The bones, nerves, joints and muscles of the hands, wrist, forearm, elbow and shoulder are critical to nearly every activity of daily living. When injury or disease threatens their viability, overall quality of life is at risk as well. HPH’s Hand Service is world renowned for treating children and adults suffering from all bone and soft-tissue conditions of the hand and upper extremity.
Minimally Invasive Hand and Wrist Surgery
Minimally invasive hand and wrist surgery refers to treatment of bone and soft tissue injuries without the need for traditional open incisions. Instead, with the aid of various tools and techniques, the orthopaedic hand surgeon is able to visualize and repair the affected area through one or more small incisions or portals in the skin. Benefits of this approach include reduced risk of injury to surrounding healthy soft tissues, a speedier recovery, and minimized scarring.
Minimally invasive hand and wrist surgeries may be divided into two categories, those that employ arthroscopy to directly visualize internal structures and those that use indirect techniques of visualization and percutaneous surgery. In arthroscopic surgery, the orthopaedic surgeon inserts an instrument equipped with a miniaturized video camera into a joint space to obtain a magnified, high-resolution image of the joint. This image is projected onto a monitor in the operating suite. The surgeon can directly visualize and treat the affected tissues using additional instruments that are inserted through accessory portals. During percutaneous procedures, the hand surgeon performs surgery by inserting instruments or fracture fixation devices directly through the skin, and most often monitors the accurate placement of these devices with the use of x-rays or fluoroscopy.