1. Nerve Compression Syndromes, Carpal tunnel syndrome, Cubital tunnel syndrome, Guyon’s canal syndrome

2. Trigger finger, De Quervain’s tenosynovitis, Tendon adhesions, Mallet finger (chronic cases)

3. Hand & Wrist Ganglions / Soft Tissue Masses

4. Ganglion cyst, Giant cell tumor of tendon sheath, Glomus tumor,

5. Arthritic & Joint Problems

Thumb CMC arthritis, Rheumatoid arthritis deformities, DIP/PIP joint arthritis

6. Dupuytren’s Contracture

7. Post-Traumatic Sequelae and Stiffness of Fingers and Hand

8. Congenital Hand Anomalies (children)

Syndactyly, Polydactyly, Thumb hypoplasia, Cleft hand, Radial club hand

9. Vascular & Nerve Issues

Raynaud’s phenomenon, Ischemic contractures, Nerve palsies (median, ulnar, radial)

10. Infections

Chronic paronychia, Residual felon, Tubercular tenosynovitis, Leprosy-related deformities

11. Functional / Pain Syndromes

Complex Regional Pain Syndrome (CRPS), Overuse syndromes, Writer’s cramp, Occupational hand injuries

12. Nail Deformities and Disorders

13. Brachial plexus and peripheral nerve injuries

Hand and Microsurgery

• Complex hand trauma and reconstruction
• Microvascular free flap coverage for soft tissue defects
• Composite tissue transfer including bone, tendon, skin, and vessel
• Replantation-revascularization and salvage of amputated digits
• Toe-to-thumb and toe-to-finger transfers for digit reconstruction
• Cross-finger, thenar, hypothenar, and neurovascular island flaps
• Brachial plexus exploration and nerve grafting, neurotization, tendon transfers, Functional muscle transfer
• Peripheral nerve repair and neurolysis, Nerve decompression and repair
• Tendon transfer, grafting, and pulley reconstruction
• Congenital & Pediatric Hand Surgery & Reconstruction
• Tendon and nerve injury management in flexor/extensor zones
• Multistage flexor tendon grafting, Interposition arthroplasty for destroyed PIP/MCP joints, Wrist arthrodesis and salvage procedures
• Soft tissue tumor excision and digital reconstruction
• Dupuytren’s contracture release and palmar fasciectomy

• Wrist arthrodesis, arthrolysis, and joint reconstruction

• Microsurgical Precision with –

• Mastery in microvascular anastomosis for arterial and venous repair under operative microscope
• End-to-end, end-to-side nerve coaptation with interposition grafting
• Use of vein grafts and vascular loops for flap salvage in revascularization
• Plastic surgery coverage of open limb trauma, bone & soft tissue reconstruction, local and microsurgical freeflaps.
• Non traumatic Hand problems- Osteoarthritis, Rheumatoid arthritis, Avascular necrosis, Kienbock’s disease, Wrist Pain, TFCC injuries
• Complex hand trauma, Complex bone loss
  & non-union, Bone & soft tissue reconstruction, free fibula grafting, free functional muscle transfer, complex wound management
• Handling of advanced instruments: microsurgical sutures (9-0, 10-0), microvascular clamps, and dissecting forceps, State-of-the-art surgical microscopes

🔹 Orthopedic Surgery

• Management of high-velocity polytrauma and fracture stabilization
• Internal fixation using plates, screws, intramedullary nails
• Minimally invasive fracture fixation techniques
• Management of non-unions, malunions, and limb length discrepancies
• Open reduction and internal fixation (ORIF) of long bone fractures
• Pediatric fracture management and deformity correction
• Joint preservation surgeries and arthroplasty planning
• Tumor resection and limb-sparing procedures

🔹 Spine Surgery

• Degenerative spine disorders (disc herniation, stenosis)
• Lumbar and cervical decompression surgeries
• Posterior spinal instrumentation and fusion
• Management of spinal trauma and vertebral fractures
• Tuberculosis and infective spondylodiscitis treatment
• Spine tumor exposure and stabilization
• Kyphoplasty/vertebroplasty for osteoporotic fractures

🔹 Additional Competencies

• Operative microscope handling and microsurgical suturing
• Use of power tools, drills, and fixation systems
• Pre- and post-operative rehabilitation planning
• Multidisciplinary surgical expertise in plastic, neuro, and vascular and musculoskeletal radio-imagings
• Emergency management in orthopedic trauma

• • Brachial plexus and • Peripheral nerve disorders
• Hand and Microsurgery