Hand surgery in Ranchi

In India, hand surgery is largely done by plastic surgeons and orthopaedic hand surgeons. For injuries involving tendons, nerves, blood vessels or skin loss, a plastic surgeon trained in microsurgery is the right choice. Dr. Vikrant Ranjan, MCh plastic surgeon, does hand and microsurgery at Jharkhand Charitable Hospital, Ranchi.

Wrap the finger in moist clean gauze, put it in a sealed plastic bag, and place that bag on ice in a second container. Never put the finger directly on ice or in water. Press on the hand wound and come to the hospital immediately. Call 090656 39577 on the way.

Ideally within a few days. Flexor tendons in the fingers retract and become hard to repair after 2–3 weeks, when a tendon graft may be needed instead.

It depends on the injury, the timing of repair and, very much, on hand therapy afterwards. Most clean tendon and nerve injuries repaired early recover good function. Crush injuries recover less completely.

Often yes. Tendon grafts, tendon transfers, nerve repair or grafting, contracture release and joint fusion can restore function months or years after an injury.

Press on any bleeding with a clean cloth, don't wash the wound with force or pull out embedded pieces, cover the hand and keep it raised, and go straight to a hospital with a plastic or hand surgeon. Blast injuries often damage tendons, nerves and bone under the skin. See Diwali firecracker burns and hand injuries.

Press on the wound with a clean cloth, keep the hand raised, don't apply turmeric, lime or mud, and bring any cut-off part wrapped in damp cloth inside a sealed bag placed in ice water. Fodder cutter injuries crush and contaminate the hand, so they need cleaning in an operating theatre and early repair. Read the Hinglish guide ungli kat jaye to kya karein.

Tingling or numbness in the thumb, index and middle fingers, worse at night, is the typical sign. Mild cases settle with a night splint. Surgery, a short day-care release under local anaesthesia, is advised when numbness is constant, the thumb muscles weaken, or splinting hasn't helped. Read carpal tunnel syndrome: symptoms, tests and when surgery helps.

Light use such as eating, writing and using a phone is fine from the first day, and you move the fingers fully straight away. Stitches come out at 10–14 days. Most people return to desk work in 1–2 weeks and to heavy manual work in 4–6 weeks.