Hand Surgery at Mashtaler Ortho&Trauma Clinic in Lviv

Hand surgery involves the treatment of injuries, compressive neuropathies, and conditions affecting the tendons, ligaments, nerves, blood vessels, and soft tissues. Its goal is to restore mobility and reduce limitations in everyday life, relieve pain, and prevent complications.

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Hand surgery in Lviv at Mashtaler Ortho&Trauma is a comprehensive service. It includes precise diagnostics, surgical treatment, and rehabilitation. We develop each treatment plan individually. Our specialists take into account the cause of pain, the nature of the injury or condition, the state of the wrist and forearm, and the patient’s daily functional load on the hand. This helps patients restore movement, grip strength, and finger control. 

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When Hand Surgery Is Necessary

Surgery is needed when the problem cannot be resolved with immobilization, medication, or physical therapy alone. You should see a doctor as soon as possible if:

• deformity, severe swelling, or inability to move appears after an injury to the fingers or wrist;
• a finger does not bend or straighten fully;
• there is numbness, tingling, hand weakness, or night pain;
• finger locking, clicking, or loss of grip strength persists;
• after a fracture, cut, or other injury, movement does not recover properly;
• a mass in the hand area is increasing in size, interferes with movement, or needs to be removed.

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Indications for Hand Surgery

Indications are determined after an examination. The doctor assesses the anatomy of the hand and clearly identifies the source of the problem. The most common indications for surgical treatment include:

• tears of the flexor or extensor tendons;
• ligament injuries with joint instability;
• displaced fractures of the bones of the hand, wrist, or forearm;
• consequences of injuries with deformity, malunion, or persistent limitation of movement;
• carpal tunnel syndrome;
• other compressive neuropathies of the nerves of the hand;
• contractures that limit hand function;
• ganglion cysts and other soft tissue masses that require removal;
• scar changes that impair tendon gliding or create tissue defects.

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Contraindications to Surgery

There are conditions in which surgery is postponed or delayed until the patient’s general health has stabilized. The final decision is made by the doctor after a consultation, examination, and assessment of the risks for each individual patient.

The most common contraindications include:

• acute infectious diseases or active local inflammation in the area of surgery;
• decompensated cardiovascular disease or other severe systemic conditions;
• blood clotting disorders that cannot be safely corrected;
• uncontrolled diabetes mellitus;
• a severe general condition in which the risks of surgery outweigh the expected benefits.

Sometimes these are temporary limitations. Once the condition has stabilized, treatment can be planned again.

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What Conditions Hand Surgery Treats

Hand surgery aims to restore the anatomy and function of the hand. This means restoring precise movements, strength, sensation, and the ability to perform everyday and work-related activities.

Tendon and Ligament Injuries

These injuries often occur after cuts, sudden traction injuries, or overload. If a flexor or extensor tendon is torn, the finger loses normal mobility. Without timely treatment, recovery becomes more difficult.

During surgery, the doctor may perform tendon repair, ligament reconstruction, tenolysis, or other procedures to restore tissue gliding. If necessary, treatment is supplemented with a protective orthosis and a rehabilitation program.

Fractures and Consequences of Injuries

Complicated fractures may require surgery. When there is fragment displacement, instability, intra-articular injury, or improper bone healing, conservative treatment may not be sufficient.

In such cases, fracture fixation may be performed using wires, screws, plates, or other fixation devices. If the injury is old, correction of deformity, tissue release, scar treatment, and restoration of finger joint function may sometimes be required.

Carpal Tunnel Syndrome and Other Compressive Neuropathies

When the median nerve in the carpal tunnel or another nerve in the hand area is compressed, pain, numbness, burning, night symptoms, and weakness may occur. In the early stages, conservative treatment may be possible. If it does not help and function continues to deteriorate, decompression becomes appropriate.

Hand surgery makes it possible to relieve mechanical nerve compression, reduce symptoms, and lower the risk of persistent sensory impairment. The longer the compression continues, the higher the risk of incomplete recovery.

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Methods of Hand Surgery and Microsurgery

At Mashtaler Ortho&Trauma in Lviv, both open and minimally invasive techniques are used. The choice depends on the diagnosis, duration of the condition, and the state of the tendons, nerves, blood vessels, bones, and soft tissues.

Treatment methods include:

• tendon repair and reconstruction;
• ligament repair and joint stabilization;
• fixation of fractures of the hand and wrist;
• nerve decompression in carpal tunnel syndrome;
• tenolysis for scar-related restriction of tendon gliding;
• removal of ganglion cysts, scars, and other masses;
• minimally invasive procedures for certain contractures;
• microsurgical techniques for working with nerves, blood vessels, and small structures of the hand;
• elements of plastic surgery to close soft tissue defects.

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How Treatment and Recovery After Hand Surgery Take Place

Treatment begins with diagnostics. This is important because similar symptoms may be caused by different conditions and may require completely different treatment approaches.

1. Consultation and diagnostics. The doctor evaluates the patient’s complaints, range of motion, sensation, and the condition of the tendons, ligaments, joints, and soft tissues. If necessary, additional examinations, such as ultrasound, may be prescribed.
2. Treatment planning. The type of surgery, the extent of reconstruction, the method of anesthesia, and the expected rehabilitation period are determined.
3. Surgery. The procedure may be performed under local, regional, or general anesthesia, depending on the complexity of the case.
4. Postoperative follow-up. The doctor monitors healing, dressings, swelling, pain, and early finger movements.
5. Rehabilitation. The recovery program is selected according to the specific problem. After minor procedures, it may last several weeks. After tendon or nerve reconstruction or complex fractures, it may take months. After surgery, it is important to return the hand to activity correctly. Rehabilitation helps restore grip, fine motor skills, strength, and coordination without overloading the injured tissues.

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Advantages of Mashtaler Ortho&Trauma

1. Experienced specialists. At Mashtaler Ortho&Trauma, hand treatment is performed by qualified doctors who work with injuries, compressive neuropathies, and damage to the tendons, ligaments, and joints.
2. Modern techniques. The clinic uses open, minimally invasive, and microsurgical methods. This approach allows the doctor to choose the best treatment option for each patient.
3. Comprehensive approach. We support the patient at every stage: from consultation and diagnostics to surgery and rehabilitation.
4. Attention to patients. The medical center accepts appointments online and by phone. We provide clear recommendations on how to prepare for the visit and inform patients about the approximate duration of procedures.

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Hand Surgery Prices at Mashtaler Ortho&Trauma

The cost of treatment depends on the diagnosis, type of surgery, complexity of the injury or condition, and scope of reconstruction. Book a consultation at Mashtaler Ortho&Trauma to clarify the prices for hand surgery.