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When It’s Broken,
Get It Fixed Right

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Specialized fracture care for the hand and wrist, delivered by New Jersey’s leading microsurgeons.


A broken hand or wrist doesn’t just hurt — it interferes with everything. From gripping a coffee mug to returning to work or caring for your family, fractures in the upper extremity demand more than a cast and time. They require expert evaluation, precision treatment, and follow-through to ensure full recovery.

At The Center for Hand and Upper Extremity Surgery, a division of The Institute for Advanced Reconstruction, we treat fractures with one goal in mind: restoring strength, motion, and long-term function. Whether your injury is fresh or healing poorly, our team is here to help you move forward — with confidence and clarity.

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Meet the Team

Our care is delivered by a team of highly specialized, board-certified surgeons with advanced fellowship training in hand, tendon, and nerve procedures. We don’t take a generalist approach — we live and breathe hand surgery. With national recognition in microsurgical technique and a patient-first mindset, our team is built for precision and results. From the moment your finger stops moving the way it should, we know exactly how to help you get it back.

Ajul Shah, MD, FACS

A double board-certified plastic and reconstructive surgeon with national recognition in microsurgery, Dr. Shah brings unmatched skill to tendon and nerve release procedures — including complex cases of trigger finger.

Hari Iyer, MD, FAAOS

An orthopedic hand specialist with fellowship training, Dr. Iyer focuses on restoring full range of motion through minimally invasive solutions tailored to each patient's needs.

David Tsai, MD

Fellowship-trained in hand and upper extremity surgery, Dr. Tsai blends surgical precision with a strong focus on patient communication and recovery outcomes.

Peter Andrawes, MD

Known for his meticulous microsurgical work, Dr. Andrawes treats a wide range of hand and finger conditions — always with close attention to tendon and soft tissue dynamics.

Mark Yazid, MD

Dr. Mark Yazid is a plastic surgeon with specialized expertise in hand conditions, including trigger finger. He provides comprehensive care using the latest surgical and non-surgical techniques to relieve pain, restore mobility, and improve function in patients affected by tendon-related hand disorders.

Sidney Rabinowitz, MD, FACS

With decades of experience, Dr. Rabinowitz is a pioneer in hand surgery and a trusted name for patients seeking function-restoring care.

Why Choose Hand & Wrist Fracture Surgery?

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Specialized Care for Complex Injuries 
We treat everything from clean breaks to crushed joints and displaced bone fragments — including tendon, nerve, and ligament damage.
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Better Function, Not Just Healing
We prioritize long-term hand use, strength, and cosmetic outcomes — not just “bone union.”
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Proactive Complication Prevention
We treat fractures early and correctly to avoid long-term complications like stiffness, malunion, or nerve damage — reducing the risk of future surgery or permanent loss of function.
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Expert Hand & Wrist Surgeons
Our team brings surgical precision to fracture fixation, with training in advanced bone healing and microsurgical repair.
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Efficient Evaluation &
Streamlined Recovery
From on-site imaging to same-week surgical scheduling, we move quickly — with care plans tailored to your goals and support throughout every stage of healing.
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Trusted for Second Opinions
& Complex Cases
Many patients come to us after previous treatment failed. Our team is experienced in revision surgeries and hard-to-treat injuries, offering solutions where others can’t.
Select Procedure

Meet the Team

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Fractures in the hand and wrist are uniquely complex — involving bones, nerves, and fine motor control. That’s why our team is built differently. At The Center for Hand and Upper Extremity Surgery, our physicians have advanced experience in trauma care, reconstruction, and microsurgical repair. We don’t just set bones — we restore function. Whether you’ve experienced a fall, an accident, or a fracture that didn’t heal properly the first time, we bring both urgency and specialized skill to your recovery.

Ajul Shah, MD, FACS

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A double board-certified plastic and reconstructive surgeon, Dr. Shah is nationally known for his work in complex hand and upper extremity trauma, nerve repair, and microsurgical fracture reconstruction.

 

 

Hari Iyer, MD, FAAOS

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Fellowship-trained in hand and upper extremity surgery, Dr. Iyer provides advanced treatment for traumatic injuries and fracture complications, including surgical fixation and joint preservation.

David Tsai, MD

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A detail-oriented surgeon with fellowship training in hand and wrist repair, Dr. Tsai combines advanced technique with personalized recovery plans for fracture care.

Peter Andrawes, MD

Dr. Peter Andrawes

With a focus on reconstructive microsurgery, Dr. Andrawes excels in treating complex wrist and metacarpal fractures — especially those requiring tendon and nerve protection.

Mark Yazid, MD

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Known for his comprehensive perspective, Dr. Yazid manages acute fractures and chronic complications with both surgical and nonsurgical precision.

Sidney Rabinowitz, MD, FACS

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A veteran hand surgeon, Dr. Rabinowitz specializes in post-traumatic reconstruction and brings decades of microsurgical expertise to fracture-related injuries.

What to Expect from Treatment

Before Surgery

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Your care begins with a detailed evaluation by one of our hand surgeons. We use imaging to assess the fracture in detail — including the alignment of bones and any involvement of nearby nerves, tendons, or joints. Once surgical intervention is confirmed, we’ll walk you through your procedure plan, recovery timeline, and pre-operative instructions.

During Surgery

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Surgical fixation is performed to realign and stabilize the broken bone using plates, screws, or pins. If the injury also involves soft tissue — such as nerves or tendons — our surgeons use advanced microsurgical techniques to repair those structures at the same time. Procedures are typically performed under regional anesthesia with sedation, and most patients return home the same day.

After Surgery

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You’ll leave with a post-operative care plan tailored to your injury and lifestyle. Follow-up appointments will monitor healing progress, and hand therapy may be recommended to restore strength, range of motion, and fine motor control. While recovery times vary, many patients regain significant function within weeks — and continue to improve with guided rehabilitation. Our focus is always on delivering full, lasting recovery through expert surgical care.

What Sets Our Team Apart?

Treating fractures isn’t just about lining up bones — it’s about restoring full hand and wrist function with accuracy and speed. Our surgeons are among the most highly trained in the region, combining orthopedic, plastic, and microsurgical expertise. From the first imaging scan to your final grip-strength test, you’re in the care of doctors who treat these injuries every single day — and treat them right the first time.
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Insurance & Financing

The Center for Hand and Upper Extremity Surgery participates in a wide range of insurance plans, including Horizon Blue Cross Blue Shield, Cigna, and more.

Please contact your insurance carrier to confirm coverage. For patients without insurance, third-party financing and payment plans may be available.

Frequently Asked Questions

Do all fractures require surgery?
No. Many fractures heal well with immobilization, but displaced or unstable breaks — especially those involving joints — may need surgical repair.
How soon should I get treated?
As soon as possible. Prompt treatment improves healing outcomes and reduces long-term stiffness or deformity.
What does surgery involve?
Surgical fixation realigns the bone and secures it with plates, pins, or screws. In some cases, soft tissue repair is also needed.
Will I be awake during the procedure?
Most surgeries are performed with regional anesthesia and sedation, or general anethesia — you’ll be comfortable the entire time.
What if my fracture was already treated elsewhere but isn’t healing well?
We treat nonunion, malunion, and poorly healed fractures regularly. Our team specializes in second-opinion and revision procedures.
How long is recovery?
It depends on the location and severity of the fracture. Some patients regain function in weeks, others may need several months including therapy.
Will I need physical therapy?
Often, yes — especially for wrist and joint-involved fractures. We’ll refer you to trusted hand therapists as part of your plan.
Will I regain full use of my hand or wrist?
That’s always our goal. Early intervention and skilled care dramatically increase the chances of full recovery.
What if I’m not sure if it’s broken?
Don’t wait. Even a “sprain” could be a hairline fracture. Our team can evaluate and confirm with imaging.
Is this covered by insurance?
Yes. Fracture treatment — surgical or nonsurgical — is considered medically necessary and covered by most major plans, including Horizon and Cigna.

Don’t Let a Fracture Define Your Future

A fracture doesn’t have to mean lifelong limitations. Whether your injury is new or your recovery has stalled, we’re here to help you heal the right way — with expert guidance and world-class care at every step.