J Hand Microsurg 2023; 15(04): 261-269
DOI: 10.1055/s-0041-1740432
Original Article

History and Metamorphosis of Hand Surgery India

George A. Anderson
1   Former Professor of Orthopaedics and Head, Dr Paul Brand Centre for Hand Surgery and Peripheral Nerve Surgery, Christian Medical College Hospital, Vellore, Tamil Nadu, India
› Author Affiliations

Abstract

The advent of hand surgery in India reads like a fortuitous saga, a continuum of the hand deformity correction on leprosy patients pioneered by Dr. Paul Wilson Brand at the Christian Medical College (CMC) Vellore, Madras State (Tamil Nadu [TN]), in 1948. The “Hand Research Unit,” established in 1951, became the largest repository for hand reconstructive surgeries and with its head-start drew in most hand dysfunctions in the country. Early industrialization and disorderly road traffic generated hand injuries that threatened workforce in India. Propitiously, a hand injury service was opened in 1971 at the Government Stanley Medical College Hospital, Chennai. The inexorable growth of hand surgery continued and incorporated the gamut of conditions that required hand care and rehabilitation, including brachial plexus injuries. Continuing Medical Education programs, Hand Surgery workshops, Indian Society for Surgery of the Hand meetings, Hand Fellowships, etc., increased the number of “hand surgery” practitioners, which drew the attention of the Medical Council of India to commence a postgraduate Hand Surgery program that it eventually gazetted. The sagacity of the members of the Board of Studies of TN Medical University honored the historical role of CMC Vellore in hand surgery and allowed it to commence the first Master of Chirurgiae Hand Surgery course in India in 2015. An intuitive understanding of 70 years of hand surgery accomplishments that redesigned and restored deformed and injured hands and protected livelihoods have made young surgeons increasingly take hand surgery as a career.



Publication History

Article published online:
08 December 2021

© 2021. Society of Indian Hand Surgery & Microsurgeons. All rights reserved.

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  • References

  • 1 Hunter JM, Schneider LH, MaCkin EJ, Bell JA. Rehabilitation of the Hand. Dedicated to Dr Paul W. Brand, p. ix. St. Louis: The CV Mosby Company; 1978
  • 2 Brand PW. The reconstruction of the hand in leprosy. Ann R Coll Surg Engl 1952; 11 (06) 350-361
  • 3 Brand PW. Treatment of leprosy. II. The role of surgery. N Engl J Med 1956; 254 (02) 64-67
  • 4 Cochrane RG, Davey TF. eds. Leprosy in theory and practice. Bristol: John Wright and Sons Ltd; 1964: 447-467
  • 5 Anderson GA. The surgical management of deformities of the hand in leprosy. J Bone Joint Surg Br 2006; 88 (03) 290-294
  • 6 Anderson GA. Ulnar Nerve Palsy. Green's Operative Hand Surgery, 5th edition. London: Elsevier; 2005. . Chapter 33, 1167-93
  • 7 Anderson GA. Child's hand in the developing world. In: Schecker LR, Kay SP, Gupta A. eds. The Growing Hand: Diagnosis and Management of Conditions in the Pediatric Upper Extremity. London: Mosby-Wolfe; 2000. . Section 20, Chapter 114, 1097-1114
  • 8 Anderson GA, Thomas BP. Non-union of Scaphoid Fractures: Treatment by the Fisk-Fernandez Technique. Ind Jl Orth 2000; 34 (04) 275-279
  • 9 Joshi BB. Problem of sensory loss in finger-tip injuries in the blind. Br J Plast Surg 1970; 23 (03) 283-284
  • 10 Joshi BB. Sensory flaps for the degloved mutilated hand. Hand 1974; 6 (03) 247-254
  • 11 Joshi BB. Percutaneous internal fixation of fractures of the proximal phalanges. Hand 1976; 8 (01) 86-92
  • 12 Venkataswamy R. Staged neurovascular island flap from the middle finger to the thumb tip In: Strauch B. et al. eds. Grabb's Encyclopedia of Flaps. Boston: Little Brown & Co.; 1990: 892-894
  • 13 Anderson GA. Ambrose J Selvapandian: Obituary. Ind Jl Ortho 2011
  • 14 Rath S. Immediate postoperative active mobilization versus immobilization following tendon transfer for claw deformity correction in the hand. J Hand Surg Am 2008; 33 (02) 232-240
  • 15 Fritschi EP. Reconstructive Surgery in Leprosy. Bristol: John Wright; 1971
  • 16 Panse N, Sahasrabudhe P. Hand injury prevention in India: are we doing enough?. Indian J Plast Surg 2011; 44 (03) 532
  • 17 Annual Report 2018–2019. Government of India, Ministry of Road Transport & Highways;
  • 18 Gospel according to St. Matthew; chapter 6, verse 3. New KJV
  • 19 Rockwell WB, Lister GD. Soft tissue reconstruction. Coverage of hand injuries. Orthop Clin North Am 1993; 24 (03) 411-424
  • 20 Sabapathy SR, Venkatramani H, Bharathi RR, Dheenadhayalan J, Bhat VR, Rajasekaran S. Technical considerations and functional outcome of 22 major replantations (The BSSH Douglas Lamb Lecture, 2005. J Hand Surg Eur Vol 2007; 32 (05) 488-501
  • 21 Sabapathy SR, Venkatramani H, Bharathi RR, Bhardwaj P. Replantation surgery. J Hand Surg Am 2011; 36 (06) 1104-1110
  • 22 Kaur B. Union Budget 2021–22: how good is the hike in allocation for health? InDown to Earth. 01/02/2021
  • 23 Sinha D. Economy, Government, Heath. Explained: Despite Govt Claims, India's Health Budget Only Around 0.34% of GDP, In The WIRE. 01/02/2021
  • 24 Bhandari PS, Sadhotra LP, Bhargava P. et al. Surgical outcomes following nerve transfers in upper brachial plexus injuries. Indian J Plast Surg 2009; 42 (02) 150-160
  • 25 Thatte MR, Agashe MV, Rao A, Rathod CM, Mehta R. Clinical outcome of shoulder muscle transfer for shoulder deformities in obstetric brachial plexus palsy: a study of 150 cases. Indian J Plast Surg 2011; 44 (01) 21-28