Hand Surgery

Istituto Ortopedico Galeazzi

key figures 

CLINICAL SERVICES:

  • Carpal Tunnel Syndrome
  • Compartmental Syndrome either tendinous or neurological
  • Dupuytren Disease
  • Arthritis
  • Malformations
  • Post traumatic Injuries
  • Tumours
  • Tumourlike conditions
  • Particular devotion to articular prosthetic surgery of the hand and wrist

PROCEDURES PERFORMED PER YEAR: 

  • 1000 specialist medical examinations
  • 500 ambulatorial surgeries
  • 250 hospitalizations for surgery

The Hand Surgery Unit, Division 1, of the Istituto Ortopedico Galeazzi Research Hospital is a reference point for patients coming from all over Italy. It performs more than 1000 specialist annual visits and about 800 surgical procedures in the same period. The medical team attend national and international Congresses as invited speakers and lecturers.

 

treatmentS

Osteosynthesis of Fractures of the hand and wrist

The procedure is performed with advanced technical devices as microplates, micro screw or other and under direct X-ray control during operation in order to verify good reduction and stabilization.

  Main Pathologies Treated:

  • Wrist fractures
  • Digital and metacarpal fractures
  • Carpal fractures

Top Procedures:

  • Metacarpal Fractures

Canalicular Syndromes

These pathologies are usually treated with local or loco regional anaesthesia and only in particular cases with general anaesthesia. All these pathologies are affronted with the use of tourniquet. It’s important to specify that in order to obtain a correct indication for surgery the team performs an electromyographic examination and often an echotomography and X-ray evaluation. Hematic study is performed in the case of systemic pathology.

Main Pathologies Treated:

  • Carpal Tunnel syndrome
  • Guyon syndrome
  • Elbow ulnar nerve entrapment
  • Frohse arcade
  • Anterior interosseous median nerve at the forearm

  Top Procedures:

  • Carpal Tunnel Syndrome

Articular Prostheses

Prostheses are applied in case of arthritis joint degeneration or in consequences of not healed fractures especially for scaphoid carpal bone or metacarpal bones.

Surgery in performed with loco regional anaesthesia and the more used prostheses are Silastic rubber implants or in PyroCarbon implants. The advantage of this devices is the short recovery time and often none physiotherapy during the convalescence. Arthrodesis is obtained only in a very low percentage of cases.

Main Pathologies Treated:

  • Rhizarthrosis
  • Scaphoid nonunion

Top Procedures:

  • Swanson Prostheses
  • APSI scaphoid partial implant