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Hand Surgery

Explore what others have to say about hand surgery with answers by Dr. Michael Bermant, MD.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

Reconstructive Reconstructive Surgery Hand Hand and Nerve Cosmetic Cosmetic aesthetic Congenital Breast Breast Breast Head & Neck plastic surgeon Skin Cancer skin cancer Microsurgery

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Hand Surgery

Subj: Re: toe to thumb transfer

I heard about this toe to thumb transfer and i was wandering if you could give me any information or referral. thanks in advance.

Dr. Bermant responds:

Toe to thumb surgery is designed to reconstruct missing thumbs from traumatic defects. A toe or parts of a toe are removed from the foot and the vessels, tendons, and nerves reattached to the hand. The surgery is not for all defects and there are several variations depending on the problem. Success depends on the patients efforts, good hand therapy, and an experienced surgical team. Rehabilitation takes months and as such is better managed near where you can stay for the prolonged therapy. Toes can also be used to rebuild other missing fingers but are rarely used unless there are multiple missing digits and there is an opposing thumb.

Yes I perform this surgery.

The American Society of Plastic Surgeons can be reached by calling 1-800 635-0635. They will send some preliminary information and a list of board certified surgeons in your region.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737.

Michael Bermant, MD

Subj: Re: Born with underdeveloped Hand

The daughter of a friend was born with a partially developed right hand. She has been told that it may have been caused by Amniotic Band, or possibly Synbrachydactyly. She is about 8 months old, and is normal otherwise. What would you suggest as treatment, or surgery to give her a usable right hand. She lives in New York and is willing to travel to see specialists. I am got your E-mail address from the internet. My friend does not have a computer so I am helping her out. If you wish I can put you in touch with the parents of this child.

Thank You.

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

There are many forms of "partially deformed hands" each has different options. Amniotic bands cause constriction of parts and can impair development of structures. Frequently a constriction of tissues results requiring a release. Symbrachydactyly is a transverse absence of parts of the hand. An X-ray can demonstrate the underlying skeletal deformity and is part of the analysis. Reconstruction depends on the deformity.

A child has amazing powers of adaptation and frequently can make what would seem to be an impossible combination of bones and tissues work. Your best options are for an analysis by a board certified surgeon who deals with congenital hand deformities. Good hand therapy is essential with any reconstruction. Although long distance hand reconstruction is possible, local treatment has the value of a closer relationship of surgeon and therapist.

The American Society of Plastic Surgeons can be reached by calling 1-800 635-0635. They will send some preliminary information and a list of board certified surgeons in your region. We also see patients who travel for our care.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737.

Michael Bermant, MD

Subj: Re: information severe hand injury

Dr. Bermant,

I am not exactly sure what kind of surgery your clinic generally does, however I am writing because I am facing a problem in relation to hand/arm reconstruction. In 1989, I was involved in a hunting accident involving a shotgun and a left arm that happened to be in the wrong place at the wrong time <may as well make light of it, it is already done :)>. I had numerous reconstructive surgeries, bone grafts, skin grafts, operations to reduce the size of the skin graft, removal of pins, etc. I have experienced no end of discomfort, waking throughout the night, pins and needles, etc since the operations. I have gotten to the point that I would much rather have the lower part of my arm amputated than to bother with this anymore. I used to be a rather avid hunter, now because of the weakness and pain in using my left arm this has became a nearly useless venture. I have done a fair amount of research into prosthetics and have talked to several prosthetists. I personally believe that I would be much more satisfied as an amputee than in my current position. I am in search of a good surgeon in this field.

Please excuse the length of this letter and its rather rambling nature, but I believe that a time has come to finally get some answers and solutions to my problems.

Thank you,

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Yes I work with severe hand injuries. Many patients with such injuries have difficulties dealing with their situation. Hand function is not always restorable to preinjury levels. The pain and loss of use can cause REAL problems. You need to discuss this with your physicians and therapists. If you have done this already, do it again. Sometimes psychological therapy offers some insights.

Your note is not too long nor rambling. Your hand must really bother you. I hope you can sit down and get some insight with you doctors, they know your case. If you are looking for other resources, the American Society of Plastic Surgeons can be reached by calling 1-800 635-0635. They will send some preliminary information and a list of board certified surgeons in your region. A good hand surgeon can be either a plastic surgeon or an orthopedic surgeon. It sounds like you are frustrated with your condition and not your doctors. If such go ask for help.

Good luck,

Michael Bermant, MD

 

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