Trauma and Emergency Hand Surgery in Ankara, Turkey

Trauma and emergency hand surgery is a multidisciplinary field that aims to treat sudden injuries to the hand and fingers quickly and effectively. Conditions such as lacerations, crush injuries, avulsions, and fractures may require urgent surgical intervention because they can lead to loss of function.

Accurate evaluation in emergency hand injuries is vital. Nerve, tendon, vascular, and bone structures should be examined one by one; after bleeding control is achieved, intervention should be planned according to the degree of damage. Delayed treatment may cause permanent injury.

In traumatic amputations and severe tissue loss, replantation or reconstruction procedures can be performed with microsurgery. Especially in cases such as finger amputations, successful surgery performed within hours can restore the function of the limb.

The rehabilitation process after emergency hand surgery plays a critical role in functional recovery. The hand’s strength and range of motion are supported with splint use, physical therapy, and motor skill exercises. Early intervention and the right surgical approach increase long-term success.

Things You Should Know Information
Definition Trauma and emergency hand surgery is the urgent evaluation and treatment of tissue, tendon, nerve, vascular, and bone injuries of the hand and fingers that develop after cutting, piercing, crushing, burn, or high-energy traumas.
Common Injuries Finger and hand lacerations, tendon and nerve ruptures, vascular injuries, amputation (finger or hand), fractures, dislocations, crush injuries, high-pressure injection injuries.
Affected Structures Skin, muscle, tendons (flexor and extensor), nerves (median, ulnar, radial), vessels (artery/vein), bone, joint capsule.
Criteria for Emergency Intervention Active bleeding, nerve paralysis, circulatory impairment, full-thickness laceration, amputation, infected wounds, open fractures, and loss of function.
Types of Trauma Cutting-piercing wounds (knife, glass), crush traumas, industrial accidents, entrapment in machinery, burns and electric shock.
Evaluation Steps 1) Assessment of vital signs (ATLS approach), 2) Circulatory, motor, and sensory examination of the injured hand, 3) Tetanus prophylaxis and imaging (X-ray, MRI/ultrasound if necessary).
Types of Surgical Intervention Tendon repairs, nerve repairs, vascular repair, fracture fixation (plate/screw/pin), microsurgical replantation after amputation, skin graft/flap surgery.
Need for Microsurgery Microsurgical technique is mandatory in finger or hand replantations and in vascular and nerve repairs.
Timing The ideal repair time for nerve and tendon injuries is within the first 72 hours. In amputations, replantation should be planned within the first 6–8 hours.
Emergency Management Bleeding control, elevation, sterile dressing, pain management, antibiotic prophylaxis, emergency consultation and surgical planning.
Immobilization When necessary, the healing process is initiated by applying a cast, splint, or external fixator.
Postoperative Follow-up Wound monitoring, infection control, physical therapy and rehabilitation; sensory and motor functions are evaluated regularly.
Rehabilitation Functional hand therapy, range-of-motion exercises, muscle strength gain, sensory re-education.
Complications Infection, joint stiffness, muscle-tendon adhesions, nerve palsies, circulatory impairment, hypersensitivity at the amputation site or neuroma development.
Related Departments Plastic surgery (hand surgery), orthopedics and traumatology, emergency medicine, microsurgery, physical medicine and rehabilitation.
Prof. Dr. Serdar Nasır
Specialist in Plastic, Reconstructive and Aesthetic Surgery, Hand Surgery

He completed his medical education at Ankara University Faculty of Medicine in 1996 and his specialty training between 1996–2002 at Hacettepe University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery.

Between 2002–2009, he worked at Süleyman Demirel University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery.

Since 2009, he has been working at Hacettepe University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery. He received the title of Associate Professor in 2011. In 2019, Dr. Nasır became a Professor and continues to work as a faculty member in this position.

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    What Is Trauma and Emergency Hand Surgery?

    Trauma and emergency hand surgery is the medical specialty that deals with the diagnosis and surgical treatment of sudden injuries in the hand and upper extremity. Lacerations, tendon and nerve injuries, vascular damage, fractures, avulsions, and crush-type traumas are evaluated within this scope. The aim is to preserve or restore hand function at the highest level, reduce pain, and ensure that the patient returns to daily life activities as soon as possible.

    Frequently Asked Questions

    Trauma and emergency hand surgery is a surgical subspecialty that diagnoses and treats emergencies such as fractures, amputations, and lacerations in injuries of the hand, fingers, wrist, and forearm.

    Emergency hand surgery is necessary in serious conditions such as open fractures, tendon and ligament injuries, nerve damage, partial amputations, crush injuries, and foreign body penetrations.

    Controlling bleeding, applying cold, immobilizing if there is a fracture, and seeking medical care as soon as possible are the basic first-aid steps. If tissues are amputated, they should be transported protected with a sterile cloth if possible.

    In addition to physical examination, imaging methods such as X-ray, ultrasound, or MRI are used to evaluate bone, tendon, and soft tissue damage, and urgent surgery is planned.

    Emergency surgery may be required in unstable, displaced hand fractures or fractures involving the joint surface. Small and stable fractures can be followed with conservative methods.

    Early surgical repair is preferred in tendon ruptures. Timely repair improves functional recovery of the tendon and regaining range of motion.

    Yes; since hand nerve injuries can lead to serious functional losses, surgical repair should ideally be performed early.

    Yes; physiotherapy and exercise programs are of great importance for regaining finger and hand movements, muscle strength, and function.

    Complications such as infection, stiffness, adhesions, nerve damage, limited movement, and chronic pain may be seen. Early treatment and regular follow-up reduce these risks.

    In emergencies, it is performed as soon as possible once the patient’s general condition is stabilized. Delays may lead to permanent loss of function.

    In cases requiring trauma and emergency hand surgery, the Plastic, Reconstructive and Aesthetic Surgery department should be consulted. Plastic surgeons experienced in microsurgery and hand surgery minimize loss of function with emergency intervention and provide both aesthetic and functional repair.