Orthopedic Surgery and Rheumatology

Orthopedic Surgery

Orthopedic surgery is the surgical specialty dealing with the treatment of locomotor system pathologies of a degenerative, inflammatory, or traumatic nature. The most renowned orthopedic surgeons perform more than 3,000 operations per year, covering all pathologies of the hip, knee, ankle, shoulder, elbow, hand, foot, spine, and general traumatology.

 

In collaboration with other specialists such as rheumatologists, neurologists, physiotherapists, etc., and working within multidisciplinary teams, the orthopedic surgeon addresses numerous pathologies of different natures. For example, they can handle the diagnosis and management of metatarsalgia, as in the case of Morton's neuroma, or hallux valgus or hallux rigidus, which are pathologies related to foot surgery. They can also perform hip surgery or spinal surgery, as well as treat a femoral neck fracture.

 

Rheumatology

Rheumatology is the medical specialty that deals with the prevention, diagnosis, and treatment of autoimmune musculoskeletal and systemic diseases. It is one of the specialties that has seen the most progress in diagnosis and treatment in recent years.

 

There are more than 200 rheumatic diseases, and they can affect all age groups, from children to the elderly. They are the pathologies that most deteriorate the quality of life, ahead of pulmonary and cardiac diseases.

 

Musculoskeletal diseases affect the bones, muscles, and joints, as well as the surrounding tissues, and can cause pain, inflammation, stiffness, limited movement, and deformities. On the other hand, systemic autoimmune diseases, such as lupus, Sjögren's syndrome, scleroderma, or dermatomyositis, can affect any organ in the body, such as the kidneys, lungs, skin, heart, or brain. These diseases are often chronic and require lifelong follow-up by a rheumatologist.

 

Paralysis of the Upper and Lower Limbs

Paralysis is the partial or total loss of the ability to move the limbs. It can depend on many causes, some more serious than others (tumors, accidents, neurological diseases) and can be temporary or permanent, depending on the cause.

 

Paralysis occurs when the messages the brain sends to the muscles are interrupted for some reason. Paralysis of the lower half of the body, which includes both legs, is called paraplegia. Paralysis of both the upper and lower limbs, affecting both arms and legs, is called quadriplegia.

 

Most paralysis occurs as a result of a stroke or spinal cord injury due to spinal trauma (road accidents, falls, sports injuries, gunshot or stab wounds).

 

Spinal cord injuries resulting from trauma are caused by damage to the vertebrae, ligaments, or discs of the spine, or to the spinal cord itself. Spinal cord injuries not caused by trauma can result from arthritis, tumor, infection, inflammation, or degeneration of the vertebral discs, the cartilages that separate the vertebrae from each other.

 

Paralysis can also be due to:

  • neurological diseases, such as amyotrophic lateral sclerosis (ALS) or multiple sclerosis;
  • autoimmune diseases;
  • diseases such as polio;

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Shoulder Surgery

Shoulder surgery encompasses a series of procedures aimed at resolving shoulder disorders, mainly through minimally invasive operations.

 

A patient may undergo shoulder surgery for various reasons.

 

The most common are:

  • Shoulder tendon injuries;
  • Rotator cuff tears;
  • Shoulder instability and dislocation;
  • Shoulder osteoarthritis;
  • Acromioclavicular osteoarthritis;
  • Shoulder fractures;
  • Arthroscopic shoulder surgery;
  • Prosthetic shoulder surgery - anatomical and reverse prosthesis;

Elbow and Upper Limb Surgery

Elbow and upper limb surgery guarantees results in a short time and with very few complications, even for operations that, just a few years ago, were considered particularly complicated and with uncertain results.

 

The main pathologies in elbow and upper limb surgery treated surgically are:

  • Osteoarthritis and rheumatoid arthritis;
  • Elbow dislocation;
  • Epicondylitis;
  • Cubital tunnel syndrome (ulnar nerve compression);
  • Tendon rupture;
  • Ligament reconstruction;
  • Radial nerve compression;
  • Synovial sarcoma;
  • Bone tumors;
  • Elbow arthroscopy and reconstructive microsurgery;
  • Traumatology (elbow fractures);
  • Carpal tunnel syndrome;

Spine Surgery

Spine surgery essentially treats spinal diseases such as:

  • Vertebral fractures;
  • Surgery for cervical and lumbar disc hernias;
  • Surgery for cervical and lumbar canal stenosis;
  • Vertebral arthrodesis;
  • Spondylolisthesis;

Hip and Femur Surgery

Hip Surgery

The hip is one of the main joints in the human body. The hip is the anatomical region that connects the trunk and, in particular, its pelvic region to the thigh and therefore to the lower limb. It can happen that the correct articular function of the hips is compromised, and this can occur due to the natural aging process of the human body or as a result of trauma due to serious accidents, but also sometimes to a simple fall, or to rheumatic, metabolic, or congenital diseases. In less serious cases, conservative therapies (physiotherapy, shock waves, spa treatments, etc.) can be used in conjunction with pharmacological therapies (NSAIDs, hyaluronic acid infiltrations), but since the hip is a joint subjected to continuous stress that can lead to a process of progressive wear, hip surgery may be necessary.

 

Femoral Neck Surgery

Orthopedic surgeons generally opt for femoral neck surgery following a fracture in this anatomical region. Essentially, two types of fractures can affect the femoral neck: the fracture of the femoral neck itself and the pertrochanteric fracture. A fracture at the level of the femoral neck can lead to necrosis of the femoral head (head loosening), which is why it is essential to operate on it.

 

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