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Plastic Reconstructive & Hand Surgery Unit

Plastic Reconstructive and Hand Surgery Unit

This is one of the oldest units in Ethiopia dedicated to reconstructive and hand surgery, Hand therapy and rehabilitation. It was founded in 1922 when the hospital was founded as Princes Zenebework Memorial Hospital. The purpose of this unit was to reconstruct deformed hands, feet and faces of Leprosy disabled patients, besides other common hand conditions challenging the developing world.

This Centre today has evolved into one, treating diverse problems of plastic, reconstructive and hands and peripheral nerve dysfunctions with Reparative, Reconstructive and Replacement surgery supported by excellent hand therapy.

Training of Post doctoral Fellows in Plastic, reconstructive and hand Surgery, Orthopedics Postgraduates, Plastic Surgery postgraduates, neurosurgery postgraduates are a vital part of the unit’s responsibility.

Problems Treated:

  • Complex Orthopedic hand problems, Plastic hand problems and Peripheral Nerve dysfunctional problems with ALL methods of surgery inclusive of Microsurgery. Hand Injury Repair, early and late Reconstruction and /or Replacement and emergency Re-implantation of hand and digits as needed.
  • Affordable cost in caring for patients with complicated injury and neglected problems of the hand.
  • The unit is linked with all the departments in the center which provide specialist care for co-morbid problems seen in our patients. These are specifically with the orthopedic unit and Neurosurgery, Dermatology, Medical unit, Pediatric unit, Occupational therapy, Physiotherapy and Orthodontic, prosthetic services, etc.

Special surgeries done by Our unit:

  • Orthopedic management for complex fractures for all Hand & Wrist bones. This includes complex fracture fixation with fine wires, plates and screws as well as bone grafting
  • Plastic surgery skin cover inclusive of pedicle and grafts for hands with injury or contractures.
  • Hand Paralysis: All tendon transfer and tendon replacement
  • Hand Tumours & tumour like conditions: After thorough Investigation, biopsy and imaging studies: Removal and/or reconstruction. [Reconstructions make the hand look good and able to work again as much as possible]
  • Peripheral Nerve Injuries: Adult Brachial Plexus Injuries, Pediatrics Brachial Plexus Injuries, Obstetric Brachial Plexus Injuries, paralysis of all nerves in the forearms and hand: Median, Ulnar and Radial Nerves, paralysis of all nerves in the thighs, leg and feet: Sciatic, Common Peroneal and Tibial nerves. Micro neurosurgery of the injured nerves and Nerve Grafting with Microsurgery is regularly done for ALL these conditions. [Microsurgery is an excellent technique of precisely joining nerves and blood vessels for improving the results of all surgery for the patients].
  • Arthritic Hand treatment: Total or partial wrist fusion procedures; Proximal row carpectomy procedures; appendectomy and ligament interposition surgery
  • Carpal Tunnel Syndrome (at the wrist) and other Compression neuropathy: in the arms, forearms, hand, knee level and foot to release pressure and compression of nerves by surgery. [Compressed nerves in the hand produce tingling sensation in the fingers and thumb and prevent people, especially young and middle age women from doing their work normally].
  • Congenital deformity correction in Children’s Hands and Fingers: Where there is a deficiency or deformity of the hand from birth, the problems of Absent or short fingers, Unseparated (or fingers stuck together), fingers and thumb looking big or twisted can be corrected by special surgeries .
  • Pediatric Hand Surgery: for Children’s hand infections, Injuries, Contractures and Paralysis: special forms of orthopedic, plastic and microsurgery are done to suit these little hands to give back as normal function as possible. Little fingers can be lengthened by special equipment.
  • All Infections of the Hand: including TB infection and due to Diabetes complications
  • Leprosy – Putting right the deformity problems in the hands and feet. Nerves causing severe pain- Neuritis and abscess formation in Leprosy are also treated.
  • Burns Contracture in the hand – releasing the contractures and Reconstructing the hand.
  • Volkmann’s Ischaemic Contracture (VIC) in the hand, Cerebral Palsy of upper limb and Poliomyelitis paralysis.
  • Wrist problems – Scaphoid Fractures including Non union (when the broken bone does not join) and Avascular necrosis (poor blood supply preventing healing), Kienbock’s disease are treated by Carpal Vascularisation (new method of giving fresh blood supply to bones) and Other Wrist problems: TB and Rheumatoid arthritis.
  • Congenital deformities including cleft lip and palate
  • Craniofacial surgeries including Facio-Maxillary injuries
  • Skin cancers
  • Acute burns and post burn deformities
  • Micro vascular tissue transfer
  • Post trauma limb reconstruction
  • Post excision reconstruction of Head & Neck, Breast, Trunk, Limbs
  • Rhinoplasty, Liposuction, Aesthetic breast surgery