The hand surgery and rehabilitation centre treats all degenerative diseases, malformations and trauma involving the hand, wrist and elbow, both upon appointment or in an emergency.
The hand surgery specialists at Paideia International Hospital deal with both diagnosing conditions of the hand, wrist and elbow and with operations involving these body parts. The team consists of orthopaedic and plastic surgeons who have advanced specialisations in hand surgery and microsurgery.
Hand surgery is a complex discipline, hence the need for specialist rehabilitation performed by ahighly specialised and qualified team working in close partnership with the surgical team.
Main conditions:
- Rheumatoid hands: rheumatoid arthritis, psoriatic arthritis and other connective tissue diseases
- Malignant and benign tumours of the hand and upper limb
- Post-traumatic and post-oncological microsurgical reconstructions of bone and soft tissue with pedicled and free flaps
- Dupuytren's contracture
- Disease and injuries of the extensor and flexor tendons
- Carpus, radius and ulna fractures and dislocations of the fingers
- Osteoarthritis of fingers and thumb, rhizarthrosis
- Carpal instability and scapholunate ligament injury
- Osteoarthritis of the carpus, SLAC and SNAC
- Distal radioulnar joint and triangular fibrocartilage injuries (TFCC)
- Disease of the wrist and treatment with arthroscopic techniques (wrist arthroscopy)
- Compressive neuropathies: carpal tunnel syndrome, cubital tunnel syndrome, posterior interosseous nerve syndrome
- Nerve injuries, microsurgical treatment and tendon transfer surgeries
- Treating hand spasticity, infantile cerebral palsy, stroke and quadriplegia
- Congenital hand deformities
- Amputations
- Acute and chronic infections
- Ustioni della mano e esiti
- Hand burns and sequelae
- Nail injuries
- Lymphoedema and treatment with supermicrosurgery
- Elbow disorders: muscle atrophy, fractures, instability, joint stiffness, distal biceps rupture, epicondylitis (tennis elbow) and osteoarthrosis
Surgical treatment
Diseases of the hand, wrist and elbow are treated with state-of-the-art surgical procedures such as arthroscopy, microsurgery and prosthetic surgery. Our surgeons’ approach to diagnosis and treatment follows the most up-to-date international guidelines. The anaesthesia used for these surgeries is local or locoregional, which allows our patients to cooperate with the surgeons during the operations and ensures faster post-operative recovery.
Hand therapy
Not all hand disorders require surgery, but all surgical procedures must be followed by a rehabilitation protocol aimed at maintaining and optimising the outcome of the surgery. Paideia International Hospital works with the hand therapists at Centro Mano Roma, who are highly specialised professionals in hand and upper limb rehabilitation.
Main conditions treated:
- Algodystrophy
- Hammer finger or mallet finger
- Dupuytren's contracture
- Hand rheumatoid arthritis
- Carpal tunnel syndrome
- De Quervain's tenosynovitis
- Epicondylitis (tennis elbow)
- Ulnar collateral ligament injury of the thumb (UCL) or skier's thumb
- Hand fractures
- Rhizarthrosis
- Distal radius fracture
- Trigger finger
Treatments:
- Therapeutic exercise
- Treatment of scars and oedema
- Manual therapy
- Mirror Therapy
- Kinesio taping and functional bandaging
- Paraffin wax therapy
- Functional skills using pegboards
- Electrical stimulation
- Physical and instrumental therapy
Customised braces
In addition to rehabilitation treatment, hand therapists make customised braces. The splint is a thermoplastic or neoprene brace designed and produced on the patient’s hand and is immediately ready for use.
Braces can:
- Protect a joint or bone segment by replacing plaster or splints
- Correct a deformity by helping maintain the improvements made during rehabilitation
- Promote recovery of ROM (Range of Motion) in cases of joint or capsular stiffness;
- Improve movement in everyday activities.
Braces are also used for congenital deformities either to improve and stabilise its progression or maintain the post-surgical result.
For neurological pathologies, functional braces are capable of restoring the ability to grip objects and thus improve the patient’s quality of life and encourage the rehabilitation of the neurological deficit.
