Hand Surgery at Shanghai Sixth People's Hospital | CMCS

Expert Hand Surgery at the World's Birthplace of Limb Replantation

The Department of Hand Surgery at Shanghai Sixth People's Hospital — affiliated with Shanghai Jiao Tong University School of Medicine — is one of China's most distinguished hand surgery centers, with a national reputation for excellence in tendon surgery, peripheral nerve surgery, hand fractures and dislocations, congenital hand anomalies, Dupuytren's disease, wrist arthroscopy, and the management of complex hand and upper extremity conditions. Inseparably linked to the hospital's world-renowned replantation and microsurgery program — the birthplace of limb replantation in 1963 — the hand surgery department benefits from unparalleled microsurgical expertise and infrastructure, offering international patients access to some of China's most eminent hand surgeons. China Medical Concierge Shanghai (CMCS) provides seamless end-to-end coordination for international patients throughout their hand surgery care journey.

About the Department

The hand surgery department is a national key clinical specialty operating dedicated hand surgery wards, multiple hand surgery operating theaters with microsurgical capability, a hand therapy and rehabilitation unit, a congenital hand anomaly clinic, a wrist arthroscopy program, and works in close collaboration with replantation and microsurgery, orthopedics, plastic surgery, and rehabilitation medicine through a fully integrated multidisciplinary team.

Tendon Surgery

Flexor Tendon Surgery

• Primary Flexor Tendon Repair — Zone I-V flexor tendon repair; four-strand and six-strand core sutures (modified Kessler, Savage, M-Tang); epitendinous suture; early active mobilization protocols; one of China's most experienced flexor tendon repair programs
• Flexor Tendon Reconstruction — Two-stage tendon reconstruction with silicone rod (Hunter technique) and tendon graft; palmaris longus; plantaris; toe extensor grafts
• Flexor Tenolysis — For adhesion after primary repair; early active mobilization post-tenolysis
• Pulley Reconstruction — A2 and A4 pulley reconstruction with tendon graft or retinaculum
• Trigger Finger Release — Open A1 pulley release; percutaneous trigger finger release; ultrasound-guided release

Extensor Tendon Surgery

• Mallet Finger — Splinting for closed mallet; ORIF for bony mallet with large fragment; tenodermodesis for chronic mallet
• Boutonniere Deformity — Splinting for acute; surgical reconstruction for chronic boutonniere
• Extensor Tendon Repair — Zone I-VIII extensor tendon repair; extensor tenolysis
• Sagittal Band Repair — For extensor tendon subluxation at MCP joint

Peripheral Nerve Surgery

• Carpal Tunnel Syndrome — Open and endoscopic carpal tunnel release; ultrasound-guided hydrodissection; steroid injection
• Cubital Tunnel Syndrome — In-situ decompression; anterior transposition (subcutaneous, intramuscular, submuscular); medial epicondylectomy
• Radial Tunnel Syndrome & PIN Compression — Surgical decompression of posterior interosseous nerve
• Nerve Repair — Primary epineural repair; grouped fascicular repair; tension-free repair
• Nerve Grafting — Sural nerve graft; medial antebrachial cutaneous nerve graft; processed nerve allograft (Avance); conduit repair for short gaps
• Nerve Transfer — Oberlin transfer; AIN to ulnar motor transfer; end-to-side nerve repair; supercharge nerve transfer for incomplete injuries
• Brachial Plexus Injury — Coordination with replantation and microsurgery for comprehensive brachial plexus reconstruction; nerve transfer; free functional muscle transfer

Hand Fractures & Dislocations

• Distal Radius Fractures — Volar locking plate ORIF; dorsal plating; fragment-specific fixation; external fixation; intramedullary nailing; arthroscopic-assisted reduction
• Scaphoid Fractures — Percutaneous headless compression screw; open ORIF; vascularized bone graft for avascular necrosis (1,2-ICSRA flap; medial femoral condyle flap — coordination with microsurgery)
• Metacarpal Fractures — Closed reduction and splinting; percutaneous K-wire fixation; ORIF with mini-plates and screws; intramedullary nailing
• Phalangeal Fractures — Closed reduction; percutaneous K-wire; ORIF with mini-screws and plates; dynamic external fixation for comminuted fractures
• PIP Joint Fracture-Dislocations — Volar plate arthroplasty; hemi-hamate arthroplasty; ORIF; dynamic external fixation (Suzuki frame)
• Thumb UCL Injury (Skier's Thumb) — Acute repair; suture anchor repair; reconstruction with tendon graft for chronic instability

Wrist Surgery & Arthroscopy

• Wrist Arthroscopy — TFCC (triangular fibrocartilage complex) repair and debridement; scapholunate ligament repair; lunotriquetral ligament repair; wrist ganglion excision; synovectomy; loose body removal
• TFCC Repair — Arthroscopic outside-in and inside-out repair; foveal reattachment for peripheral tears; ulnar shortening osteotomy for ulnar impaction
• Scapholunate Dissociation — Acute repair with K-wires and suture anchors; chronic reconstruction (RASL, Brunelli, three-ligament tenodesis); scaphoid excision and four-corner fusion for SLAC wrist
• Kienböck's Disease — Radial shortening osteotomy; capitate shortening; vascularized bone graft; wrist denervation; proximal row carpectomy; wrist fusion for advanced disease
• De Quervain's Tenosynovitis — Corticosteroid injection; ultrasound-guided injection; surgical release of first dorsal compartment
• Wrist Ganglion — Aspiration; arthroscopic excision; open excision

Congenital Hand Anomalies

• Syndactyly — Simple and complex syndactyly release; skin grafting; commissure reconstruction; timing and staging
• Polydactyly — Pre-axial (radial/thumb) and post-axial (ulnar/little finger) polydactyly; reconstruction of retained digit; Wassel classification for thumb polydactyly
• Thumb Hypoplasia — Blauth classification; opponensplasty for type II-III; pollicization for type IIIB-V; index finger pollicization technique
• Radial Club Hand (Radial Longitudinal Deficiency) — Centralization and radialization; wrist distraction before centralization; pollicization
• Camptodactyly — Splinting; surgical correction for severe cases
• Clinodactyly — Opening and closing wedge osteotomy; physeal bracket resection
• Macrodactyly — Debulking; epiphysiodesis; ray amputation for severe cases

Dupuytren's Disease

• Collagenase Injection (Xiaflex) — For MCP and PIP joint contractures with palpable cord; office-based; rapid recovery
• Needle Aponeurotomy — Percutaneous needle fasciotomy; office-based; rapid recovery; higher recurrence than fasciectomy
• Partial Fasciectomy — Selective removal of diseased fascia; Brunner zigzag incision; open palm technique; skin grafting for severe skin involvement
• Dermofasciectomy — For recurrent disease or severe skin involvement; full-thickness skin graft

Rheumatoid Hand Surgery

• Synovectomy — Wrist and MCP joint synovectomy; extensor tendon synovectomy; tenosynovectomy
• Tendon Reconstruction — Extensor tendon rupture repair and reconstruction; flexor tendon rupture management
• Joint Replacement — MCP joint silicone arthroplasty (Swanson); PIP joint arthroplasty; wrist arthroplasty
• Wrist Fusion — Total wrist arthrodesis for end-stage rheumatoid wrist

Why International Patients Choose Shanghai Sixth People's Hospital Hand Surgery

• World's Premier Microsurgery Integration — Unique integration with the world's first and most experienced replantation and microsurgery program
• Flexor Tendon Expertise — One of China's most experienced flexor tendon repair programs; M-Tang six-strand technique; early active mobilization
• Scaphoid AVN — Vascularized bone graft (medial femoral condyle flap) for recalcitrant scaphoid non-union with AVN; coordination with microsurgery
• Congenital Hand Anomalies — Comprehensive congenital hand program; pollicization; centralization; complex syndactyly
• Wrist Arthroscopy — TFCC repair; scapholunate reconstruction; arthroscopic-assisted fracture reduction
• Cost-Effectiveness — World-class hand surgery at significantly lower cost than equivalent treatment in Western countries

The CMCS Patient Journey

1. Initial Inquiry — Share your hand condition, X-rays, MRI, CT scans, nerve conduction studies, and prior treatment history with CMCS.
2. Medical Record Preparation — We translate and organize your records for specialist pre-consultation review.
3. Specialist Matching — We identify the most appropriate hand surgeon based on your condition — tendon surgery, nerve surgery, fractures, wrist arthroscopy, congenital anomalies, or Dupuytren's disease.
4. Priority Scheduling — We secure a consultation and surgical slot with minimal waiting time.
5. Travel & Logistics — Assistance with visa invitation letters, accessible accommodation near Shanghai Sixth People's Hospital, and Shanghai airport transfers.
6. Surgical Coordination — Full coordination of surgical admission and post-operative hand therapy enrollment.
7. Hand Therapy Support — Coordination of post-operative splinting, early active mobilization, and sensory re-education.
8. Post-Operative Follow-Up — Surgical report translation, hand therapy guidance, and remote follow-up coordination after you return home.

Book a Consultation

If you have a tendon injury, nerve compression or injury, hand fracture, wrist condition, congenital hand anomaly, Dupuytren's disease, or a complex hand and upper extremity condition — CMCS can arrange a specialist consultation with Shanghai Sixth People's Hospital's hand surgery team.

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