Reconstructive hand surgery addresses hand injuries and disorders and aims to restore function of a hand, wrist or fingers that have undergone trauma or naturally developing conditions. Its goal is also to reduce pain from specific medical conditions and to treat certain diseases.
In the Toronto area, Dr. Chivers offers the most comprehensive reconstructive hand surgery options for his patients. With over a decade of experience in the field, he has helped numerous patients recover from debilitating injuries, diseases and conditions.
Dr. Chivers offers a wide range of reconstructive hand surgeries for his patients, including:
|Ganglion Cysts||Ganglion cysts are fluid-filled sacs that appear on the back of the hand near the wrist, on the finger near a joint or on the foot or toe and can cause pain in some patients if not removed surgically.|
|Carpal Tunnel Surgery||A surgical procedure that relieves the pain of carpal tunnel syndrome by cutting the transverse carpal ligament. Dr. Chivers offers standard open release surgery and, in addition, is one of a few plastic surgeons in Ontario also performing this surgery endoscopically. It’s minimally invasive surgery, because it treats conditions through much smaller incisions. During Endoscopic Carpal Tunnel Release (ECTR), Dr. Chivers makes a small incision through which he inserts an endoscope (a thin tube with a camera) to visualize the transverse carpal ligament and cut through it with smaller instruments that are also inserted through the same small incision. While the procedure itself takes a little longer than open release surgery, the recovery time is much shorter. Endoscopic Carpal Tunnel Release is especially recommended for patients with bilateral (both hands) carpal tunnel syndrome.|
|Trigger Finger||Trigger finger (stenosing tenosynovitis) is a painful condition due to inflamed tendons that causes the finger or thumb to lock when in a bent position. Tendon release surgery cuts the tendon sheath near the affected finger.|
|Mallet Finger||Mallet finger is a deformity of the finger caused by a tendon injury preventing the end joint of a finger or thumb to straighten. It’s commonly called “baseball finger” and requires surgery to repair the tendon when it has been torn.|
|Tendon injuries||Many other tendon injuries in the hand can also be corrected through outpatient surgical repair period.|
|Dupuytren’s Disease (or Contracture)||This condition is a result of palmar fibromatosis and causes the affected fingers to bend toward the palm, preventing full extension. Treatment consists in surgically removing the diseased tissue (fascia) from the hand.|
Candidates for hand surgery are patients that experience pain or difficulty due to a hand condition, disease or injury. Because surgical procedures are invasive, candidates should be in overall good health. Patients need to understand that not all conditions can be completely treated with hand surgery or may require multiple surgeries and physiotherapy. Dr. Chivers will fully explain your options and details of your condition and surgery during the initial consultation.
Each hand surgery has a different recovery time depending on the type of the surgery performed. The shortest recovery time may be just a few weeks while major injuries or conditions may result in months of recovery. After all hand surgeries the patient should try to avoid performing most activities with the recovering hand. If you have any questions or concerns during your recovery process, the staff of the Canadian Plastic Surgery Centre is available to provide any assistance you need.
If you are experiencing any kind of pain due to a hand condition or have a hand condition that interferes with your daily life, please contact the Canadian Plastic Surgery Centre and book your consultation with Dr. Chivers.