The palm has been cut by glass for 2 months, and after examination, it was found to have a ligament tear. Regarding the issue of surgery?
In November, I sustained a glass cut on the side of my thumb and had 10 stitches on my palm.
After the wound healed, I experienced limited mobility in my thumb.
The orthopedic surgeon advised me to wait a month to see how it would recover.
In December, I first consulted a neurologist, who arranged for an electromyography (EMG), nerve conduction studies, and ultrasound examinations.
By January, when the reports came out, the neurologist informed me that I had a torn ligament and nerve damage.
That same day, I was referred to a plastic surgeon.
Upon entering the plastic surgery department, the doctor asked about my condition, had me make a fist, and then manipulated my thumb upwards, asking where it hurt.
He decisively stated that my ligament was completely torn and that surgery was necessary.
He instructed me to schedule the surgery for the following Tuesday with my parents accompanying me.
I would like to ask if delaying the surgery until after the New Year, which would be a three-month wait, would affect the healing of the ligament.
Is it better to have the surgery as soon as possible? Additionally, could you provide an estimate of the surgical costs? How many days will I need to stay in the hospital after the surgery? Also, does the nerve damage fall under the scope of hand surgery?
Lin Xiansheng, 20~29 year old female. Ask Date: 2021/01/27
Dr. Lü Mingchuan reply Plastic Surgery
Please contact the outpatient clinic for more detailed inquiries.
Reply Date: 2021/01/27
More Info
When it comes to ligament injuries, particularly those involving the thumb and hand, timely intervention is crucial for optimal recovery. Based on your situation, it sounds like you sustained a significant injury that not only affected your ligaments but also involved nerve damage. Here’s a comprehensive overview of your concerns regarding surgery timing, costs, and recovery.
Importance of Timely Surgery
1. Surgery Timing: In general, the sooner you can have surgery after a ligament injury, the better the outcomes tend to be. Delaying surgery for three months, especially in cases of complete ligament tears, can lead to complications such as stiffness, decreased range of motion, and potentially poorer functional outcomes. Ligaments have a limited capacity to heal on their own, and if they are not repaired in a timely manner, the surrounding tissues may adapt to the injury, leading to chronic pain or instability in the joint.
2. Impact on Recovery: If you wait until after the New Year to have the surgery, there may be a risk of developing scar tissue or other complications that could hinder the healing process. This could result in a longer rehabilitation period and potentially less favorable functional outcomes. Therefore, it is generally advisable to proceed with surgery as soon as it is feasible, especially if the orthopedic surgeon has indicated that surgical intervention is necessary.
Surgical Costs and Hospital Stay
3. Surgical Costs: The cost of surgery for ligament repair can vary widely depending on several factors, including the complexity of the injury, the specific surgical technique used, the surgeon's experience, and the facility where the surgery is performed. In the United States, the cost for such procedures can range from a few thousand dollars to over $20,000, especially if it involves advanced techniques or additional procedures like nerve repair. It’s essential to check with your insurance provider to understand what portion of the costs will be covered and what your out-of-pocket expenses might be.
4. Hospital Stay: The length of hospital stay after ligament surgery can also vary. Many ligament repairs are performed as outpatient procedures, meaning you may be able to go home the same day. However, if the surgery is more complex or if there are concerns about your nerve injury, you might need to stay in the hospital for one or two days for monitoring and pain management.
Nerve Injury Considerations
5. Nerve Damage: Regarding your concern about nerve damage, yes, this falls within the scope of hand surgery. If the nerve has been injured, it may require additional surgical intervention to repair it. Nerve injuries can lead to numbness, tingling, or weakness in the affected area, and addressing these issues promptly is crucial for restoring function. The hand surgeon will evaluate the extent of the nerve damage and determine if repair is necessary during the same surgical procedure for the ligament.
Conclusion
In summary, it is generally best to proceed with surgery for ligament injuries as soon as possible to maximize recovery potential. Delaying surgery could lead to complications that may affect your long-term function. The costs can vary, so it’s important to consult with your healthcare provider and insurance company for specifics. Additionally, any nerve damage should be addressed by a qualified hand surgeon to ensure comprehensive care. Always feel free to ask your healthcare team any questions you may have about your treatment plan, as they can provide personalized advice based on your specific situation. Wishing you a smooth recovery!
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