Question 1

What is the difference between an orthopedic hand surgeon and a plastic surgery hand surgeon?

Accepted Answer

Both orthopedic and plastic surgery trained hand surgeons complete the same hand surgery fellowship and are equally qualified to treat hand conditions. Orthopedic surgeons have more extensive bone and joint training during residency, while plastic surgeons have more training in soft tissue reconstruction and microsurgery. In practice, both perform similar procedures. The Certificate of Added Qualifications (CAQ) in Surgery of the Hand is the same regardless of base specialty, ensuring equivalent competency.

Question 2

How long does recovery take after carpal tunnel surgery?

Accepted Answer

Most patients experience significant symptom relief within days to weeks after carpal tunnel release. The incision heals in 2-3 weeks, and light activities can often resume within 1-2 weeks. Full grip strength typically returns over 2-4 months. Factors affecting recovery include symptom duration before surgery, severity of nerve damage, and type of work performed. Endoscopic procedures may have slightly faster recovery than open techniques.

Question 3

Can severed fingers be reattached?

Accepted Answer

Yes, replantation (surgical reattachment) is possible in many cases, but success depends on multiple factors: the level and mechanism of amputation, condition of the amputated part, patient health, and time from injury. Clean, sharp amputations have better outcomes than crush or avulsion injuries. If you experience an amputation, wrap the severed part in moist gauze, place it in a plastic bag, and keep it cool (but not directly on ice). Seek emergency care immediately - time is critical.

Question 4

When should I see a hand surgeon versus a hand therapist?

Accepted Answer

See a hand surgeon for diagnosis, surgical evaluation, and management of conditions that may require operative intervention. Hand therapists (occupational or physical therapists with hand specialty certification) are excellent for rehabilitation after injury or surgery, and for treating many conditions conservatively with splinting and exercises. Often, care involves both professionals working together. Your primary care doctor can help determine the appropriate starting point.

Question 5

What is the success rate for hand surgery procedures?

Accepted Answer

Success rates vary by procedure and condition but are generally excellent. Carpal tunnel release has a 90-95% success rate in relieving symptoms. Trigger finger release is successful in over 95% of cases. Fracture fixation success depends on fracture pattern and patient factors but exceeds 90% for most hand fractures. Tendon repair outcomes depend significantly on post-operative therapy compliance. Your surgeon can provide specific success rates based on your condition and circumstances.

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