Treating Congenital Hand Deformities

Anthony Perrone
Anthony Perrone MD

Serving patients in the Augusta, Maine, community, Anthony Perrone, MD, has a plastic surgery background that includes burn reconstruction and microsurgery techniques. Dr. Anthony Perrone is also experienced in operating on patients with congenital hand deformities.

Present at birth, these types of hand conditions make life challenging for babies, as they interact with many things primarily through use of the hands. Minor conditions include digital disproportion, and severe cases extend to the complete absence of a bone.

One relatively common issue involves parts of the hand ceasing to develop in the womb, which can result in a missing structure or complete absence. In cases of a missing hand, surgery is not typically recommended, but prosthetic devices are introduced at as early a stage of development as possible. Surgery is typically indicated when parts of the hand fail to separate, as with syndactylism, which involves one or more fingers being fused together.

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Reconstructive Microsurgery – Enabling Hand and Limb Replanting

Reconstructive Microsurgery pic
Reconstructive Microsurgery
Image: microsurg.org

Based in Augusta, Maine, Anthony Perrone, MD, provides care that spans general and plastic surgery. Dr. Anthony Perrone’s training in the field includes a hand and microsurgery fellowship undertaken at Harvard University and Massachusetts General Hospital.

An advanced surgical field, reconstructive microsurgery involves the use of highly specialized microscopes with the capacity to guide operations within tiny structures. The microscopes enlarge the physician’s view up to 50 times, which enables the use of precision instrumentation in confined spaces. Common uses of the microscopes, which facilitate stitches finer than a single human hair, include repairing nerves and blood vessels that have been transected.

The ability to reestablish blood flow between tiny severed nerves and vessels has had an outsized impact over the past half century. Since the early 1960s, severed limbs, toes, and fingers have been successfully replanted. The discipline has been augmented in recent years with new robotics and computing technologies.

Requirements and Processes for ABPS Written and Oral Examinations

American Board of Plastic Surgery (ABPS)

For more than 10 years, Anthony Perrone, MD, has been training and practicing as a plastic surgeon. The chief plastic surgeon at MaineGeneral Medical Center in Augusta, he completed comprehensive training after earning his MD that included a fellowship in hand and microsurgery in addition to another in plastic and reconstructive surgery. Dr. Anthony Perrone also maintains board certification with The American Board of Plastic Surgery (ABPS).

An independent organization, ABPS promotes safe and ethical plastic surgery. Toward this end, it administers certifications to professionals. Each candidate for board certification must complete a written and an oral examination.

In order to complete the written exam, candidates must apply and pay for their certification. The Board needs proof of a valid state medical license or registration certification, along with an ECFMG and RCPSC Certificate, if applicable. Furthermore, candidates must verify that they’ve completed training in general, neurological, orthopedic, or thoracic surgery. Assuming a candidate completes these requirements, he or she is sent a reply form. When returning this form, he or she must include appointment letters verifying his or her privileges to practice plastic surgery and current accreditation certificates.

After candidates pass their written exam, they are asked to submit a nine-month case list as part of their oral exam. Each case list must include a statistical summary report and further verification of hospital privileges. There must be at least 50 operative cases included on the finalized copy, and the Board encourages candidates to begin taking pictures of each case starting July 1st, the beginning of the case collection period. Similar to the written exam, candidates also receive an oral exam reply form that must be returned with appointment letters, certificates, and explanations for any questions asked about the submitted cases.

Conditions That May Benefit from Reconstructive Hand Surgery

Anthony Perrone
Anthony Perrone MD

After earning his MD, Dr. Anthony Perrone went on to complete his preliminary training certification in general surgery at the University of Rochester’s Strong Memorial Hospital. Anthony Perrone, MD, was formerly a plastic surgeon at the Tufts University, Tufts Medical Center, Division of Plastic and Reconstructive Surgery in Boston, Massachusetts.

Hand surgery is a common form of plastic reconstructive surgery that is performed to improve strength, flexibility, and function. It is employed to treat conditions that cause pain or prevent normal hand functions.

Carpal tunnel syndrome is one condition that can often require hand surgery. Caused by a pinched median nerve in the wrist, carpal tunnel syndrome is characterized by numbness or tingling in the arm and hand. Several factors can contribute to this condition, including the structure of the wrist, underlying health problems, and routine work.

Rheumatoid arthritis is another condition that may be correctable by surgery. Rheumatoid arthritis is defined as the inflammation of any joint in the body. When it is present in the hands, it may result in deformation and immobilization.

Another condition that may be repairable through surgery is Dupuytren’s contracture, and it occurs when scar-like tissue forms in the palm and reaches into the fingers. It can bend the fingers into abnormal positions and reduce dexterity.