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Hand Surgery 
On the Plastic Surgery field, the hand surgery includes as the functional restoration and the appearance. This type of procedures is mainly? made as a result of trauma and accidents; presence of congenital deformities and even infections.
?Among the conditions that occur in the hand and are potentially curable we have:
Carpal Tunnnel Syndrome
This is a condition in which the Medial Nerve, that provides sensibility an movement tho the thumb, first and middle finger; is compressed possible because repetitive movements (typing), previous lesions, wrist joint abnormalities and metabolic disorders.
As a result of compression, symptoms as tingling sensations, pain, weakness and diminished sensibility appears.
Its treatment varies with the stadium of the disease and the associated medical conditions in the patient.? The surgery as such is carried out by local anesthesia in the majority of the occasions and in an ambulatory center, since does not require of hospitalization.? Technically it consists of the liberation of the structures that compress the nerve and the subsequent stabilization of the wrist by a ferulae.
Dupuytren Disease
It?s etiology or causes are still unknown, this illness is characterized for the presence a contraction and thickening of the wrapping of the muscles of the hand, what favors the apparition of fibrous nodules in the surface of the palms, especially between the skin and the tendons. These changes produce long-term a contraction of the hand in its position of flexion, although this is long- term and in some people not the illness can progress.
The people that are more susceptible to be affected are those with diabetes, alcoholism, epilepsy and those with advanced age.
Its treatment consists of the separation and cut of the thickening, which liberates the tendons and by the type of incisions that are performed, the tension that these bands produced can be scattered.
Congenital malformations
By means of the plastic surgery, is also possible to correct those defects of birth in which the anatomy and the function of the hand are affected.? The optimum time to correct these defects varies with each patient and illness particularly, although should always be opportune to avoid that the function remain affected permanently.
Among the malformations that can be corrected we have, Sindactilia or fusion between two or more fingers, the Polidactilia or presence of a greater number of fingers than the normal; as well as motionless tendons or nerves and aberrant blood vessels.
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