Hand Surgery deals with both surgical and non-surgical treatment of conditions and problems that may take place in the hand or upper extremity (commonly from the tip of the hand to the shoulder) including injury and infection. Hand surgery may be practiced by graduates of general surgery, orthopedic surgery and plastic surgery.
Plastic surgeons and orthopedic surgeons receive significant training in hand surgery during their residency training, with some graduates going on to do an additional one-year hand fellowship. Plastic surgeons have usually received training to handle traumatic hand and digit amputations that require a “replant” operation. Orthopedic surgeons are trained to reconstruct all aspects to salvage the appendage: tendons, muscle, bone. Orthopedic surgeons are trained to handle complex fractures of the hand and injuries to the carpal bones that alter the mechanics of the wrist.