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Article Category: Newsroom

Hand Surgery: Precision & Compassion

My journey into the intricate specialty

Dr. Justin Kunes, Wellstar pediatric orthopedic and hand surgeon

Published on March 04, 2025

Last updated 09:02 AM March 04, 2025

HAnd Surgery Pic

Hand surgery is a unique and intricate field that combines the precision of microsurgery with the compassion required to treat patients of all ages. My journey into this specialized area of medicine comes from a deep passion for helping individuals regain function and improve their quality of life. This article explores my dedication to pediatric hand surgery and minimally invasive adult hand surgery, including arthroscopy and ultrasound-guided procedures such as carpal tunnel and trigger finger release.

The Beginnings of a Passion

From an early age, I was fascinated by the complexity of machines, computers and tools. Until high school, I was convinced that I should become an engineer. However, in the last month of high school I shadowed an orthopedic surgeon and told myself, “I’ll go to medical school if I can do that!” During my medical training, I was fortunate to be able to help many patients in the emergency department to return to their lives and work by treating their hand injuries. I became enamored with the hand’s intricate network of bones, tendons, nerves and muscles that allow for an incredible range of motion and dexterity. Also, in treating children during residency, I wanted to learn more about the growing hand and how I could help children gain the most function. This fascination led me to direct my career in medicine toward a particular focus on hand surgery and pediatric orthopedics.

Pediatric Hand Surgery: A Delicate Balance

Pediatric hand surgery is a particularly rewarding aspect of my practice. Children with congenital hand differences or traumatic injuries require specialized care that addresses both their physical and emotional needs. The challenge lies in the delicate balance of performing intricate surgeries on tiny, developing hands while ensuring minimal disruption to their growth and development.

One of the most fulfilling aspects of pediatric hand surgery is witnessing the resilience and adaptability of young patients. Their ability to recover and adapt to new circumstances is truly remarkable. Whether it is correcting a congenital anomaly like syndactyly (webbed fingers) or repairing a traumatic injury, the goal is always to restore function and enable these children to lead active, fulfilling lives. My favorite pediatric hand surgery is the index pollicization, in which I convert the index finger into a thumb for children who are born without a thumb.

Minimally Invasive Techniques: The Future of Hand Surgery

In recent years, minimally invasive techniques have revolutionized the field of hand surgery. These approaches offer many benefits, including reduced pain, faster recovery times and smaller scars. My practice has increasingly incorporated these techniques, particularly arthroscopy and ultrasound-guided procedures, to provide the best possible outcomes for my patients.

Arthroscopy: Precision Through Small Incisions

Arthroscopy is a minimally invasive surgical technique that involves the use of a small camera, called an arthroscope, to visualize the inside of a joint. This allows for precise diagnosis and treatment of various hand conditions without the need for large incisions. In my practice, arthroscopy works well for conditions such as wrist ligament injuries, ganglion cysts and early-stage arthritis.

The advantages of arthroscopy are myriad. Patients experience less postoperative pain, shorter hospital stays and quicker return to daily activities. Additionally, the smaller incisions result in less scarring, which is particularly important for hand surgery, where stiffness can lead to delayed recovery since tissues must stretch to recover.

Ultrasound-Guided Procedures: Real-Time Precision

Ultrasound-guided procedures have also become a cornerstone of my practice. This technique involves using ultrasound imaging to guide the placement of needles or surgical instruments in real-time. It is particularly useful for conditions such as carpal tunnel syndrome and trigger finger, where precise targeting of the affected area is crucial.

For carpal tunnel syndrome, ultrasound guidance allows for accurate placement of the needle during corticosteroid injections or for the release of the transverse carpal ligament. This results in effective symptom relief with minimal discomfort for the patient. Similarly, for trigger finger, ultrasound guidance ensures precise release of the constricted tendon sheath, leading to improved outcomes and faster recovery.

The Human Connection: Building Trust and Empathy

While the technical aspects of hand surgery are undoubtedly important, the human connection is equally vital. Building trust and empathy with my patients is at the core of my practice. Each patient comes with their own unique story, and understanding their concerns and goals is essential for providing personalized care.

In pediatric hand surgery, this often involves working closely with both the child and their family. Explaining the surgical procedure in a way that is understandable and reassuring helps to alleviate anxiety and build confidence in the treatment plan. For adult patients, particularly those undergoing minimally invasive procedures, clear communication about the benefits and expectations of the surgery is crucial for informed decision-making.

Continuing Education and Innovation

The field of hand surgery is constantly evolving, with new techniques and technologies emerging regularly. Staying at the forefront of these advancements is a priority for me. I am committed to continuous education and regularly attend conferences, workshops and training sessions to refine my skills and learn about the latest developments in hand surgery.

Innovation is also a key aspect of my practice. I actively participate in research studies and collaborate with colleagues to explore innovative approaches and improve existing techniques. This commitment to innovation ensures that my patients receive the most advanced and effective treatments available.

Conclusion: A Lifelong Commitment

My passion for pediatric hand surgery and minimally invasive adult hand surgery comes from my desire to make a meaningful difference in the lives of my patients. The ability to restore function, alleviate pain and improve quality of life is incredibly rewarding. As I continue this journey, I remain dedicated to providing compassionate, cutting-edge care to all my patients, young and old.

Hand surgery is more than just a profession for me; it is a lifelong commitment to excellence, empathy and innovation. Each day brings new challenges and opportunities to gain experience and grow, and I am grateful for the privilege of being able to help my patients achieve their best outcomes.

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Wellstar Kennestone Expands Care with New Tower

Communities across Cobb County and Metro Atlanta are growing quickly—and so is the need for world-class healthcare.

The new Yellow Tower at Wellstar Kennestone Regional Medical Center is helping meet that need. The nine-story, 235-bed patient tower expands hospital capacity, strengthens specialty care and enhances the patient experience through state-of-the-art technology and spaces that support healing.

Opening to patients April 15, 2026, the tower represents a $400 million investment in the future of healthcare for the region—helping ensure families across Georgia can access expert care when and where they need it.

Expanding capacity and advancing care

The approximately 300,000-square-foot tower increases acute care capacity and strengthens key service lines, including cardiology, neurology, oncology and surgery. Dedicated units for cardiac critical care, surgical care, neurological care and medical oncology allow care teams to deliver advanced treatment in environments built for each specialty.

The new tower also introduces a next-generation neonatal intensive care unit (NICU) and enhanced neonatal services, expanding care for our smallest patients. A dedicated Women’s & Children’s entrance improves access and reinforces family-centered care.

"This tower is more than a new building—it reflects our commitment to providing extraordinary care for people across the Southeast,” said Ketul J. Patel, Wellstar president and CEO. “Wellstar Kennestone has become a destination hospital, with a Level I Trauma Center and nationally recognized specialty programs, including one of the best heart programs in the country. This investment allows us to serve more patients, support families during life’s most important moments, and give our teams the space and tools they need to deliver safe, high-quality care to every person, every time. When someone needs advanced care, they can find it at Wellstar.”

Technology that supports care

Every element of the Yellow Tower was designed with patients, families and care teams in mind.

All adult patient rooms are private, offering greater comfort and functionality. Natural light, sound-reducing features and adjustable lighting and privacy controls create a calm, quiet setting. Durable antimicrobial materials support infection prevention and help maintain a clean, safe space.

Throughout the new tower, smart-room technology keeps patients and care teams connected. Interactive digital whiteboards in each patient room display real-time care information, including medications, care team details and daily treatment plans.

Smart technology also supports patient safety. Remote monitoring allows trained team members to observe patients who may be at risk of falls or other complications. Virtual nursing helps coordinate admissions, discharges and documentation so bedside nurses can focus on direct patient care.

Other advanced capabilities—including AI-assisted monitoring and virtual rounding—enhance the care experience by helping identify risks earlier, improving decision-making and extending access to expert providers.

These advancements are especially impactful in high-acuity areas like neurology and neurosurgery.

“Expanding our neuro beds allows us to bring advanced technology and specialized brain and spine care directly to more patients,” said Frances Van Beek, assistant vice president of neuroscience and trauma services at Wellstar. “Because many of these services aren’t widely available, this growth helps ensure patients across Georgia can access the expert care they need.”

Specialized care for newborns and families

The Yellow Tower includes a 49-bed next-generation NICU designed to care for infants who are premature or critically ill while supporting families during a challenging time.

The new unit emphasizes natural light, quiet healing spaces and advanced monitoring technology that promotes healthy growth and development.

A centralized Milk Lab prepares fortified human milk, donor milk and prescribed formulas to meet the unique nutritional needs of infants in the NICU. The unit also includes six couplet care rooms, allowing mothers and babies receiving specialized care to remain together—encouraging bonding during treatment.

This focus on family-centered care reflects Wellstar’s commitment to supporting people at every stage of life—ensuring families have access to compassionate, specialized care when they need it most.

Hospitality-inspired dining experience

Under the patient tower, a new 22,000-square-foot kitchen powers a hospital-wide in-room dining service that blends restaurant-quality meals with clinical nutrition.

Patients can order meals when they’re ready to eat during service hours, with breakfast favorites available throughout the day. This model gives people greater choice and flexibility during their stay.

“We designed this program to give patients more control over their dining experience—so they can order what they want, when they want it,” said Ben Behimer, director of nutrition and food services at Wellstar Kennestone. “Our goal is to create a more personalized, restaurant-style experience that reflects the same level of quality and care patients expect across our hospital.”

Visitors and team members can also enjoy retail dining, including Mountainside Bistro—which features seven food concepts—and Wellbean Coffee, along with expanded indoor and outdoor seating.

The new kitchen and dining areas are over 50% larger than the previous space and feature dual production lines, allowing teams to prepare fresh meals efficiently for everyone they serve.

Rapid access when minutes matter

Wellstar Kennestone plays a critical role in caring for patients with serious injuries and complex conditions across Georgia. The hospital is verified as a Level I Trauma Center by the American College of Surgeons and designated by the Georgia Department of Public Health—the highest level of trauma care available.

The new tower strengthens that capability. Expanded helipads and integrated flight paths connect the hospital directly with the Wellstar AirCare network, helping ensure patients can reach advanced care quickly.

Dual heavy-lift helipads support high-volume air medical operations, while overlook spaces within the tower provide views of the surrounding campus.

Wellstar AirCare operates a 24/7 air ambulance service with helicopters based in Augusta and south of Metro Atlanta. Care teams provide lifesaving care during transport, including whole blood transfusions for severe blood loss and support for patients requiring extracorporeal membrane oxygenation (ECMO).

Built for the future of care

The Yellow Tower was designed to adapt to evolving healthcare needs. Entire floors can be converted to negative pressure environments, allowing the hospital to respond quickly during infectious disease outbreaks or other public health emergencies.

The new tower also enhances Wellstar Kennestone’s ability to provide exceptional care every day—from welcoming babies to supporting people through cancer treatment and recovery. It ensures the hospital can continue caring for the community with the level of excellence people expect while preparing for what’s ahead.

Learn more at wellstar.org/kennestone.

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The Hardy family, founders of Hardy Family Automotive, announced a $1 million donation to support the expansion of Wellstar Paulding Medical Center and its new Graduate Medical Education (GME) residency program.

Guided by the message, “We love you and we need you,” the Hardy family has served Paulding County since 1978. That same spirit—neighbors caring for neighbors—is at the heart of care at Wellstar Paulding. The generous donation from the Hardy family will help Wellstar expand access to care close by for people in Paulding County.

“We are incredibly grateful to have a state-of-the-art hospital serving our friends and family right here in the heart of our community,” said Rene Hardy Gordon, dealer principal of Hardy Family Automotive. “The pride that our community feels for Wellstar Paulding is something we deeply share.”

As one of the fastest-growing counties in Georgia, Paulding County continues to experience rising demand for healthcare services driven by rapid growth, an aging population and increasing patient acuity. However, the pipeline of healthcare workers nationwide is not growing at the same pace. This investment in the health and well-being of Paulding County will help ensure families have access to the care they need for generations to come.

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Wellstar Health System is investing more than $300 million to expand the Wellstar Paulding campus, including the construction of a seven-story hospital tower and a 467-space parking deck to improve access for patients and families. 

The first phase of the tower, expected to open November 2027, will add 56 beds—increasing the hospital’s current 112-bed capacity by 50%. The expansion will also enhance heart and vascular care services with an additional cath/procedure lab, 20 dedicated recovery spaces and two procedure rooms for advanced heart imaging such as transesophageal echocardiography. Imaging services will grow as well, with expanded CT, X-ray and nuclear medicine capabilities and two new ultrasound spaces. A second phase planned for fiscal year 2029 will add another 56 beds and additional procedural capacity.

“Paulding County is home to so many families who deserve access to excellent care close to where they live,” said Sharon Robinson, vice president of the Wellstar Foundation. “The Hardy family’s investment helps us grow our physician training programs in a way that supports both today’s patients and the long-term health of this community.” 

Expanding the physician pipeline

In response to physician shortages—particularly in rural areas—Wellstar recently launched a GME residency program at Wellstar Paulding. 

The new program will create 30 physician positions focused on internal medicine with an emphasis on rural primary care. GME programs are one of the most effective strategies for strengthening physician pipelines, as communities that train physicians are more likely to retain them. 

Over the past decade, Wellstar has grown its GME program from 14 trainees in 2016 to nearly 300 today across its teaching hospitals. In partnership with Augusta University’s Medical College of Georgia, another 500 physicians are in training at Wellstar MCG Health Medical Center. With the addition of the Wellstar Paulding residency, Wellstar will soon support more than 860 physicians in training statewide. 

The Hardy family’s pledge will help the Wellstar Foundation and community partners raise an additional $3 million to complete the training spaces that will house the Wellstar Paulding residency program in the new tower. 

A hospital growing with its community

Wellstar Paulding employs approximately 1,900 team members and operates one of the busiest emergency departments in the region, with 40 adult and pediatric bays. The hospital has received numerous recognitions for quality and safety, including the Malcolm Baldrige National Quality Award, Magnet designation for nursing excellence, a Leapfrog “A” safety rating and a CMS 4-star quality rating. 

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“Our parents, Charles and Jeannette Hardy, instilled in us the importance of caring for the community that has supported our family for generations,” said Gordon. “As Wellstar Paulding grows with the addition of the new tower and the launch of its GME program, we believe investing in local healthcare is one of the most meaningful ways we can give back.”

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The new Wellstar cancer care facility is located at 65 Cloverleaf Drive in Cartersville.

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