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Home ›Hand & Upper Limb Reconstruction
Pillar 07 · 32 pages

Hand & Upper Limb Reconstruction

Tendon and nerve injuries, compression syndromes and digit reconstruction, treated so the hand grips, feels and works.

Plan your treatment How treatment is planned →
Hand & Upper Limb Reconstruction, Elegance Clinic Surat
Who this is for

Anyone with a hand or forearm injury, numbness or weakness, a contracture, or a digit that no longer works.

First visit

Examination of movement, sensation and strength, with imaging or nerve studies where needed, and a written plan.

Where surgery happens

Dedicated theatre with tourniquet control and magnification; day care for many procedures.

Cover

Injury repair is generally payable under mediclaim; elective procedures are quoted in writing.

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The pathway

How treatment is planned, step by step

Nothing here is improvised. The sequence below is how care in this specialty is actually organised, and your own written plan follows it.

01
Early Primary repair

Cut tendons and nerves do best repaired early, within days, before the ends retract and scar.

02
Weeks Protected motion

Splints protect the repair while guided exercises keep tendons gliding, the balance that decides outcome.

03
Months Strength

Grip and pinch strengthen progressively; nerve recovery is followed over months as sensation returns.

04
Later Secondary surgery

Tendon transfers, grafts and joint procedures reconstruct hands where primary repair was missed or failed.

Why a plastic surgeon

Function first, appearance close behind

"A hand operation is one third surgery and two thirds therapy. Skip the therapy and the surgery is wasted."

Hand surgery is judged in function: the ability to button a shirt, hold a tool, feel a coin. Every plan is built around that.

Delayed presentations are common and still treatable; tendon transfers and grafting rebuild function months or years after injury.

Dr. Ashutosh Shah
Dr. Ashutosh Shah Plastic, Reconstructive & Cosmetic Surgeon (DNB)
Operating microscope
Dedicated theatre team
Day care recovery
Physiotherapy liaison
22+Years in practice
32Pages in this pillar
Day careMany procedures
Case gallery

Cases from this specialty, consented

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Before / After
Flexor tendon repair, zone IIPrimary repair · 12 weeks
Before / After
Carpal tunnel releaseDay care · 6 weeks
Before / After
Fingertip reconstructionLocal flap · 8 weeks

Published with documented patient consent, generalised for age and sex, in line with advertising norms applicable to medical practitioners in India.

Costs & schemes

Costs & cover

Published bands are for Surat and include surgeon, anaesthesia, theatre and standard stay. Where a band is not published, a written estimate follows examination. Cover under mediclaim and schemes is confirmed before admission.

Ask for an estimate →
Flexor tendon repair
₹40,000 to ₹85,000
Mediclaim
Carpal tunnel release
Written estimate
After assessment
Tendon transfer surgery
Written estimate
After assessment
Questions patients ask

Straight answers, before you decide

These are the questions that come up in consultation most often. If yours is not here, send it on WhatsApp and the team will reply, usually the same day.

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Ideally within days of the injury, before the tendon ends retract and scar. Delayed repair is still possible but may need grafts or transfers, so early review of any deep cut is worthwhile.

Nerves regrow slowly, roughly a millimetre a day, so sensation returns over months, not weeks. Recovery is followed at reviews and supported with therapy.

Not always. Early cases may settle with splinting and injection. Surgery is advised when numbness is constant, waking you at night, or weakness appears, because long compression damages the nerve permanently.

Desk work is often possible within two to three weeks with the splint on; manual work returns in stages between six and twelve weeks depending on the operation and your therapy progress.

Repair after injury is generally payable under mediclaim. Elective procedures are quoted in writing after examination, with cover checked against your policy first.

A repaired tendon or nerve only becomes useful if the hand is moved in a controlled way at the right time, otherwise stiffness and adhesions limit the result. The therapy schedule is part of the surgical plan, not an optional extra.

Often yes, though the approach depends on why it is stiff, whether from scarred tendons, joint tightness or an unhealed injury. Assessment usually starts with therapy, and surgery is considered when progress stops.

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