Hand Surgery. Microsurgery. Plastic Surgery - Treatment Concepts

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Hand Surgery. Microsurgery. Plastic Surgery. Our Treatment Concepts

State-of-the-art surgical techniques and personalised treatment

Modern wound care promotes the restoration of hand function after a surgery.

We use the latest surgical techniques to relieve pain and restore function in hands affected by injuries or degenerative changes. Your wellbeing is the focus of our work. We always endeavour to offer the best possible treatment concepts for your disorder, in which we combine the latest scientific knowledge, our many years of experience and your needs. Comprehensive follow-up care, modern wound management and good nursing care are further factors in the success of our treatment.

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Minimally invasive hand surgery: Microsurgery

Technical advances in medicine have also made their mark on hand surgery. Nowadays, it is possible to examine a wrist from the inside using an arthroscope via the smallest skin incision and to treat injuries using minimally invasive (keyhole) procedures. With over 300 wrist arthroscopies performed each year, we are at the forefront on an international scale. High-performance microscopes are used to reconstruct injured blood vessels and nerves which are less than one millimetre in diameter. Suture materials are available for these procedures that cannot be seen with the naked eye.

Modern osteosynthesis techniques

We always endeavour to offer our patients the best osteosynthesis procedures with the latest implants for the treatment of fractures. The range of treatments available for fractures has increased considerably due to improved implants. The development of new so-called fixed angle titanium plates, for example, has resulted in major improvements in the surgical care of distal radius fractures, one of the most common forms of fractures in humans. Furthermore, scaphoid fractures, one of the most common forms of fracture associated with sporting injuries, can be optimally stabilised with titanium screws in a minimally invasive procedure. In all cases, patients benefit from significantly shorter postoperative immobilisation and a better functional outcome.

Fitting of prosthetics

Certain systemic diseases such as chronic polyarthritis (rheumatism) or polyarthritis in the small joints of the fingers and trauma affecting the joints may lead to progressive damage in the joints affected. This will generally result in considerable pain, swelling and impaired mobility. Joint replacement has become an established part of hand surgery thanks to the development of new and modern types of prosthesis.

If indicated, we can offer the following prostheses with a high level of success.

Wrist prostheses
Radial-head prostheses
Ulnar head prostheses
Metacarpophalangeal joint prostheses
Interphalangeal joint prostheses

Treatment of congenital deformities

It is initially a shocking experience for parents when their newborn child turns out to have a congenital deformity. In the upper extremities, deformities range from simple forms such as a double thumb or fingers that have grown together to complex forms in which individual fingers or even parts of the arm are missing. We are there for these parents in both word and deed from the moment their child is born as the use of special surgical techniques will in many cases make it possible to correct congenital or traumatic dysfunction in the child's hand at an early stage of their growth, and thus to prevent or alleviate any symptoms that could potentially result.

Specialist area - plexus surgery

One of our specialist areas is the treatment of injuries to the brachial plexus (a network of nerves at the level of the shoulder and armpit). Injuries to the plexus may occur as early as during birth. However, they are typically the result of a motorcycle accident. Our team includes surgeons with broad experience in plexus surgery. This makes it possible to identify the precise location of the damage based on deficits observed and to select the appropriate surgical technique. Interdisciplinary cooperation with the Munich Plexus Surgery Working Group enables us to ensure that our patients receive a particularly high level of quality in terms of planning for and performing this delicate form of surgery.

Postoperative follow-up care

Follow-up care is a highly important factor in the success of a surgical intervention on the hand. To this end, our experienced team of hand therapists will prepare a tailored follow-up treatment plan in agreement with the surgeon for each patient. Our ergotherapy department makes customised splints to the highest specifications for our hand patients depending on their needs and on requirements.