Hand & Micro Vascular Surgery

Hand & Microvascular surgery

The Hand & Microvascular Surgery department at the Germanten Hospital is dedicated to treating disorders of hand and wrist. The team is specialized in traumatic as well as non-traumatic conditions of the hand. There is a multimodal method used in the department that comprises several hand surgeons trained in different fields of hand surgery such as trauma, tendon transfer surgeries, nerve repairs, congenital anomalies, carpal bone fractures, wrist arthroscopy, and brachial plexus injuries.
The treatment of hand injury will depend on the condition. The most common procedures performed at the hospital are reconstruction, reimplantations, and limb-salvage surgery. The objective of the department is to reestablish the functional and aesthetic value of the hand. There is also a dedicated team of physiotherapists at Germanten who will be examining the patient for rehabilitation after the surgery.


Here are some conditions of the hand treated at 

  • Carpal Tunnel Release
  • Tendon transfers
  • Surgical Arthrodesis
  • Skin grafts 
  • Surgical Debridement
  • Limited amputations
  • Cosmetic procedures

The department also performs Microvascular surgeries that join tiny blood vessels together for transferring large amounts of tissues to reconstruct tissue defects and wounds. 

Free Flap is a technically challenging and complex procedure that has a high success rate. Here are some of the Free Flap procedures performed at Orthos centre :

  • Abdomen and chest wounds caused by cancer surgery and radiation therapy
  • Arterial or Venous Insufficiency
  • Bony Reconstruction
  • Breast Reconstruction
  • Cranial Base
  • Facial Reanimation Surgery
  • Gracilis Flap
  • Head and Neck Reconstruction
  • Inferior and Superior Gluteal Flap
  • Jaw or Jawbone (Mandible)
  • Legs (Lower Extremities)
  • Non-healing lower extremity ulcers
  • Oesophagus
  • Post-cancer Surgery
  • Restoration of facial expression after cancer surgery or nerve injury
  • Ruben’s flap
  • Salvage of Amputation Stumps
  • Scalp
  • TFL flap
  • Transplantation of functioning muscle
  • Traumatic Wounds
  • Trunk

The Orthos center also provides physiotherapy of hand ligament repair and reconstructions, hand fractures, elbow replacement, finger contracture release, tendon transfers, carpal tunnel syndrome, TFCC injuries, brachial plexus injury, crush hand injuries, and Extensor and Flexor tendon repairs.


From common hand problems to traumatic injuries or those requiring specialized expertise, our hand and microsurgery specialists in plastic and reconstructive surgery can provide you with the best care available.

Our surgeons have expertise in caring for your hands and upper extremities (arms and shoulders). Our expertise ranges from microsurgery to total elbow arthroplasty and sophisticated grafts to congenital hand surgery.

Our hand team performs over 2,500 surgical cases each year and works closely with certified hand therapists to make sure you have the quality care you need.


Traumatic injuries can cause complex injuries in your hand, causing other injuries in your bones, tendons, blood vessels, nerves, and/or skin. Our hand surgeons are skilled at repairing these complex injuries, with the goal of improving how your hand moves and flexes over time.

Some injuries can be repaired in a single surgery, but other injuries will need a staged approach, or multiple surgeries. Often, multiple parts of your hand need to be repaired, requiring individualized care both during and after surgery.

After your surgery, our surgeons will work closely with your hand therapists to make sure your hand can work as well as possible after your injury.