Sports Traumatology

Istituto Ortopedico Galeazzi

key figures 

CLINICAL SERVICES:

  • Knee Instability
  • Ankle Instability
  • Shoulder Arthroscopy
  • Knee Replacement
  • Hip Replacement
  • Children's and Adolescent's knee problems
  • Regenerative Medicine 

PROCEDURES PERFORMED PER YEAR:

  • 600 ACL reconstructions
  • 150 shoulder arthroscopies

The Centre for Sports Traumatology and Arthroscopic Surgery (CTS) is a centre of excellence in treating knee problems and sport related trauma. CTS performs and assists different elite and Olympic athletes of various sport disciplines, including winter sports (alpine ski, snowboard cross and parallel snowboard, freestyle ski, cross country ski), football soccer players, rugby players and more. Dr. Shoenhuber and his team are the consulting medical team for A.C Milan and the U.S. Sassuolo soccer teams, as well as for the Italian Federation of Winter Sports (FISI). The number of ACL reconstructions on elite athletes performed personally by Dr. Schoenhuber is one of the highest in Italy. Many of the current Olympic medallists undergo other kinds of surgeries at the CTS as well.

 

treatmentS

Knee Instability

Knee instability due to ligament damage is mostly caused by sport injuries. These lesions are often combined with meniscal, chondral and other capsular-ligament lesions. Dr. Schoenhuber and his team use the arthroscopic approach in the ligament reconstruction for professional athletes, recreational sport competitors and adolescents, that proved to be effective according to the most recent studies. New researches confirm the importance of the meniscus, that’s why CTS applies the most innovative surgical techniques to repair these lesions.

CTS performs about 600 surgical ligament repairs every year. The follow-up in patients treated under this protocol has been done for more than 15 years and has showed a very low rate of complications and infections.

CTS also treats the patellar-femoral instability by both arthroscopic and open surgery methods, and in the most severe cases it’s possible to employ the tracheoplasty technique.

Main Pathologies Treated:

  • Knee Instability
  • Capsular- ligament lesions
  • Sports injury
  • Patellar-femoral instability

Top Procedures:

  • Ligament reconstruction with arthroscopic approach
  • Open surgery treatments
  • Tracheoplasty

Ankle Instability

In many of the cases, ankle instability is caused by sports trauma. The CTS performs surgical repair in acute or chronic situations, with the ability to execute a capsular ligament reconstruction using various surgical techniques.

Main Pathologies Treated:

  • Acute and chronic ankle instability
  • Ligament injury
  • Sports Traumas  

Top Procedures:

  • Capsular ligament reconstruction

Shoulder Arthroscopy

Shoulder lesion in sports traumatology involves a consequent shoulder instability and acute or chronic rotator cuff tendon lesions.

CTS performs all kinds of surgical arthroscopic repair as well as open surgery intervention in case of a severe shoulder instability.

CTS performs nearly 150 shoulder arthroscopies every year showing excellent clinical results and reaching high levels of patients’ satisfaction.

Main Pathologies Treated:

  • Shoulder lesions and traumas
  • Rotator cuff injury or instability

Top Procedures:

  • Arthroscopic surgical repair
  • Open surgery in severe shoulder instability

Knee replacement

Knee arthrosis and osteonecrosis are treated with monocompartmental (partial) or total knee replacement depending on what is the better choice for the patient. All the surgical replacements are carried out using a minimally invasive approach. In the early post-surgery hours, the patient begins with physiotherapy exercises and is ready for discharge in the next 3-5 days.  

Main Pathologies Treated:

  • Knee Arthrosis
  • Knee Osteonecrosis

Top Procedures:

  • Minimally invasive surgical technique
    • Total knee replacement
    • Partial knee replacement
  • Physiotherapy and follow-up


Hip replacement

For the treatment of hip arthrosis CTS uses either anterior or anterolateral surgical approaches, depending on the patient’s condition characteristics. In the early post-surgery hours, the patient already does physiotherapy exercises and after 4-6 days of the hospital stay can be discharged.  

Main Pathologies Treated:

  • Hip Arthrosis

Top Procedures:

  • Anterior and anterolateral surgical approach

Children's and Adolescent's knee problems

Performing arthroscopic surgery in children and adolescents is a very difficult task but proves itself very important due to the reduced time of surgery, scars, time of post-surgery immobilization, and necessity to use casts. Dr. Schoenhuber and his team excel in all kinds of surgery in order to treat chondral problems, osteochondritis dissecans, anterior cruciate ligament rupture, anterior tibial tuberosity detachment, intercondylar anterior spine detachment, meniscal repair and discoid meniscal problems.  

Main Pathologies treated:

  • Chondral problems
  • Osteochondritis dissecans
  • Anterior cruciate ligament rapture
  • Anterior tibial tuberosity detachment
  • Intercondylar anterior spine detachment
  • Meniscal repair and discoid meniscal problems

Top Procedures:

  • Arthroscopic surgery

Regenerative Medicine

CTS is a fundamental Unit for the RE.GA.IN™ project. This innovative protocol on regenerative medicine is one of the most recent techniques able to treat chondral and tendon diseases by doing mesenchymal cells and growth factors injections. The follow-up in patients treated under this protocol has been done for more than 7 years now and has showed a significant clinical improvement and a very low rate of complications.

Main Pathologies Treated:

  • Chondral and Tendon Disease

Top Procedures:

  • Mesenchymal cells and growth factors injections