Tendon and Nerve repair and reconstruction

Tendon repairs

Tendons are the structures that join muscle to bone. Hand and finger tendon repair in the hand is a challenging surgery because of the structure of the tendon – and needs to have meticulous technique to allow return to normal function.
Tendon injuries can occur due to infection, trauma, or sudden rupture.
The 3 types of tendon repair involve: primary, delayed primary, or secondary tendon repair.

Primary repair of a sudden injury is often done within 24 hours of the injury. The aim is to repair the tendon to allow gliding and movement of the finger.
Delayed primary repair is usually done a few days after the injury, usually when there are other injuries which have to be attended to first.
Secondary repairs may occur a few weeks after the injury. This may include tendon grafts: we harvest other tendons from other areas of the body which are then inserted in place of the damaged tendon. Other more complex procedures may involve using functioning tendons and redirecting them so their function replaces the more important functions of the damaged tendon.

Nerve repairs

Trauma or injury to your hand can damage the nerves found in the hand. This can cause a loss of hand function and a loss of feeling in the hand. While some nerve injuries heal on their own, others may require surgery.
The best time for nerve repairs on the hand is usually primarily (immediate) or delayed (3-6 weeks after the injury) depending on the cirumstances.
The earlier and more accurate the repair, the higher the chance of a full recovery. If the nerve is cut or severed, it may be fixed by reattaching it to the other end of the nerve, or by performing a graft where another nerve is talen from another part of the body, replacing the more important but injured nerve.
Once surgery is done, the nerve will recover at a rate of about 1mm per day. Recovery will involve wound care, physiotherapy and nerve stimualtion.

    
 
 
        
   Winnie Garang 
 19 December 2023
 
 
  The customer service is wonderful and everyone is very nice and Kind. Doctor Tilman is very knowledgeable and a wonderful surgeon.I feel lighter, happier and very grateful to him and the team. My experience from the word go has been amazing.
  
 
       
   Ekeno Ntabo 
 13 December 2023
 
 
  Dr. Stasch has changed my life. I am happier, more confident and grateful that cosmetic services are locally available. He was very professional, and i especially apreciate the care i got during my procedure, both before and after. Highly recommended.
  
 
       
   chrissie W 
 13 December 2023
 
 
  I could not be more happy with my results. Dr. Stasch is a genuinely kind person and his staff is helpful .
  
 
       
   sharon odera 
 30 November 2023
 
 
  My appreciation to Dr Stasch from my consultant period to successful leg grafting  surgeries. I would highly recommend him and his team for their impeccable services. I would definitely do this again if I need to.
  
 
       
   solanna camille 
 6 November 2023
 
 
  I had a liposuction and tummy tuck. Dr. Stasch is super friendly, very professional.The surgery went well, recovery as well. The staffs are super nice very professional, always willing to help. I would highly recommend vitality clinic to anyone
  
 
       
   Adhiambo Okumu 
 17 October 2023
 
 
  My breast reduction is a dream come true and no longer a manifestation. And I could not think of a better doctor for the procedure than Dr. Tilman having consulted 8 years earlier and to now finally go through with it.  I felt cared for and supported before, during and post op by Dr. Stasch and the team
I interacted with at Vitality. I am super pleased with the results and my new breast size is beyond my expectations: no more back pains, my posture is improved, dresses fit better and most importantly the unexplainable joy. Truly life changing. Asante Dr. Tilman.
  
 
       
   M. S. S. 
 21 September 2023
 
 
  I went to Dr. Stasch`s marvellous Vitality Fountain clinic today. I went there for recurrent mole mapping, Microneedling treatment and a also vitamin drip i. V.
Feeling like new. This is how Spa and health procedures should be done.
Definitely warm recommendation and will for sure come again!
  
 
       
   Munish Mehta 
 18 September 2023
 
 
  I came with no hope as my wound was  really bad. Some docs told me it would not be possible to stitch. Dr Tilman took me in and over a few weeks worked on my wound and stitched it !! Now I’m pain free and the wound has healed !! Thankyou Dr Tilman and your team
  
 
       
   Nadia Chaudhry 
 11 September 2023
 
 
  Good service and very friendly staff. Highly recommended for I magic drips
  
 
       
   AHK Transport 
 7 September 2023
 
 
  Hat's Off to the treatment and care I was given at vitality fountain clinic. They gave me a new life and healed my wounded toe, which I almost lost. God bless them all a million fold over ..
  
 
  
  
 
 
   Google rating score: 5.0 of 5, based on 75 reviews