Day: November 4, 2025

Hand injuries and diseases can dramatically impact daily life, causing pain, limiting function, and even threatening independence. Advanced hand surgery and microsurgery play a vital role in restoring movement, reducing pain, and improving quality of life for patients with trauma, congenital differences, or degenerative conditions. At the Sushrutha Institute of Plastic Surgery, Elite Mission Hospital, Thrissur, Dr. Jyoshid Balan and his team provide world-class care for a wide spectrum of hand and wrist disorders.​

The human hand is an intricate structure made up of bones, joints, tendons, nerves, muscles, and skin, working together for precise motions and strength. Problems ranging from acute injuries to chronic illnesses, infections, and nerve entrapments require the expertise of a fellowship-trained hand surgeon for optimal treatment.​

At Sushrutha Institute, patients are welcomed by a multidisciplinary team specialized in:

• Degenerative conditions such as osteoarthritis and rheumatoid arthritis
• Traumatic injuries, including fractures and tendon ruptures
• Nerve compression syndromes (Carpal Tunnel, Cubital Tunnel Syndrome)
• Dupuytren’s Contracture and other acquired hand deformities
• Tumors (benign ganglions, malignant soft tissue masses)
• Trigger Finger and tendon disorders
• Post-burn and post-trauma rehabilitation​

Patient assessment at the clinic includes a thorough medical history, detailed physical examination, and state-of-the-art imaging—such as X-rays, ultrasounds, CT scans, or MRI—to pinpoint the source and severity of the hand problem.

Hand surgery encompasses a wide variety of procedures, tailored to the unique anatomy and pathology affecting each patient:

Common Surgical Procedures

• Carpal Tunnel Release: Relieves pressure on the median nerve by cutting the transverse carpal ligament, improving numbness and grip strength.
• Tendon Repair: Restores mobility after tears or ruptures, using direct suturing or grafting for flexor/extensor tendon injuries.
• Fracture Fixation: Uses pins, screws, or plates to realign fractured bones and enable early motion during healing.
• Joint Replacement: In advanced arthritis, artificial implants offer pain relief and restore finger/thumb movement.
• Dupuytren’s Contracture Surgery: Removes or releases thickened tissue causing finger contraction, allowing improved hand extension.
• Trigger Finger Release: Frees the tendon sheath, ending painful finger locking and restoring smooth movement.
• Microvascular Procedures: Repair tiny nerves and blood vessels using special microsurgical techniques—critical for traumatic hand injuries and replantation.​

Major injuries or congenital differences may require reconstructive techniques:

• Skin grafts and flaps cover wounds or replace damaged tissue.
• Bone grafting rebuilds lost or defective bone structures.
• Toe-to-hand transplantation restores finger function in select cases.​
• Physiotherapy and occupational therapy are integral, beginning early after the operation to prevent stiffness and optimize strength and dexterity.

The hospital’s team works closely with each patient to tailor the rehabilitation program, encouraging active participation and steady progress.

While hand surgery can dramatically improve pain, function, and appearance, every procedure carries some risks:

• Infection
• Scarring
• Stiffness
• Nerve or vessel injury
• Rarely, incomplete recovery of movement or sensation

Benefits include:

• Relief from chronic pain
• Restoration of movement and hand dexterity
• Improved ability to work, care for oneself, and enjoy hobbies
• Prevention of further injury or disability.​

Success depends on meticulous surgical technique, postoperative care, and commitment to rehabilitation.

At Sushrutha Institute of Plastic Surgery, you gain access to:

• • Expertise: Fellowship-trained hand and microsurgery specialists, lead by Dr. Jyoshid Balan
  • Comprehensive diagnostic and therapeutic services: From initial assessment to advanced imaging and specialized surgery
  • Minimally invasive solutions: Reducing pain, downtime, and scarring
  • Patient-centered care: Treatment plans tailored to your needs, with compassionate staff and structured follow-up
  • Modern safety standards: Sterile high-tech operating suites and dedicated physiotherapy spaces
  • Support every step of the way: Education, counseling, and regular checkups ensure excellent long-term results