Hand Surgery

Advanced Surgical Care for Hand and Wrist Conditions

The hand is a complex structure made up of bones, joints, tendons, nerves, ligaments, and soft tissues that allow precise movement and function. Injuries and conditions affecting the hand can impact daily activities, work, and quality of life.

At Dr. Kristopher Ledding’s practice, hand surgery focuses on restoring function, relieving symptoms, and providing personalised treatment plans based on each patient’s condition and goals.

Hand Procedures Performed

Open Reduction Internal Fixation (ORIF) – Hand and Wrist Fractures

ORIF is a surgical procedure used to repair broken bones by carefully realigning the fracture and securing the bones with plates, screws, or other fixation devices.

ORIF may be recommended for fractures that:

  • Are displaced or unstable
  • Involve joints
  • Require precise alignment for proper function
  • Have not healed correctly with non-surgical treatment The goal is to restore alignment, stability, and movement.

Exploration and Extensor Tendon Repair

Extensor tendons allow the fingers and thumb to straighten. Injuries such as cuts, trauma, or crush injuries can damage these tendons and affect movement.

Exploration and repair may involve:

  • Assessing the extent of injury
  • Repairing damaged tendons
  • Addressing associated nerve, vessel, or soft tissue injuries

Early treatment and rehabilitation are important to help restore hand function.

Trigger Finger Release

Trigger finger is a condition caused by narrowing around the tendon, resulting in catching, clicking, or locking of the finger or thumb.

Trigger finger release is a surgical procedure that opens the tight area around the tendon, allowing smoother movement and reducing symptoms.

Common symptoms include:

  • Pain at the base of the finger or thumb
  • Clicking or catching
  • Finger locking in a bent position
  • Difficulty straightening the finger

Closed Reduction of Hand and Finger Fractures

Closed reduction is a procedure used to realign broken bones without making a surgical incision.

It may be performed when:

  • The fracture can be corrected without surgery
  • Alignment can be maintained with splinting or casting
  • The injury does not require internal fixation

Follow-up monitoring and imaging help ensure proper healing.

Dupuytren’s Contracture Surgery

Dupuytren’s contracture is a condition where thickened tissue in the palm causes fingers to bend toward the palm, limiting movement.

Surgical treatment may involve removing or releasing affected tissue to improve finger extension and hand function.

Treatment decisions depend on:

  • Severity of the contracture
  • Fingers affected
  • Impact on daily activities

Carpal Tunnel Release

Carpal tunnel syndrome occurs when pressure develops on the median nerve as it passes through the wrist.

Carpal tunnel release is a procedure that releases the tissue causing nerve compression to relieve symptoms.

Common symptoms include:

  • Numbness and tingling in the fingers
  • Hand weakness
  • Night-time symptoms
  • Difficulty with grip and fine movements

Hand Laceration Repair

Hand lacerations can involve more than the skin. Injuries may affect tendons, nerves, blood vessels, or other important structures.

Surgical exploration and repair may be required to restore:

  • Movement
  • Sensation
  • Function
  • Tissue integrity

Treatment depends on the location and severity of the injury.

Burn Injury Reconstruction and Treatment

Burns involving the hand require specialised care due to the importance of preserving movement, function, and appearance.

Treatment may include:

  • Wound management
  • Scar treatment
  • Contracture release
  • Reconstruction procedures when required

Early assessment and appropriate treatment can help optimise recovery.

What to Expect During Your Consultation

During your consultation, Dr. Ledding will assess your condition and discuss:

  • Your symptoms and functional concerns
  • Examination findings and imaging if required
  • Surgical and non-surgical treatment options
  • Expected recovery and rehabilitation

A personalised treatment plan will be created based on your individual needs.

Coverage and Referrals

Most hand procedures performed by Dr. Kristopher Ledding are medically necessary surgeries and are covered by Saskatchewan Health when eligibility requirements are met.

To proceed with an assessment, patients require a referral from their family physician or another referring healthcare provider.

Once a referral is received, Dr. Ledding’s office will review the information and arrange a consultation to assess your condition and discuss appropriate treatment options.

During your consultation, Dr. Ledding will review your symptoms, examination findings, and any relevant imaging or investigations to determine the best plan of care.

Why Choose Dr. Kristopher Ledding?

Dr. Kristopher Ledding provides specialised plastic and reconstructive surgical care with a focus on restoring hand function, treating complex injuries, and achieving the best possible outcomes for each patient.

Book a Consultation

If you have a hand or wrist condition requiring assessment, schedule a consultation with Dr. Kristopher Ledding to discuss your treatment options.