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NYU Langone · Manhattan

Hand Amputation Surgeon in Manhattan

Specialized surgical care for traumatic hand injuries, complex amputation cases, and patients facing partial or complete hand amputation. Dr. Jacques Hacquebord at NYU Langone Health provides expert evaluation, surgical planning, and microsurgical care across New York City.
Dr. Jacques Hacquebord

When Is Hand Amputation Necessary?

Hand amputation is a surgical procedure most commonly required after severe traumatic injuries — such as crush injuries, machinery accidents, or major lacerations — when the affected tissue cannot be salvaged or when attempting reconstruction would result in worse function than amputation. Other causes include severe infection, vascular disease, tumors, and failed prior surgeries.
Dr. Jacques Hacquebord evaluates every patient individually, prioritizing limb salvage when possible. When amputation is the right path, his microsurgical training ensures the procedure is performed with the long-term outcome in mind — preserving as much length and function as possible to optimize future prosthetic fit, comfort, and quality of life.
Whether you're facing an upcoming amputation decision, recovering from an emergency procedure, or seeking a second opinion before surgery, our team offers comprehensive evaluation and clear, compassionate guidance through one of medicine's most difficult decisions.

Why Patients Choose Dr. Hacquebord

Limb Salvage First Approach

Before amputation is recommended, Dr. Hacquebord and his team exhaust every reasonable option to save the limb — including replantation, microvascular tissue transfers, and complex reconstruction. Amputation is offered only when it provides better long-term function than reconstruction.

Surgical Planning for Future Prosthetics

Hand amputation isn't just about removing tissue — it's about preparing the residual limb for life afterward. Dr. Hacquebord coordinates with on-site prosthetists during surgical planning, ensuring optimal bone length, soft tissue coverage, and nerve handling for the best possible prosthetic outcomes.

Emergency Trauma Expertise

As part of NYU Langone's trauma team, Dr. Hacquebord is experienced in evaluating and surgically managing the most severe hand injuries — including crush injuries, mangled hand trauma, and devascularized limbs requiring rapid decision-making.

Hand Amputation Services in Manhattan

Dr. Hacquebord and the NYU Langone team provide comprehensive care across the full spectrum of hand amputation — from emergency evaluation and surgical planning to procedure and post-operative recovery.

Partial Hand Amputation

When tissue damage is limited to one or two digits or part of the hand, partial amputation preserves as much function as possible. Dr. Hacquebord performs digit and ray amputations using techniques that maximize remaining grip strength, sensation, and aesthetic outcomes.

Transmetacarpal Amputation

For more extensive hand trauma where multiple digits or the metacarpal region is unsalvageable, transmetacarpal amputation preserves wrist function and a small amount of palm. Surgical planning at this level is critical for future prosthetic options — particularly partial hand prostheses and myoelectric devices.

Wrist Disarticulation

When the entire hand cannot be saved, wrist disarticulation preserves the full length of the forearm including the wrist joint, which can improve prosthetic comfort and function compared to higher amputation levels. Dr. Hacquebord performs this procedure with attention to nerve management to reduce post-surgical pain.

Targeted Muscle Reinnervation (TMR) at Amputation

Modern hand amputation surgery often includes TMR — a nerve transfer technique performed at the time of amputation that significantly reduces phantom limb pain and improves future myoelectric prosthetic control. Dr. Hacquebord is one of few NYC surgeons routinely incorporating TMR into primary amputation procedures.

Replantation & Limb Salvage Evaluation

For traumatic amputations where the severed hand or fingers are still viable, replantation may be possible if the patient is evaluated quickly. Dr. Hacquebord works as part of NYU Langone's emergency trauma team to evaluate replantation candidates and perform microsurgical reattachment when feasible.

Frequently Asked Questions

Schedule Your Hand Surgery Consultation

Speak with Dr. Hacquebord and the NYU Langone team about your hand injury, treatment options, and surgical planning.
Schedule a Consultation