Hand Surgery and Recostructive Microsurgery

Istituto Ortopedico Galeazzi

key figures 

CLINICAL SERVICES:

  • Hand Surgery
  • Wrist Surgery
  • Hand and Wrist Trauma
  • Microsurgery
  • Reconstructive Surgery of Peripheral Nerves
  • Congenital Limbs Malformations Surgery
  • Vascular malformations surgery

PROCEDURES PERFORMED PER YEAR: 

  • 1.700 surgical procedures
  • 4.500 specialist consultations

Founded in 2019 after 20 years of experience and activity in another important clinical centre in Milan, The Hand Surgery Unit of the Galeazzi Orthopaedic Hospital offers the whole range of treatments for hand, wrist and peripheral nerves conditions. Surgical procedures are performed taking advantage of mini-invasive techniques such as arthroscopy and microsurgery.

treatmentS

Hand and Upper Limb Surgery 

Main pathologies treated: 

  • Fractures of the hand and wrist
  • Complex traumatic injuries
  • Nerve compression syndromes and injuries of the upper limb
  • Tendons injuries and inflammatory diseases
  • Primary and post-traumatic osteoarthritis of the hand and wrist
  • Chronic and acute injuries of ligaments of the hand and wrist
  • Congenital malformations of the hand
  • Vascular malformations of the upper limb
  • Dupuytren's disease

Fractures

The hand surgery unit of the Galeazzi Hospital is a certified IBRA training center for the treatment of hand and wrist fractures.

Restoration of anatomical bone and joints conditions is fundamental for the return to normal function after a fracture involving the hand and wrist. Fractures fixation of small bones in the hand and wrist has evolved in the last years and nowadays innovative stabilization devices are available to allow very early recovery of motion function and return to daily activities.

Surgery for hand and wrist fractures is always performed in a day hospital regimen and the patient is invited to start early mobilization immediately after the operation, with the support and under the control of a specialized hand therapist.

Peripheral Nerves Surgery

The Hand and Reconstructive Microsurgery Unit deals with pathologies of peripheral nerves of the upper and lower limbs, treating these lesions  with microsurgical techniques. Direct repair of the injured nerve, nerve grafts and reconstructions are performed with microsurgical techniques with the use of the operating microscope. Late outcomes of nerve lesions may be treated by means of tendons and muscles transfers.

Lesions of the peripheral nerves can also result in chronic neuropathic pain which can be treated surgically with neuromas resection and nerve stump neurolysis, remodelling and transfer.

Chronic nerve compression syndromes are dealt by means of decompression and neurolysis with mini-invasive techniques.

Arthrosis and Arthritis

Degenerative (arthrosis) and inflammatory (arthritis) joint diseases are frequently painful and disabling conditions. When medications can’t control the pain or joint degeneration stage is high a wide range of surgical procedures such as arthroscopic joint debridement, total or partial joint fusion, joint prosthesis can relive pain and restore motion function.

Rheumatoid arthritis is sometimes a very aggressive disease that progressively impairs joint and tendons function. The treatment of this condition involves both hand surgeon and rheumatologist and often requires multiple procedures.

Congenital Limb Malformations Treatment

Repair of congenital limbs malformation requires a specific surgical skill. These are very complex conditions in which all the structures are involved and must be addressed for correction in order to achieve an acceptable functional and aesthetic result.

Vascular Malformations of the Upper Limb

These are very rare and sometimes invalidating conditions that may involve all the structures of the limb: skin, muscles, bones and joints, and require sophisticated diagnosis and treatment. This include embolization, avulsion and microvascular reconstruction.

Innovative Therapies and Research

The hand surgery unit takes advantage of the great expertise and experience of the Institute in the field of regenerative medicine and surgery.

New devices such as a very innovative external fixator for hand fractures have been developed by the unit.

Collagenase treatment for Dupuytren disease is currently performed, that strongly reduces the need of open surgery.

 

NOTABLE ADVANCED TECHNOLOGICAL EQUIPMENT

  • Arthroscopy for small joints
  • Operative microscope
  • Semi-circular external fixation for small bones