4. Hand And Microsurgery (Upper Limb Surgery)

Accredited Centers for 1^st Part of Training: 

1.      HTAA Kuantan

2.      Hospital Kuala Lumpur

3.      Hospital Selayang ( 6 months )

Affiliated centers:-  University Hospital , HUKM, HUSM

Training Contents

1^st Year Training

Injury of the hand and Distal Upper limb

Skin- techniques of skin cover

Tendon- management of flexor and extensor tendon injury- primary techniques and secondary techniques e.g. graft, transfer, tenolysis.

Nerve- management of injury- primary and secondary procedure, microsurgical techniques including Brachial plexus injury.

Vessel- management of arterial injuries, microsurgical techniques, compartment syndrome and ischaemic hands.

Bone- management of hand bone fractures, wrist injuries, use of fixation-external and internal, splint and cast and secondary management of complicated fractures

.

Ligaments- management of injuries, acute and chronic ligament injuries of the wrist with primary and secondary procedures. Arthroscopic surgery of the wrist.

Amputation- replantation and revascularization, reconstructions following the amputation for prosthesis and orthoses, thumb and digits reconstruction.

Special Injuries- thermal injuries, pressure and injection injuries, degloving injuries, radiation and thermal injuries, vibration injuries.

2^nd  Year Training

Elective Surgery of the Hand and Upper Limb

Congenital- Management of complex congenital hand deformity, techniques used in management of congenital anomalies.

Paralyses- principle in management of cerebral palsy and other spastic paralyses, reconstruction of paralytic hand deformity, tetraplagia, poliomyelitis, reconstruction for peripheral nerve injuries.

Arthritis- general principle in management of arthritis in hand and upper limb, rheumatoid arthritis, osteoarthritis including arthrodesis and arthroplasty.

Nerve Compression Syndrome- management of compression syndrome median, ulnar, radial nerve and thoracic outlet syndrome.

Tumor-principle of soft tissue and bone tumor management

Infection-general principle , prevention and use of antibiotics, wound infection and deep sepsis.

Connective tissue Disorders- stenosing syndromes, Dupuytren’s contracture, ischaemic condition.

Pain syndrome in the upper limb.

Sport Injuries in the Upper Limb.