Hand Surgery clinic

The Department of Hand Surgery at Sheba Hospital offers a specialized and exceptional clinic service. Our clinic for hand surgery and microsurgery unit provides diagnosis and treatment to patients with upper limb injuries, diseases, and nerve injuries. We also offer post-operative care and follow-up until full recovery. Our well-equipped treatment room and cast room are staffed by a highly skilled nursing team, comprising of nurses and casters.

On average, the clinic examines around 1,200 patients every month, including babies, children, and adults. It serves patients on an outpatient basis, providing guidance to the emergency rooms and inpatient departments of the hospital. Additionally, it collects extensive patient data for research, continuous improvement, and holds collaborative discussions involving multiple teams and disciplines, particularly for patients undergoing surgery. This allows for peer oversight and ensures the selection of safe and appropriate treatments for each individual.

Patients are kindly requested to bring along a commitment form (Form 17) from the health fund, as well as any medical documents including photographs, test results, disease summaries, and imaging. Please note that imaging needs to be integrated into the hospital system beforehand, at the rapid integration station located at the imaging institute. Thank you for your cooperation!

The clinic's main areas of activity:

Trauma

• Treatment of fractures in the hand, wrist, elbow, and ankle
• Repair of tendon tears (acute and chronic)
• Treatment of injuries involving blood vessels and nerves in the upper and lower extremities
• Finger and hand transplantation after amputation
• Treatment of bone malalignment in the upper extremities, including correction of deformities and use of various bone grafts (regular, cancellous, local, and free)
• Restoration and repair of nerves in the upper and lower extremities
• Complex bone and soft tissue reconstruction, including the use of free flaps
• Treatment of hand, wrist, and ankle ligament injuries, including arthroscopic and open surgeries
• Replacement of joints in the fingers, hand, and wrist due to degenerative changes

Tumors

• Surgical removal of upper limb tumors and subsequent reconstructive procedures for restoration

Upper limb problems in children:

• Treatment of upper limb injuries in children, including fractures and injuries to tendons, nerves and blood vessels
• Treatment of congenital defects and congenital and developmental problems of the upper limbs
• Treatment of the upper limbs of children with cerebral palsy and other neuromuscular (nerve/muscle) problems

Elbow

• Arthroscopic surgeries
• Fractures
• Release of stiffness
• Joint replacement
• Treatment of shoulder ligament impingement and instability
• Treatment of degenerative diseases of the tendons including Medial/Lateral Epicondylitis (tennis elbow and golf elbow)
• Suturing and reconstruction of acute and chronic biceps tendon tears

Peripheral nervous system problems (whole body)

• Nerve repair and regeneration
• Nerve transfers
• Nerve release
• Tendon transfers in the hands, forearms and arms
• Treatment of upper limb problems in patients with head injuries, after a stroke, and paralysis due to injuries to the cervical spine (tetraplegia)
• Monitoring and treatment of brachial plexus injuries in children and adults
• Surgical treatment of neuropathic pain

Microsurgery and Orthoplasty

• Bone deficiencies in the upper and lower limbs
• Complex wounds on the upper and lower limbs
• Lack of fusion or improper fusion of bones in the upper and lower limbs
• Infections in long bones of the upper and lower limbs
• Diabetes complications and limb preservation
• Amputations