KHS

_{KENT HAND and WRIST SURGERY}

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Operations

At Kent Hand Surgery we treat finger, hand, wrist and elbows. Many of our common operations are listed below.

As well as treating chronic conditions we also have a specilised service for treating soft tissue and bone injuries (fractures)

TRAPEZIECTOMY

This procedure is performed via a small incision at the base of the palm. The trapezium bone is completely excised. Sometimes it is also necessary to stabilise the thumb using a tendon or other methods. Sometimes we recommend that the two bones are fused together (Arthrodesis) or the angle of the bone is changed (Osteotomy).
CARPAL TUNNEL RELEASE

This procedure is performed under local anaesthetic. The tight structures pressing upon the nerve are released. Dissolvable stitches are used.
GANGLIONS AND CYSTS

These fluid filled lumps are explored and excised via a small direct incision. This is usually performed under local anaesthetic. We aim to minimise the rate of their recurrence afterwards with a
DUPUYTRENS SURGERY

We aim to correct the finger deformity fully. We offer minimally invasive techniques as well as more complex surgery when necessary.

JOINT REPLACEMENT

This operation is performed with you awake under local anaesthetic. The painful joint is approach from the back of the finger with a curved incision. The two diseased ends of the bone are cut away and replaced with an artificial joint. It is important to the protect the finger with a specialised splint for 6 weeks.
WRIST ARTHROSCOPY (Keyhole)

The inside of the wrist joint is approached via this keyhole technique. Surgery is successful for a number of conditions such as loose bodies or cartilage tears inside the wrist.
TOTAL AND PARTIAL WRIST FUSIONS

This operation is performed when two or more of the bones within the wrist have become severely painful secondary to arthritis. The joints are exposed via an incision on the back of the wrist. The affected bones are then fixed together. The wrist will then be held in a plaster to allow the bones to completely 'knit' together

FRACTURES

We will diagnose and treat your fracture appropriately. If surgery is required then this is usually performed with techniques to minimise the discomfort and maximise the patients outcomes. We do this with a mixture of wires and plates
TENDON REPAIRS AND TRANSFERS

When hand and wrist tendons are injured they usually require either repair or transfer of another tendon unit. This condition of rupture is most common either in inflammatory conditions or following trauma
SCAPHOID BONE INJURIES

When the scaphoid bone does not heal or is healing slowly then fixation is often recommended. This serves the purpose to minimise the pain and prevent arthritis

'Wide Awake' Surgery

using local anaesthetic blocks

We can perform many of our operations under local anaesthetic
This is given by our skilled anaesthetists and avoids the need to be put to sleep under a general anaesthetic

It is usually performed with an injection in the armpit, lower arm or hand. This numbs the surgical area or the whole arm

Wide awake surgery is very safe and is excellent for post operative pain relief and often reduces the requirements for tablet pain killers.