China's Number One Hand Surgery Department
The Department of Hand Surgery at Huashan Hospital — affiliated with Fudan University — is consistently ranked as the number one hand surgery department in China, and is recognized internationally as one of Asia's most distinguished centers for microsurgery, replantation, peripheral nerve surgery, and reconstructive surgery of the hand and upper extremity. With a history spanning decades of pioneering contributions to hand surgery and microsurgery — including some of the earliest successful limb replantations in China — the department represents the gold standard of hand surgical care in the country.
For international patients with hand injuries, peripheral nerve injuries, brachial plexus injuries, or conditions requiring complex reconstructive surgery of the hand and upper extremity, Huashan Hospital's hand surgery department offers unparalleled expertise and experience. China Medical Concierge Shanghai (CMCS) provides seamless end-to-end coordination for international patients throughout their surgical journey.
About the Department
Huashan Hospital's hand surgery department is a national key clinical specialty and the top-ranked hand surgery department in China. The department operates dedicated hand surgery wards, multiple microsurgical operating theaters equipped with high-powered operating microscopes and specialized microsurgical instruments, a hand therapy and rehabilitation unit, a peripheral nerve electrophysiology laboratory, and a 24/7 emergency replantation service for traumatic amputations.
The department performs thousands of hand and microsurgical procedures annually, including hundreds of replantations and free flap reconstructions. Its emergency replantation service operates around the clock, accepting referrals from across China and internationally for traumatic amputations of fingers, hands, and upper extremities. Faculty members publish regularly in leading hand surgery and microsurgery journals including Journal of Hand Surgery, Microsurgery, Plastic and Reconstructive Surgery, and Journal of Reconstructive Microsurgery.
Conditions Treated
Trauma & Replantation
- Digital Replantation — Microsurgical reattachment of amputated fingers; single and multiple digit replantation; ring avulsion injuries; pediatric replantation
- Hand Replantation — Reattachment of amputated hands at wrist and palm level
- Forearm & Upper Extremity Replantation — Major limb replantation at forearm, elbow, and arm level
- Revascularization — Restoration of blood supply to incompletely amputated or devascularized digits and hands
- Complex Hand Trauma — Crush injuries, degloving injuries, and high-pressure injection injuries; staged reconstruction
- Tendon Injuries — Flexor and extensor tendon repair and reconstruction; tenolysis; tendon transfer
- Fractures & Dislocations — Metacarpal and phalangeal fractures; carpal fractures (scaphoid, lunate); wrist fractures; ORIF and external fixation
- Vascular Injuries — Radial and ulnar artery repair; digital artery repair; vein grafting
Peripheral Nerve Surgery
- Brachial Plexus Injury — One of China's most experienced brachial plexus surgery programs; nerve repair, nerve grafting, nerve transfer, and muscle transfer for traumatic brachial plexus injuries; obstetric brachial plexus palsy
- Peripheral Nerve Repair & Grafting — Primary repair and sural nerve grafting for median, ulnar, and radial nerve injuries
- Nerve Transfer Surgery — Innovative nerve transfer techniques to restore function after irreparable nerve injuries; intercostal nerve transfer, contralateral C7 transfer
- Carpal Tunnel Syndrome — Open and endoscopic carpal tunnel release
- Cubital Tunnel Syndrome — Ulnar nerve decompression and transposition
- Thoracic Outlet Syndrome — Surgical decompression for neurogenic and vascular TOS
- Peripheral Nerve Tumors — Schwannoma, neurofibroma, and malignant peripheral nerve sheath tumor excision
- Painful Neuromas — Neuroma excision and targeted muscle reinnervation (TMR)
Reconstructive Microsurgery
- Free Flap Reconstruction — Microsurgical free tissue transfer for soft tissue defects of the hand, forearm, and upper extremity; anterolateral thigh (ALT) flap, radial forearm flap, lateral arm flap, and other free flaps
- Toe-to-Hand Transfer — Microsurgical transfer of toes to reconstruct amputated thumbs and fingers; great toe transfer, second toe transfer, and combined toe transfers for multiple digit reconstruction
- Thumb Reconstruction — Pollicization, toe-to-thumb transfer, and osteoplastic thumb reconstruction
- Finger Reconstruction — Toe-to-finger transfer for multiple digit amputations
- Vascularized Bone Grafting — Vascularized fibula and iliac crest grafts for scaphoid non-union and avascular necrosis
- Lymphedema Surgery — Lymphaticovenous anastomosis (LVA) and vascularized lymph node transfer for upper extremity lymphedema
Hand Conditions & Elective Surgery
- Dupuytren's Contracture — Fasciectomy and collagenase injection (Xiaflex)
- Trigger Finger — Corticosteroid injection and A1 pulley release
- De Quervain's Tenosynovitis — Corticosteroid injection and first dorsal compartment release
- Ganglion Cysts — Aspiration and surgical excision
- Wrist Arthroscopy — Diagnostic and therapeutic wrist arthroscopy for TFCC tears, scapholunate ligament injuries, and wrist pain
- Wrist Instability — Scapholunate and lunotriquetral ligament reconstruction
- Kienbock's Disease — Lunate revascularization and unloading procedures
- Hand Tumors — Giant cell tumor of tendon sheath, enchondroma, and other hand tumors
- Congenital Hand Anomalies — Syndactyly, polydactyly, and other congenital hand differences
- Rheumatoid Hand — Synovectomy, tendon reconstruction, and joint replacement for rheumatoid arthritis of the hand and wrist
Brachial Plexus Surgery: A National Center of Excellence
Huashan Hospital's brachial plexus surgery program is one of the most experienced in China and Asia, treating hundreds of brachial plexus injury patients annually from across the country and internationally. The program's approach to brachial plexus reconstruction is characterized by:
Comprehensive Evaluation
- Detailed clinical examination and electrophysiological assessment (EMG, nerve conduction studies)
- MRI myelography and CT myelography for root avulsion diagnosis
- Intraoperative nerve action potential recording to assess nerve continuity
Surgical Strategies
- Direct Nerve Repair — For sharp lacerations with minimal gap
- Nerve Grafting — Sural nerve and other donor nerve grafts for gaps up to 10-15cm
- Nerve Transfer (Neurotization) — The cornerstone of modern brachial plexus reconstruction; intercostal nerve transfer for elbow flexion; spinal accessory nerve transfer for shoulder abduction; contralateral C7 transfer for hand function
- Free Functioning Muscle Transfer — Gracilis muscle transfer for elbow flexion and finger extension in late presentations
- Tendon Transfer — For partial recovery and functional optimization
Toe-to-Hand Transfer: Restoring What Was Lost
Huashan Hospital's toe-to-hand transfer program is one of the most experienced in the world, having performed thousands of toe transfers for thumb and finger reconstruction. This remarkable microsurgical procedure — which transfers a toe from the foot to reconstruct an amputated thumb or finger — restores not only the appearance but also the sensation and function of the lost digit, enabling patients to return to work and daily activities that would otherwise be impossible.
The program offers the full range of toe transfer options including great toe transfer for thumb reconstruction, second toe transfer for finger reconstruction, and combined transfers for multiple digit amputations. The department's outcomes — including flap survival rates, sensory recovery, and functional results — are among the best reported in the international literature.
24/7 Emergency Replantation Service
Huashan Hospital's emergency replantation service operates 24 hours a day, 7 days a week, accepting urgent referrals for traumatic amputations from across China and internationally. The service's key features include:
- Dedicated on-call microsurgical team available at all times
- Rapid assessment and triage of replantation candidates
- Guidance on amputated part preservation and transport for referring hospitals
- Streamlined admission and operating room access for emergency cases
- Experienced microsurgical team with thousands of replantations performed
Hand Therapy & Rehabilitation
Surgical excellence alone is not sufficient for optimal hand surgery outcomes — expert hand therapy is equally essential. Huashan's hand therapy unit provides comprehensive post-operative rehabilitation including:
- Custom splinting and orthosis fabrication
- Scar management and desensitization
- Tendon gliding and joint mobilization exercises
- Sensory re-education after nerve repair
- Functional retraining and activities of daily living
- Work hardening and return-to-work programs
Why International Patients Choose Huashan Hand Surgery
- China's #1 Hand Surgery Department — The definitive national center for complex hand surgery, microsurgery, and replantation
- Brachial Plexus Surgery Excellence — One of Asia's most experienced brachial plexus reconstruction programs
- Toe-to-Hand Transfer Expertise — One of the world's most experienced programs for thumb and finger reconstruction by toe transfer
- 24/7 Emergency Replantation — Round-the-clock emergency service for traumatic amputations
- Integrated Rehabilitation — Expert hand therapy program for optimal functional recovery after surgery
- Cost-Effectiveness — World-class hand surgery at significantly lower cost than equivalent care in Western countries
The CMCS Patient Journey
- Initial Inquiry — Share your injury history, imaging (X-rays, MRI), EMG/nerve conduction results, and functional assessment with CMCS.
- Medical Record Preparation — We translate and organize your records for specialist pre-consultation review.
- Specialist Matching — We identify the most appropriate hand surgeon based on your condition — replantation, brachial plexus, peripheral nerve, reconstructive microsurgery, or elective hand surgery.
- Priority Scheduling — We secure a consultation with minimal waiting time; emergency cases are fast-tracked.
- Travel & Logistics — Assistance with visa invitation letters, accommodation near Huashan Hospital, and Shanghai airport transfers.
- On-Site Concierge — Bilingual coordinators accompany you throughout your hospital visits, managing registration, translation, and communication.
- Surgical Admission Support — Full coordination of pre-operative assessment, admission, and post-operative hand therapy enrollment.
- Post-Operative Follow-Up — Surgical report translation, hand therapy program guidance, and remote follow-up after you return home.
Book a Consultation
If you are seeking expert hand surgical care in Shanghai — whether for a traumatic amputation, brachial plexus injury, peripheral nerve injury, toe-to-hand transfer, or a complex reconstructive procedure — CMCS can arrange a specialist consultation with Huashan Hospital's world-renowned hand surgery team.
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