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Hand surgery is the highly skilled art of combining orthopaedic and plastic surgery to relieve pain and restore function in the most complex, miraculously engineered anatomical structure.


What is hand surgery?

Hand surgery is a speciality that is performed by either orthopaedic surgeons (bone doctors) or plastic surgeons. The beauty of hand surgery is that it is a combination of bone work (like fractures of bones) and reconstruction of soft tissues (skin, tendons, nerve and muscle and blood vessels). These are usually very intimately related, and most hand surgeons have done extra training in order to equip them to manage these intricate surgical procedures.

Dr van der Spuy’s practice is geared to manage a wide range of problems, including managing fractures of the upper limb, general lumps or pinched nerves, micro-surgical repair of damaged nerves or blood vessels and soft tissue reconstruction. His practice would manage traumatic injuries like fractures, lacerations or joint dislocations, chronic conditions like arthritis (osteoarthritis or rheumatoid arthritis), gout, as well as the management of the less common congenital hand anomalies.

Dr van der Spuy also offers a super specialised service catering for the needs of sportsmen and musicians.

  • I am 75, male, reasonably fit and active. It is 5 months since surgery to repair dupuytren's contracture on 3 fingers of my right hand.

    It is difficult to review the performance of a surgeon, when his service is performed while one is asleep! And of which one has no prior experience. But one needs to spend only a few minutes with Dr Van Der Spuy to become aware that he is a most gifted and intelligent individual. When I consider that he spent almost 2 hours repairing one hand, I am sure that that his work was microscopic and exacting. The surgery was faultless. Post op pain management was excellent. I never needed the really powerful stuff! Dr Van Der Spuy's practise management (Samantha and team) handled the admin matters faultlessly. There were queries from my medical aid which were managed with expert efficiency. What a pleasure!

    Occupational Therapist, Kerri Collett, was firm, gentle, encouraging and very professional. From removal of sutures to rehabilitation therapies over several weeks, she was a star. As predicted, recovery has been slow. But I must accept much of that responsibility myself. I was given lots of printed information and advised to google for more, which I did. But I studied what to expect regarding surgery and initial recovery and I had intended to read further, after surgery. I never did. Kerri gave me thorough instruction on home rehab exercises and massage, but when I reread the info brochures, I found that I had missed a few essential points. So I have ramped up my exercise regimen and improvement progresses slowly.

    In conclusion, the operation is a great success, I have been camping wild along the Orange river, removing and overhauling a classic car engine and doing whatever I would normally have done. Many thanks to Doctor and Team.

    Ron Gush
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    Dr van der Spuy attended to a procedure of mine after a previous operation 8 months earlier. I stay in an area where there are a number of good private hospitals and specialists. I consulted three specialists for the same condition and procedure and then travelled 40 kms to dr vd Spuy’s consulting rooms. His detailed explanation and insight into the limited functionality of my hand for the last few months, was impressive. The surgery was explained, he listened carefully to my problems and continued with his diagnosis. This followed an operation and post operative care. Every detail of the operation was explained, what he did and why. The therapy that was to follow was excellent in co-operation with the feedback from his rooms. He continued to provide lengthy reports to the scheme, to my insurance, to the therapists and to me individually so that I understood the process and procedure clearly. I was kept updated by his rooms and the response to my requests for further information was always promptly adhered to. This service was absolutely ‘next level’ and I would recommend dr Dirk van der Spuy for any type of hand surgery when needed. The outcome and detail are commendable,
  • View All Testimonials
    When my daughter said Dr van der Spuy is the best - I trusted her opinion implicitly. I now know this to be true first hand. From the first consultation to before and after theatre, Dr van der Spuy was kind, caring and considerate. He is a credit to his profession and I am extremely grateful to him and his team.
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    Marianne Singh
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    Dear Dr. Van Der Spuy, I have nothing but praise for you and your team. From the moment one picks up the phone to all the follow up from your rooms. The staff are so efficient and so friendly and helpful. Kerrie was amazing in following up and taking care until I was out of the woods. I don't think I have ever felt so comfortable as I have with dealing with your staff and of course yourself. Your patience care and understanding is amazing. I would like to thank you so very much for all you have done for me. I highly recommend the Cape Hand Surgery team. Thank you so very much
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    Moira robinson
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    I am 60 years old and had surgery on my hand 6 weeks ago. I had a ganglion cyst, carpel tunnel and trapeziectomy.  All this done on my dominant right hand. Well the first week was very sore, thought it would not get better but it did!! Already I can do everything I did before: driving, including crotcheting, painting, typing, housework etc. I would highly recommend Dr van der Spuy and his team - "you will be in extremely good hands" Thanks to you all...  
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    My operation was in February 2018. Before that I hardly had any use of my left hand and it was very painful. Now six months later, I can proudly say I have 95% use of my hand back. Praise goes to the warm and wonderful Dr Dirk van der Spuy and beautiful caring Kerri Collett for all her patience during my sessions with her. I will recommend this team to anyone as they are very professional and it was a pleasure in placing my hand in their care. May they go from strength to strength. Kind and warm regards
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    Priscilla Ford
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    Dr van der Spuy and his team are excellent in every way. Wouldn't go to anyone else!
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    I thank God for you. After suffering terrible pain from Carpel Tunnel syndrome I have had miraculous pain relief and full use of my hand within 4 weeks.Wonderful to have met somebody so passionate and professional in their work.
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    Rosemary Layard
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    About 3 months ago my son injured his hand while fixing his motorbike. We were amazingly fortunate that Constantiaberg was the closesthospital and that Dr van der Spuy was the surgeon there. Being in KZN and not able to be there, it was so reassuring to know that my son was in such capable hands. Thank you Dr van der Spuy and team for repairing his thumb so well.
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    Dear Dirk. Having had two previous ops on my right hand with no improvement whatsoever, I referred to you to sort out the carpel tunnel problem that I was experiencing. I only had about 20% use of my right hand and I am right handed! I am amazed at the progress that my hand has made since the operation and work with Liane Dawes, the physiotherapist. However, a successful business always revolves around a team and you have an amazing team. The professional and friendly standard that you have at the Cape Hand Clinic should be a model for all professional medical practices. And lastly, but most importantly, thank you for giving me back the use of my hand! Kind regards.
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    Greetings to you, wonderful loving extra-ordinary team. I’m very grateful for your warm hospitality. Thank you for the wonderful service you gave me. I could not use my left hand for 4 months despite 3 operations on the hand to make it work. I had a wrist drop, you name it, you know it all. But all that changed in just 24 hrs that I spent in you care. You are a gifted wonderful surgery, miracle performer. You are highly blessed Dr Van Der Spuy. Thank you once again.
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    Yevai Chiradza
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    Felix, our 4-year old son, almost completely amputated the tip of his right middle finger when it got caught in our garden gate. This was a terribly traumatic experience for the whole family. We rushed Felix to the emergency unit at Constantiaberg Mediclinic where he was stabilized and given pain relief by the emergency staff, who also contacted Dr van der Spuy. My husband and I were so distraught and the first flicker of hope appeared when Dr van der Spuy arrived to see Felix in the ward. He is such a professional and pleasant person – his demeanor immediately put us at ease and we felt that everything would be OK. Dr van der Spuy was able to save Felix’s finger during emergency surgery and excellent wound care. We were informed about the expected outcome and possible complications.Five weeks later – the finger has healed, complication-free, with only the nail still to grow back.The staff at the Cape Hand Surgery clinic was also fantastic – friendly and supportive through our ordeal.We are so grateful that we met Dr van der Spuy and his team. Thank you so much.
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    Marianne Tiemensma
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    I am not quite out the woods yet but I so highly recommend Dr van der Spuy and his team (Mandy, Kerri) – if you have to be in the woods there is no one better to take you there than Dr van der Spuy. The practice is so professional and personal at the same time. The rooms are beautiful and peaceful – and Dr van der Spuy is very special – he has such a gentle – and professional – hand. I trust him 150%. Thank you to the team for seeing me through thus far and I look forward to reaching the finishing line very soon. I have so appreciated being in your care! - Jacqueline Goldin
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    Jacqueline Goldin
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    I would simply like to place on record my heartfelt thanks to Dirk and his fantastic team. You have assembled an amazing team, of caring professionals – and as a result the practice provides exceptional service far beyond expectations. I feel lucky to have been fortunate enough to have benefitted from your combined skills. “Thank you” seems so inadequate – but it comes with sincerity and appreciation.
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    I met Dr Dirk van der Spuy for the first time in August 2014 in Windhoek for treatment of Cubital Tunnel Syndrome. From the first email to the phone calls I received from Cape Hand Surgery practice I was shown such friendliness from his staff. During all my pre and post operation consults he showed such caring and warmth bed side manner. Thank you very much for your excellent and successful treatment and care. I will definitely be spreading the word here in Namibia.
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    Leanne Trollope
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    Patients take note, Dr Dirk van der Spuy is a remarkable SURGEON. He operated on my hand on the 28th of August and with stitches and my hand in a bandage, I started to exercise my hand with virtually no pain. I had the stitches removed on the 9th September and I received the same excellent service from the ladies at the consulting room. It was a pleasure to be treated by Dr van der Spuy and his staff. - Tommy Helberg
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    I was recently attacked and stabbed, resulting in a serious traumatic injury to my left dominant wrist and thumb. I was lucky that Dr van der Spuy happened to come down to the Emergency Unit to attend to another patient because he noticed my hand and from that moment on, I was treated by the best Specialist ever, and this is said in all sincerity. His compassion, patience and attention to detail was incredible! Dr van der Spuy was always the first Doctor visiting his patients in hospital and his warm disposition set me at ease immediately and his attention to detail was outstanding, right down to the beautiful pink bandage he arranged for me after my first operation! I will always remember the utmost care given to me over this traumatic time in my life. I cannot emphasise enough how fortunate I was to have been treated by Dr van der Spuy, he is SIMPLY THE BEST! Thank you Dr van der Spuy sincerely from the depths of my heart.
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    Susan Hamilton
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    This is just a short note to thank you so very much for the attention and detail you have applied to my injury. Your informative feedback and encouragement have made the experience far easier to bear than would ordinarily have been the case. Thank you for applying your talents so diligently to my repair. Your practice has been a pleasure to deal with. I shall happily spread the word amongst my hockey fraternity!
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    Graydon Morris
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    I recently brought my twelve-year-old daughter to see Dr. van der Spuy. She had an ankle fracture. From the first telephone contact, the service was excellent. Salome has a great telephone and personal manner! When we met the doctor, we could see why… His warm and friendly disposition set us at ease immediately and we experienced a genuine sincerity from his side. Having the expertise is one thing, but a great bedside manner is what will ensure patients come back again and again! Well, hopefully by recommending their friends and family anyway – and thereby ensuring that your practice continues to thrive… Many blessings.
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    The Hughes Family
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    God blessed Dr van der Spuy with a special gift. He is an amazing specialist surgeon and a wonderful person. I was involved in an accident and I sustained multiple fractures to my right arm. My family was informed that the arm had to be amputated but thanks to Dr Van Der Spuy I now have a functional arm. I give praise and thanks to God for placing me in his care. The best part is that Dr van der Spuy is assisted by the friendliest, most helpful and efficient support staff. God Bless.
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    I was referred to Dr van der Spuy by a specialist surgeon to remove a growth on my right middle finger. The growth had been incorrectly treated as a wart for 2 months prior to my visit to Dr van der Spuy. Dr van der Spuy diagnosed the growth immediately as a pyogenic granuloma upon my first visit, after which it was arranged to be surgically removed. I was extremely impressed with his efficiency, knowledge and treatment. Dr van der Spuy is a passionate, professional, kind and objective Dr and I would be proud to recommend his services.
    View All Testimonials
    Megan Hendricks
  • View All Testimonials
    I was referred to Dr van der Spuy by a specialist surgeon to remove a growth on my right middle finger. The growth had been incorrectly treated as a wart for 2 months prior to my visit to Dr van der Spuy. Dr van der Spuy diagnosed the growth immediately as a pyogenic granuloma upon my first visit, after which it was arranged to be surgically removed. I was extremely impressed with his efficiency, knowledge and treatment. Dr van der Spuy is a passionate, professional, kind and objective Dr and I would be proud to recommend his services.
    View All Testimonials
    Melanie Thirlwell
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    I would just like to thank you for attending to my finger-tip injury. You and your team were everything a patient could wish for. Thank you for your professionalism and compassion.
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    Dr Dirk van der Spuy and his team (Kerri, Salome, Carolyn) provide orthopaedic hand surgery, care and support of the highest level with warmth and friendliness. My finger – damaged by arthritis – has now fully recovered following surgery.This team can be highly recommended.
  • View All Testimonials
    Dr van der Spuy operated on my radial nerve and lateral epicondylitis – he has been so amazing. He thinks out of the box, is compassionate, caring and unbelievably knowledgeable. Something rare in the medical industry these days. My husband and I have been blown away by his professionalism and kindness and can’t thank him enough. Highly, highly recommended. The most wonderful surgeon/specialist.- Renate Handke-MacRobert
    View All Testimonials
    Renate Handke-MacRobert
  • View All Testimonials
    Thank you, Dr van der Spuy and therapist Michelle Venter for giving me the use of my right hand again. I broke my wrist whilst on holiday and 3 months later I could still hardly use it. Dr van der Spuy re-broke my wrist, inserted a plate to hold the bones in place and did a carpal tunnel operaton to help my fingers to straighten. I have reverted to being right-handed again and shall be everlastingly grateful to Dr van der Spuy and his wonderful, caring team. - Pamela

Hand surgery is a speciality that is performed by either orthopaedic surgeons (bone doctors) or plastic surgeons. The beauty of hand surgery is that it is a combination of bone work (like fractures of bones) and reconstruction of soft tissues (skin, tendons, nerve and muscle and blood vessels). These are usually very intimately related, and most hand surgeons have done extra training in order to equip them to manage these intricate surgical procedures.

Dr van der Spuy’s practice is geared to manage a wide range of problems, including managing fractures of the upper limb, general lumps or pinched nerves, micro-surgical repair of damaged nerves or blood vessels and soft tissue reconstruction. His practice would manage traumatic injuries like fractures, lacerations or joint dislocations, chronic conditions like arthritis (osteoarthritis or rheumatoid arthritis), gout, as well as the management of the less common congenital hand anomalies.

Dr van der Spuy also offers a super specialised service catering for the needs of sportsmen and musicians.


TESTIMONIALS

  • I am 75, male, reasonably fit and active. It is 5 months since surgery to repair dupuytren's contracture on 3 fingers of my right hand.

    It is difficult to review the performance of a surgeon, when his service is performed while one is asleep! And of which one has no prior experience. But one needs to spend only a few minutes with Dr Van Der Spuy to become aware that he is a most gifted and intelligent individual. When I consider that he spent almost 2 hours repairing one hand, I am sure that that his work was microscopic and exacting. The surgery was faultless. Post op pain management was excellent. I never needed the really powerful stuff! Dr Van Der Spuy's practise management (Samantha and team) handled the admin matters faultlessly. There were queries from my medical aid which were managed with expert efficiency. What a pleasure!

    Occupational Therapist, Kerri Collett, was firm, gentle, encouraging and very professional. From removal of sutures to rehabilitation therapies over several weeks, she was a star. As predicted, recovery has been slow. But I must accept much of that responsibility myself. I was given lots of printed information and advised to google for more, which I did. But I studied what to expect regarding surgery and initial recovery and I had intended to read further, after surgery. I never did. Kerri gave me thorough instruction on home rehab exercises and massage, but when I reread the info brochures, I found that I had missed a few essential points. So I have ramped up my exercise regimen and improvement progresses slowly.

    In conclusion, the operation is a great success, I have been camping wild along the Orange river, removing and overhauling a classic car engine and doing whatever I would normally have done. Many thanks to Doctor and Team.

    Ron Gush
  • View All Testimonials
    Dr van der Spuy attended to a procedure of mine after a previous operation 8 months earlier. I stay in an area where there are a number of good private hospitals and specialists. I consulted three specialists for the same condition and procedure and then travelled 40 kms to dr vd Spuy’s consulting rooms. His detailed explanation and insight into the limited functionality of my hand for the last few months, was impressive. The surgery was explained, he listened carefully to my problems and continued with his diagnosis. This followed an operation and post operative care. Every detail of the operation was explained, what he did and why. The therapy that was to follow was excellent in co-operation with the feedback from his rooms. He continued to provide lengthy reports to the scheme, to my insurance, to the therapists and to me individually so that I understood the process and procedure clearly. I was kept updated by his rooms and the response to my requests for further information was always promptly adhered to. This service was absolutely ‘next level’ and I would recommend dr Dirk van der Spuy for any type of hand surgery when needed. The outcome and detail are commendable,
  • View All Testimonials
    I am not quite out the woods yet but I so highly recommend Dr van der Spuy and his team (Mandy, Kerri) – if you have to be in the woods there is no one better to take you there than Dr van der Spuy. The practice is so professional and personal at the same time. The rooms are beautiful and peaceful – and Dr van der Spuy is very special – he has such a gentle – and professional – hand. I trust him 150%. Thank you to the team for seeing me through thus far and I look forward to reaching the finishing line very soon. I have so appreciated being in your care! - Jacqueline Goldin
    View All Testimonials
    Jacqueline Goldin
  • View All Testimonials
    Patients take note, Dr Dirk van der Spuy is a remarkable SURGEON. He operated on my hand on the 28th of August and with stitches and my hand in a bandage, I started to exercise my hand with virtually no pain. I had the stitches removed on the 9th September and I received the same excellent service from the ladies at the consulting room. It was a pleasure to be treated by Dr van der Spuy and his staff. - Tommy Helberg
  • View All Testimonials
    Dr van der Spuy operated on my radial nerve and lateral epicondylitis – he has been so amazing. He thinks out of the box, is compassionate, caring and unbelievably knowledgeable. Something rare in the medical industry these days. My husband and I have been blown away by his professionalism and kindness and can’t thank him enough. Highly, highly recommended. The most wonderful surgeon/specialist.- Renate Handke-MacRobert
    View All Testimonials
    Renate Handke-MacRobert
  • View All Testimonials
    Thank you, Dr van der Spuy and therapist Michelle Venter for giving me the use of my right hand again. I broke my wrist whilst on holiday and 3 months later I could still hardly use it. Dr van der Spuy re-broke my wrist, inserted a plate to hold the bones in place and did a carpal tunnel operaton to help my fingers to straighten. I have reverted to being right-handed again and shall be everlastingly grateful to Dr van der Spuy and his wonderful, caring team. - Pamela