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Dupuytren's contracture can be classified in simple and difficult cases. More complex cases should be treated in a dedicated Hand Unit, while simple contractures should be treated by rural surgeons. The procedure is best done with a tourniquet in place and involves reflection of the skin flaps on top of the contracture as well as resection of the Dupuytren's tissue working from proximal to distal. After primary closure of the wound it may be helpful to immobilise the hand in a volar backslab for a few days after surgery. Sutures should be removed at 11-12 days after surgery.

Injuries of peripheral nerves are regularly seen in trauma and hand surgery. The impact of the loss of motion and sensitivity often puts the treatment of nerve injury at the center of interest. Incomplete nerve regeneration could lead to permanent severe impairment of hand function. This and the microsurgical techniques needed for reconstruction place high demands on the attending surgeon.

The need for a free tissue transfer to cover a tissue defect is not as common in the upper extremity as it is in the lower. There are many other options available, including local flaps and distant pedicle flaps from the chest, abdomen and groin. Nevertheless, many complex injuries and reconstructions to the upper extremity require postoperative hand elevation, and early digit mobilization, and are not suited to two-stage dependent flap procedures. Since free tissue transfers are done in one stage, benefit from elevation and heal rapidly, they are particularly well suited to many complex hand injuries and reconstructions which require flap coverage. There are many free tissue transfers which are available, including skin only, muscle only, skin and muscle (myocutaneous), and fascial free tissue transfers.