve. Depending on the type of nerve that is cut, some muscle loss may also occur. Nerve repairs are done by microsurgical techniques. The recommended repair time is the first 3 days. Vessels are the structures that bring blood to the limbs. Active bleeding can be seen if cut. Usually hand or finger feeding is provided with more than one vessel. Therefore, every vessel incision may not disrupt the feeding of the limb, but it should be kept in mind that there may be circulatory problems if there are color changes such as whitening or bruising. Vascular repairs are more urgent than tendon and nerve. A hand or finger with a circulatory problem should be treated as early as possible. The vessels are also repaired by microsurgical techniques, such as nerves. Recovery period: Tendon, nerve, recovery period after vessel incisions is important. The minimally operated surgery also affects the functions of post-operative physical therapy rehabilitation process. Plaster / splint is applied for varying periods depending on the type of injury. Direct return to work after surgery is unfortunately not possible. Physiotherapy is applied during and after the splash. The nerve tissue is renewed from the repair line after repair of the nerve. This rate of regeneration varies from person to person but is about one millimeter per day. Considering the level of cut, early recovery should not be expected. Unfortunately, the level of healing is longer if the level of nerve incisions is high.