Step1

Carved incisions are made on the skin to expose the deeper structures. Dissection is made through the soft tissue to locate the radius in all the bones.

Step2

The surgeons first connect the radius bones together using a metal T plate. A second plate unites the ulna bones on the lateral side. After the plates have been secured the surgeons begin the process of attaching the tendons.

Step3

By pulling the tendon the surgeons are able to flex the finger. They test each tendon and then all the flexor tendons are connected. The same process is used to attach the extensor tendons. After all the tendons have been connected the surgeons are ready to repair the nerves.

Step4

The repair is performed with individual stitches. After the nerves have been repaired the next step is to connect the arteries, then the veins. Now the tourniquet is released. The surgical team watches for the hand to turn pink with the return of circulation. And the pulsation of the arteries is observed. The skin is then closed.