Crush Injuries of the Hand — Saving Function, Restoring Strength & Rebuilding Confidence
Advanced Hand Trauma Care at Pratap Hospital, led by Dr. Pratap Duggirala (M.S., M.Ch) offers comprehensive and expert treatment for Crush Injuries of the Hand — one of the most severe forms of hand trauma involving damage to skin, bone, nerves, tendons, vessels, and soft tissues.
As a center known for expert management of hand injuries and microvascular trauma reconstruction in Vijayawada, Pratap Hospital focuses on restoring not just the appearance but also the functional capability of the hand.
With a strong background in trauma surgery, microvascular reconstruction, peripheral nerve repair, and limb salvage, Dr. Pratap ensures every patient receives world-class treatment with meticulous precision and compassionate care.
Whether the injury involves crushed fingers, mangled hand, bone fractures, nerve damage, or tissue loss, each case is handled with individualized planning to ensure maximum functional recovery, return of movement, and long-term hand health.
Crush Injuries of the Hand occur when a high-impact force compresses hand tissues between two hard surfaces, leading to extensive damage. These injuries often involve:
Fractures of hand bones
Tendon disruption
Arterial and venous injury
Nerve damage with sensory or motor loss
Skin and soft tissue loss
High risk of contamination and infection
At Pratap Hospital, every injury is evaluated with urgency and accuracy because timely intervention is vital to save tissue, preserve movement, and prevent permanent disability.
✓ Expertise You Can Trust
Dr. Pratap Duggirala is one of the region’s leading Plastic & Reconstructive Surgeons with 15+ years of experience in trauma, microvascular surgeries, and hand reconstruction. He has extensive expertise in:
Arterial & venous repair
Peripheral nerve repair
Tendon reconstruction
Microvascular free flaps
Complex trauma reconstruction
Functional restoration of severely injured limbs
✓ Advanced Microvascular & Reconstructive Facilities
The hospital is equipped for emergency hand trauma care including vascular repair, nerve repair, and flap reconstruction.
✓ Limb-Saving Approach
Every attempt is made to salvage fingers and hand function using advanced surgical and microsurgical techniques.
✓ Personalized, Function-Focused Care
Treatment plans are tailored to the individual's injury pattern, occupation, and functional needs.
✓ Proven Outcomes
With his background from Safdarjung Hospital and years of high-volume trauma experience, Dr. Pratap consistently delivers excellent reconstructive and functional results.
A systematic evaluation is performed to determine tissue viability and plan surgical steps:
✔ Clinical Examination
Assessing circulation, capillary refill, and pulse
Checking tendon movement
Evaluating sensation and nerve involvement
✔ Imaging
X-rays for fractures
Ultrasound or Doppler for blood flow
CT if complex bone injuries are suspected
✔ Infection Control Assessment
Crush injuries often involve grease, dirt, or machinery debris.
✔ Planning for Reconstruction
The team evaluates:
Areas needing flaps
Requirement of microvascular repair
Staged reconstruction possibilities
Depending on severity, the following advanced techniques are utilized:
• Emergency Debridement
Removal of dead or contaminated tissue.
• Fracture Fixation
K-wires, plates, screws for stable bone alignment.
• Arterial & Venous Repair
Microsurgical restoration of blood supply to prevent tissue death.
• Tendon Repair or Grafting
Restoration of flexion and extension functions.
• Nerve Repair / Nerve Grafting
For return of sensations and fine motor skills.
• Local or Regional Flaps
To cover exposed bone, tendon, or vital structures.
• Microvascular Free Flaps
For major tissue loss — one of Dr. Pratap's strongest areas of expertise.
• Skin Grafting
For resurfacing and closure after reconstruction.
Step 1: Emergency Stabilization
Pain control
Bleeding control
Cleaning and irrigation
Fracture stabilization
Temporary dressing
Step 2: Definitive Reconstruction
Performed once the injured tissues are stabilized:
Tendon and nerve repair
Bone reconstruction
Vessel repair using microsurgical techniques
Flap coverage or grafting
Avoiding amputation wherever possible
Step 3: Rehabilitation & Hand Therapy
Early physiotherapy
Splinting for functional positioning
Sensory re-education
Strength recovery programs
1. Can crushed fingers or hands be saved?
Yes. With timely microsurgical intervention, many severely injured hands can be reconstructed and salvaged.
2. Will I regain full movement after surgery?
Recovery depends on injury severity, but with expert surgery and physiotherapy, most patients regain significant function.
3. How soon should I reach the hospital?
Crush injuries require urgent care—preferably within 6 hours for optimal tissue survival.
4. Will I need multiple surgeries?
Severe injuries may require staged reconstruction to restore movement, strength, and soft tissue coverage.
5. How long is recovery?
Recovery can range from 6 weeks to several months, depending on bone, tendon, or nerve involvement.
6. What if there is loss of skin or tissue?
Reconstruction is done using local flaps or microvascular free flaps, which Dr. Pratap is highly experienced in.
Book a Consultation
If you’re considering rhinoplasty for aesthetic enhancement or breathing improvement, schedule a consultation at Pratap Hospital today.
Our team will guide you through every step — from evaluation and planning to surgery and recovery — ensuring safe, effective, and natural results.
📍 Pratap Hospital — Reconstructive, Aesthetic & Microsurgery Centre
📞 Call / WhatsApp: +91 94929 69899
📧 Email: drpratapshospital@gmail.com
Before And After Results
