Hand and foot surgery, inpatient care
Due to the complex function and intricate anatomy of the hand, the treatment of hand disorders is addressed by a distinct subspecialty within medicine known as hand surgery.
The reconstruction of the hand’s structures requires specialized knowledge and extremely delicate technique.
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What hand and elbow surgery procedures are available at Medicare Hospital?
Benign lesion of the wrist, hand and fingers. Usually, an enlargement of the joint capsule or tendon sheath, in which a jelly-like substance grows. It can be removed under local or conduction anaesthesia, as a one-day surgical procedure.
Benign hand soft tissue tumour excision
Benign soft tissue lesions on the hand that do not clearly show signs of malignant cancer. They can be removed under local or conduction anaesthesia, as a one-day surgical procedure. After the surgery, the removed material is sent for histological examination for accurate diagnosis.
Benign hand bone tumour removal
Benign bone lesions on the hand that do not clearly show signs of malignant cancer. They can be removed under conduction anaesthesia or general anaesthesia, as a one-day surgical procedure. The removed bone mass is filled with either material taken from the patient’s own bone or with an artificial bone substitute. After the surgery, the removed material is sent for histological examination for an accurate diagnosis.
Gouty deposit excision
Removal of gouty deposits causing complaints on the hand under local or conduction anaesthesia as a one-day surgical procedure.
Treatment of chronic tendon adhesion following injury or inflammation using tendon release
In cases of flexor or extensor tendon injuries, adhesion following inflammation, or restricted movement, scar tissue removal is performed under local, nerve-block anesthesia, and tendon release is performed as a same-day surgical procedure.
Treatment of chronic, stiff joints resulting from injury or inflammation, and restricted range of motion, using joint mobilization
Removal of scar tissue and release of adhesions under local or regional anesthesia or general anesthesia, with the aim of improving joint mobility, performed as part of a same-day or outpatient surgical procedure.
Thumb base collateral ligament rupture with instability, collateral ligamentoplasty made from the patient’s own tendon
In the case of a non-recent rupture of the collateral ligament of the thumb base, the stability of the joint is restored with a collateral ligament made from the patient’s own tendon under general anaesthesia, as a one-day surgery.
Childhood, congenitally fixed thumb, tendon sheath incision, tendon release
In early childhood, congenital narrowing of the flexor tendon sheath of the thumb, adhesion of the tendon, as a result of which the thumb is fixed in a bent position and cannot move. Opening of the narrowed tendon sheath ring, release of the tendon under general anaesthesia, as a one-day surgery.
Shrinkage of the flexor tendon sheath ring of the fingers following strain and inflammation, as a result of which flexion of the finger is painful and weakened. In more severe cases, the tendon can only move in the tendon sheath with a noticeable snap. The narrowed tendon sheath ring is intersected under local anaesthesia, as a one-day surgery.
De Quervain tenosynovitis incision
Shrinkage of the extensor tendon sheath of the thumb following strain and inflammation, with painful swelling in the wrist area, as a result of which extension of the thumb and certain movements of the wrist are painful and weakened. The narrowed tendon sheath is intersected under local anaesthesia, as a one-day surgery.
Pain resulting from compression of the median nerve running in the carpal tunnel of the wrist, weakness of grip strength, numbness of the thumb, index and middle fingers. The thickened ligament system of the narrowed carpal tunnel is cut and the nerve is released under local anaesthesia or short general anaesthesia, as part of a one-day surgery.
Ulnar/Guyon/tunnel syndrome, nerve release
Pain resulting from compression of the ulnar nerve running in the carpal tunnel, numbness of the ring and little fingers, and in more severe cases, atrophy of the small muscles of the hand. The thickened ligament system is cut and the nerve is released under local anaesthesia or short general anaesthesia, as part of a one-day surgery.
An abnormal shrinkage of the fibrous connective tissue system on the palmar surface of the hand with skin retraction and forced flexion of the fingers. In the case of a milder lesion affecting one finger, the surgery can be performed under local anaesthesia, by cutting the shrunken fibers with a needle or through a skin incision of a few millimetres.
In the case of a more severe lesion affecting several fingers, the surgery can be performed under anaesthesia or conduction anaesthesia, with an extensive skin incision corresponding to the affected palmar radius, followed by complete removal of the shrunken, pathological tissues. A 24-hour hospital stay is recommended after the surgery.
In the case of more severe, recurrent lesions, the surgery can be performed under general anaesthesia or conductive anaesthesia, with an extensive skin incision corresponding to the affected palmar radius, followed by complete removal of the shrunken, pathological tissues. A skin graft is required to close the resulting skin defect. A 24-hour hospitalization is recommended after the surgery.
Hand skin defect, Z-plasty, Krause plasty
Surgical procedures for replacing skin defects resulting from surgeries, injuries, and scarring. They can be performed under local or conductive anaesthesia.
I. CMC joint arthrosis, interposition arthroplasty
Wearing and deformation of the saddle joint located at the base of the thumb, which causes instability, pain, and restriction of finger movements. The surgery can be performed under general anaesthesia or conduction anaesthesia by removing the worn joint surfaces and stabilizing the thumb with its own tendon inserted into the joint.
Finger joint instability, joint stiffening
Previous injuries, joint wear, rheumatoid arthritis, and instability in the small joints of the hand. If no other treatment or surgical solution is available, the joint can be stiffened with screws, K-wires, or discs under general anaesthesia or conduction anaesthesia, as a one-day surgery, to make the joint pain-free.
Tendon transfer after extensor tendon rupture
Tendon transfer after extensor tendon rupture from the adjacent finger to replace lost movements, under general anaesthesia.
Pain resulting from compression of the ulnar nerve running in the tunnel on the inner side of the elbow joint, with numbness of the ring and little fingers, and in more severe cases, atrophy of the small muscles of the hand. Under local anaesthesia or short anaesthesia, the thickened ligament system is cut and the nerve is released as part of a one-day surgery procedure.
Pain resulting from compression and abnormal displacement of the ulnar nerve running in the tunnel on the inner side of the elbow joint, with numbness of the ring and little fingers, and in more severe cases, atrophy of the small muscles of the hand. Under anaesthesia, the thickened ligament system is cut, the nerve is released, and its transfer into a new canal formed from muscles is performed as part of a one-day surgery procedure.
Tennis elbow release
Scarring and sterile inflammation resulting from straining of the forearm muscles attached to the outer side of the elbow joint and humerus, with pain and limited mobility. Following unsuccessful conservative therapy, a one-day surgery can be performed under local, conduction anaesthesia or short anaesthesia, during which the inflamed, painful area is released, the dead muscle fibers and periosteum are removed.
Golfer’s elbow release
Scarring and sterile inflammation resulting from straining of the forearm muscles attached to the inner side of the elbow joint and humerus, with pain and limited movement. Following unsuccessful conservative therapy, a one-day surgery can be performed under local, conduction anaesthesia or short anaesthesia, during which the inflamed, painful area is released, the dead muscle fibers and periosteum are removed.
At our institute, acute hand injuries are treated in the Emergency and Trauma Department, with the involvement of a hand surgeon as needed.
Due to the need to protect other surgical patients, hand surgery does not offer treatment for inflammatory lesions suspected of being infectious.
Foot surgery
Deformities associated with foot contour deformities belong to the field of orthopaedics and foot surgery. Although foot contour deformities initially cause only aesthetic problems, in the absence of proper treatment they can eventually lead to painful walking and wearing shoes feel uncomfortable.
The challenges of everyday life also leave their marks on our feet: continuous walking on smooth surfaces, wearing various shoes (high heels in case of women), standing for long periods of time and overloading the lower extremities can lead to foot deformities.
We can talk about three main contour deformities: inner contour deformities (e.g. bunions hallux valgus), upper, dorsal contour deformities (e.g. hammertoes digitus malleus) and lower, plantar contour deformities (e.g. plantar fasciitis metatarsalgia).
If conservative treatment methods (insoles, physiotherapy, electrotherapy, painkillers, etc.) do not prove effective and the deformity is so severe that it cannot be corrected in any other way, foot surgery is warranted.
What foot surgeries are available at Medicare Hospital?
A benign lesion of the foot. Usually, an expansion of the joint capsule or tendon sheath, in which a jelly-like substance grows. It can be removed under local or conduction anaesthesia, as part of a one-day surgery.
Benign foot and ankle tumour excision
Benign soft tissue lesions on the foot that do not clearly show signs of malignant cancer. They can be removed under local or conducted anaesthesia, as a one-day surgery. After surgery, the removed material is sent for histological examination for accurate diagnosis.
Correction of the I. radial angle of the foot by drilling the bone, then screw fixation, spinal anaesthesia or general anaesthesia. A 24-hour hospital stay is recommended after surgery.
Correction of the disturbing hammertoe deformity is performed by drilling the bone, under local, conduction anaesthesia, as a one-day surgery.
Correction of the troublesome hammertoe deformity by drilling the bone, replacing the joint, using local, conduction anaesthesia, as a one-day surgery.
Moderate wear of the I. metatarsal joint, bone removal, joint mobilization
In the case of painful, moderate wear of the I. metatarsal joint, removal of the interfering bone fragments is performed under general anaesthesia or spinal anaesthesia, as a day surgery.
Advanced wear of the I. metatarsal joint, joint immobilization
In the case of advanced, painful wear of the I. metatarsal joint, joint immobilization is performed under general anaesthesia or spinal anaesthesia, as a day surgery.
Tarsal-plantar tunnel syndrome, nerve release
Pain resulting from compression of the nerve running in the tarsal-plantar tunnel, with numbness of the toes. The thickened ligament system of the narrowed tunnel is cut and the nerve is released under general anaesthesia or spinal anaesthesia.
Morton’s neuroma removal
Inflammation of the nerve running between the metatarsal bones, a benign tumour with severe pain and numbness of the toes. The inflamed, swollen, proliferating nerve segment is removed under general anaesthesia as a one-day surgical procedure.
Metatarsalgia – painful inflammation of the metatarsal joints, simultaneous axis correction of several metatarsal bones
In case of painful inflammation of the metatarsal joints resulting from abnormal stress, the affected metatarsal bones are cut under general anaesthesia, and their axis is corrected, thereby reducing the load on the joints while walking.
Surgical excision of benign proliferation, shrinkage of the plantar fascia
Abnormal shrinkage, proliferation of the fibrous connective tissue system on the plantar surface of the foot with skin retraction, possibly with forced flexion of the toes. The surgery can be performed under general anaesthesia or spinal anaesthesia, with an extensive skin incision corresponding to the affected plantar fascia, followed by complete removal of the shrunken, pathological tissues. A 24-hour hospitalization is recommended after the surgery.
Convenience services
We accommodate our clients in a modern, pleasant, air-conditioned single room. Each room has a private bathroom, fridge and TV, as well as free WIFI access. We also provide our clients with individual nurse supervision, who will help your continuous recovery during your stay.
Dr. Császár Zsolt
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Dr. Tánczos Tamás
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Dr. Bokrétás András Péter
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