Dr. Yuen-Jong Liu performs the following procedures: carpal tunnel release, cubital tunnel release, tendon transfers, trigger finger release, tendon release for De Quervain's tenosynovitis, ganglion cyst excision, fasciectomy and Xiaflex injection for Dupuytren's contracture, arthrodesis, arthroplasty, fracture fixation, syndactyly release, polydactyly reconstruction, and more. He is an expert in wide awake local anesthesia no tourniquet (WALANT) technique.
Please call (203) 656-9999 for if you are interested in hand or wrist surgery.
Before and After Photos
Hand and Wrist
WALANT technique means wide awake local anesthesia no tourniquet. The benefits include:
1. No sedation and no tourniquet increase patient comfort and convenience. There is no need to starve on the morning of the procedure.
2. Eliminating the need for anesthesiology and sedation decreases treatment time and cost. There is no anesthesia fee.
3. During a procedure, Dr. Liu may ask the patient to move parts of the hand. The ability to see and adjust sutured tendons and fixated bones and joints under active movement has improved results in tendon repair, tendon transfer, and fracture fixation.
Local anesthesia injections can reliably alleviate pain in procedures such as:
- Carpal tunnel release
- Trigger finger release
- De Quervain's release
- Tendon repair
- Tendon transfer
- Fracture fixation
- Joint fusion
- Mucous cyst excision
- Ganglion cyst excision
- Other mass excision
Before and after photos of a patient who underwent excision of a painful ganglion cyst in her wrist. Dr. Liu surgically removed the ganglion cyst using WALANT technique: wide awake local anesthesia no tourniquet. She healed perfectly with no recurrence. Ganglion cysts are the most common soft tissue swellings of the hand and wrist. They can occur at any age, in either gender, or from any joint or tendon sheath. They are non-cancerous cysts that are filled with fluid. Some will disappear and others may cause problems due to large growth. It is unclear what causes the formation of ganglion cysts, but there is some evidence that they may be related to prior trauma or arthritis.
Before and after photos of a patient who underwent repair of a flexor tendon in the small finger that was accidentally cut by a kitchen knife. Dr. Liu used a tendon repair technique that allowed the patient to start hand therapy within a week after surgery. Healing was complete at 8 weeks after surgery and the patient had full active range of motion.
Another successful repair by Dr. Liu! Before and after photos of a patient who underwent repair of a flexor tendon and digital nerve in the small finger that was cut by a knife. Healing was complete at 8 weeks after surgery and the patient recovered full motion, full strength, and normal sensation.
When your hand surgeon is also a board-certified plastic surgeon, you get a minimal scar after surgery. This patient impaled her palm and transected a nerve: the common digital nerve that gave sensation to the index and middle fingers. Dr. Liu repaired the nerve and its branches to both fingers using WALANT technique: wide awake local anesthesia no tourniquet. Three months later, she regained normal feeling along both fingers and had full neurologic recovery.
Before and after photos of a nerve repair in a patient who cut her hand against the sharp edge of an open metal can. After Dr. Liu debrided the traumatized and scarred segment of the digital nerve, there was a half-inch gap between the healthy normal ends of the nerve. Dr. Liu sutured a nerve graft to bridge the gap. A few months later, she regained normal feeling along the finger.
This X-ray shows the ideal result after Dr. Liu placed a screw into the wrist in order to reunite a scaphoid fracture. A scaphoid fracture usually occurs with sudden high impact to the base of the palm. If the fracture fails to heal, the blood supply to the bone may be disrupted, leading to collapse of the wrist and early arthritis.
Yuen-Jong Liu, M.D.
The Aesthetic Center
722 Post Road, Darien, CT 06820