Fellowship-Trained · Hand & Upper Extremity · Edmond, Oklahoma

Hand surgery, with a
plastic surgeon's precision.

Your hands are how you work, create, and connect. Dr. Zachary M. Hurwitz, MD brings fellowship training in hand and upper-extremity surgery — and the meticulous, aesthetics-driven mindset of a board-certified plastic surgeon — to every hand he treats, from carpal tunnel to advanced joint replacement.

Schedule a Consultation (405) 757-3610

Hand & Upper Extremity Surgery Fellowship · Dallas, Texas

"Plastic surgery trains you to treat every millimeter as if it matters — because it does. The same attention to detail that shapes an aesthetic result is what restores function, strength, and feeling in a hand."

— Dr. Zachary Hurwitz, MD

Credentials

Trained where the hardest cases go

Hand surgery sits at the intersection of orthopedics, microsurgery, and plastic surgery. Dr. Hurwitz completed dedicated fellowship training in hand and upper-extremity surgery across four Dallas institutions — UT Southwestern, Parkland Memorial Hospital, Texas Children's Hospital, and Scottish Rite for Children — spanning everything from high-volume adult trauma to pediatric and congenital hand surgery.

Four Institutions, One Fellowship

Fellowship training at UT Southwestern and Parkland — one of America's highest-volume Level I trauma centers — plus Texas Children's Hospital and Scottish Rite for Children, two of the nation's premier pediatric hospitals. The result: experience that runs from routine nerve compression to complex adult reconstruction to congenital hand differences.

The Plastic Surgery Mindset

As a board-certified plastic surgeon, Dr. Hurwitz operates with an eye for tissue handling, scar placement, and fine anatomy that translates seamlessly to the hand — where millimeters separate a good outcome from a great one.

Recognized Societies

Member of the American Society for Surgery of the Hand (ASSH) and the American Association for Hand Surgery (AAHS), practicing at Mercy Hospital Oklahoma City with a 4.8-star patient satisfaction rating across hundreds of reviews.

Advanced Options

Modern treatments, close to home

Dr. Hurwitz offers advanced, evidence-based treatments that many patients otherwise travel out of state to find.

Non-Surgical

Xiaflex® for Dupuytren's Contracture

Straighten fingers without surgery

Dupuytren's contracture pulls fingers into the palm and makes everyday tasks — shaking hands, wearing gloves, reaching into a pocket — frustrating. Xiaflex is an FDA-approved enzyme injection that dissolves the contracted cord, allowing the finger to be straightened without an incision.

  • Office-based treatment — no operating room, no general anesthesia
  • No incisions and minimal downtime compared to open surgery
  • An option for many patients told their only choice was surgery
Next-Generation Surgery

TOUCH® CMC 1 Thumb Joint Replacement

Keri Medical dual-mobility arthroplasty for thumb arthritis

Arthritis at the base of the thumb (CMC joint) is one of the most common — and most disabling — forms of hand arthritis. The TOUCH prosthesis, FDA-approved in 2025 after more than 150,000 implantations in Europe, replaces the worn joint rather than removing it, preserving thumb length and strength.

  • Designed to restore pinch strength and motion faster than traditional trapeziectomy
  • Many patients return to light activity in weeks, not months
  • Dr. Hurwitz is among the surgeons bringing this technology to Oklahoma patients
Minimally Invasive

Endoscopic Carpal Tunnel Release

Camera-guided surgery, smaller incision

Carpal tunnel syndrome — numbness, tingling, and hands that wake you at night — is the most common nerve compression in the body. Dr. Hurwitz performs the release endoscopically: a camera guides the procedure through one small incision at the wrist crease, leaving the palm itself untouched.

  • No open incision through the palm — less early soreness where you grip
  • Typically a faster return to work and daily activities than traditional open release
  • Brief outpatient procedure with a small, well-hidden scar

Full-Spectrum Hand Care

Conditions we treat

From common nerve compression to complex reconstruction, hand care is a core part of Dr. Hurwitz's practice — not a sideline.

Carpal & Cubital Tunnel

Nerve compression causing numbness, tingling, and weakness — including endoscopic carpal tunnel release through a single small incision.

Trigger Finger

Catching, locking fingers relieved with injection or a brief outpatient release.

Thumb & Hand Arthritis

From splinting and injections to TOUCH joint replacement — matched to your lifestyle and goals.

Dupuytren's Contracture

Xiaflex injection or surgical release for bent, contracted fingers.

Tendon & Nerve Injuries

Meticulous microsurgical repair to restore motion and sensation after lacerations and trauma.

Fractures of the Hand & Wrist

Modern fixation techniques focused on early motion and full return of function.

Ganglion Cysts & Masses

Evaluation and removal of lumps and bumps of the hand and wrist.

Complex Reconstruction

Fellowship-level reconstruction for severe injuries, drawing on plastic surgery and microsurgery.

Pediatric Hand Surgery

Fellowship experience at Texas Children's and Scottish Rite — from congenital hand differences to pediatric fractures and injuries.

Workers' Comp & Sports Injuries

Efficient evaluation and treatment plans built around returning you to work and play.

No Insurance? Real Options

We help uninsured patients apply for SoonerCare, Oklahoma's Medicaid program, and those who don't qualify may be eligible for Mercy's charity care program. Eligibility is decided by the program — the help with the application is ours.

Common Questions

Asked & answered

Is carpal tunnel surgery covered by insurance?

Usually, yes. Carpal tunnel release is a medically necessary procedure, and this practice accepts all major plans. Our team verifies your specific benefits before anything is scheduled, so you know what applies to you rather than guessing from a general answer.

Will I need a nerve conduction study first?

Rarely. Insurers seldom require one, and the decision is a clinical one made at your examination rather than a box to be ticked. If a study would genuinely change the plan, Dr. Hurwitz will say so and explain why.

How long does carpal tunnel release take, and what is recovery like?

The release itself takes a few minutes — rarely more than ten. The dressing comes off at three days, there is a ten pound lifting limit for two weeks, and most people doing desk work are back at it the next day. The six week timeline you may have read elsewhere does not describe this operation.

Can surgery fix numbness and muscle wasting that have been there a long time?

Surgery relieves the compression on the nerve, and that halts progression. Where muscle has already atrophied or feeling has been reduced for a long time, full recovery is not always realistic — but stopping further loss is itself the reason to act rather than wait. Dr. Hurwitz will tell you candidly which outcome is likely in your case.

What are the options for Dupuytren's contracture?

Two: Xiaflex, an injection that dissolves the cord, or surgery to remove it. Which one suits you depends on the cord, the joints involved, and how the contracture has behaved so far. Both are offered here, and you will hear the honest trade-offs of each.

Can trigger finger be treated without surgery?

Often. An injection settles many trigger fingers for good, and that is the goal — not an injection you repeat indefinitely. Surgery is there for the ones that do not settle, and it is a small procedure when it is needed.

Take the Next Step

Get your hands back

Consultations are available in person at Mercy in Oklahoma City / Edmond or via telehealth. All major insurance plans are accepted for hand surgery, including workers’ compensation.

Schedule a Consultation