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Acute Hospitalizations – Via Marcona Office

Orthopedics

The new Orthopedics and Traumatology Unit of the Igea Nursing Home is a cutting-edge department in the treatment of the main orthopedic pathologies. It employs highly specialized orthopedic surgeons in surgical techniques for each individual joint district. The outpatient service is also active, every day of the week. The patient is followed in his/her path starting from the clinical and instrumental diagnosis up to the surgical intervention with the consequent post-operative course and the setting of the correct rehabilitation program.

Arthroscopic surgery

Arthroscopy allows for a precise and tangible evaluation of the intra-articular components, causing minimal trauma to the soft tissues, less mobility, fewer post-operative complications and faster rehabilitation compared to open procedures. This approach is fundamental in the treatment of traumatic injuries in athletes and degenerative injuries in subjects over 50. The indications for arthroscopy are both diagnostic and therapeutic.

Knee

  • meniscal injuries
  • ligament injuries (anterior and posterior cruciate)
  • chondral lesions
  • chondromalacia
  • side release
  • movable bodies
  • synovitis
  • synovial fold
  • infections
  • painful knee replacement
  • knee pain with edema resistant to usual conservative treatment

Shoulder

  • partial and complete tears of the CDR (rotator cuff)
  • tenosynovitis of the CLB (long head of the biceps)
  • uni- and multi-directional instability
  • laxity problems
  • Symptomatic glenoid labrum tears (SLAP lesion)
  • refractory adhesive capsulitis
  • osteochondritis dissecans
  • movable bodies
  • synovectomies in rheumatoid arthritis
  • acromioclavicular joint problems

Prosthetic surgery

Prosthetic surgery intervenes in the treatment of degenerative pathologies (which affect the majority of the population over 60) and post-traumatic (road accidents, accidental falls, etc.). Hip arthroplasty, total or unicompartmental knee arthroplasty, patellofemoral arthroplasty, shoulder arthroplasty, trapeziometacarpal arthroplasty (hand) are usually implanted.

Indications include: primary osteoarthritis, revisions of previous prostheses, rheumatoid arthritis, fracture outcomes, aseptic and septic loosening, painful prostheses, necrosis.

The prosthetic implant is intended to eliminate pain, restore function and last over time. It is important to proceed with the preoperative evaluation of the patient which must include a clear description and documentation of risks/benefits. The expectations of the patient and the surgeon must be explicitly defined and the postoperative rehabilitation program and its fundamental importance in the overall outcome must be emphasized.

Furthermore, the Orthopedic team also performs the following surgical procedures: neurolysis for carpal tunnel syndrome and for ulnar syndrome at the elbow, tenolysis for De Quervain's disease at the wrist, tenolysis for trigger fingers, removal of joint and non-joint cysts, aponevrectomy for Dupuytren's disease, tendon sutures, patellar and olecranon bursectomies, surgical correction of flat feet in children, surgical correction of hallux valgus and hammer toes.

Responsible
Dr. Ruggero Riva