Paideia International offers highly-specialised Orthopaedics and Traumatology services. Specialist consultations, diagnostic tests and orthopaedic and trauma surgery are available.
Orthopaedic Surgery at Paideia International Hospital: the services available
- 24/7 Traumatology
- 24/7 Sports Medicine and Traumatology
- Prosthetic Surgery
- Shoulder, Knee, Ankle (PRP, Mesenchymal Stem Cells, Hyaluronic Acid) injections.
- Echo-Guided Hip (PRP, Mesenchymal Stem Cells, Hyaluronic Acid) injections.
- Diagnostic imaging
- Post-trauma and post-surgical rehabilitation
Paideia International Hospital’s Orthopaedic Operating Unit is open 24 hours a day for treating and handling injuries such as contusions, sprains or fractures.
Our specialists offer conservative treatments:
- Bandaging
- Immobilisation with brace or plaster cast for fractures
And the surgical treatment of upper and lower limb fractures:
- Shoulder, elbow, wrist, hand fractures
- Femoral neck, knee, ankle, foot fractures
Hip
Surgeons and medical specialists at Paideia International Hospital excel in treating and performing surgery for all hip problems, with precise and targeted care and diagnosis of all of the following:
- Percutaneous adductor and psoas lengthening
- Hip resurfacing
- Total hip replacement
- Hip arthroscopy
- Developmental dysplasia of the hip
- Bi-articular hip prosthesis
- Injection for trochanteritis
- Osteosynthesis of trochanteric fractures
- Corrective osteotomies
- Hip osteonecrosis treatment, forage biopsies with adult mesenchymal cell grafting
Robot-assisted surgery
Robot-assisted surgery is an innovative solution; the Mako robot can perform full hip replacement surgery. Thanks to the greater precision of robot-assisted surgery compared to traditional surgery, the surgeon more easily avoids the tissues and organs that are not affected by the condition, and performs more precise reconstruction. Patients treated with the Mako will therefore return to normal activities more quickly and without any particular post-surgery complications.
Fast track in femoral neck fractures in elderly patients
Surgical treatment within 48 hours of the fracture and immediate motor rehabilitation (we have a project already in place with Dr Fattori… also just ask in the operating theatre for surgery in 20 minutes and even a 90-year-old patient will recover immediately).
Pelvis
Pelvic surgery treats:
- Cervicalgia
- Cervicobrachialgia
- Minor inter-vertebral pain
- Dorsalgia
- Lower back pain
- Lumbosciatica
- Sacroiliitis
- Facet joint syndrome
- Segmental cellulo teno perisoteio myalgic syndrome
In cases of prosthetic revision or malignant pelvic diseases, surgery, although complex, can be considered as an elective option if the patient is stable, as they can be assessed and prepared in advance for surgery.
In pelvic trauma, the general conditions are not stable and may require emergency medical and procedures, which do not constitute definitive treatment but are nevertheless indispensable steps.
The Pelvic Surgery Unit works with the orthopaedic surgeon in collaboration with other specialists, as appropriate, such as a general surgeon, a vascular surgeon, an anaesthetist and a resuscitator, an internal physician, an infectious disease specialist, a urologist, a gynaecologist, a physiatrist. In the Pelvic Surgery Unit, patients can immediately undergo all necessary radiographic examinations upon admission, such as an X-ray of the pelvis, thorax, lumbar spine (and others where necessary), CT scan with 3D reconstruction and subtraction of the femoral head. In specific cases, CT angiography, angiography, selective pre- or post-operative embolism.
If there are associated fractures of other body segments, concurrent or deferred treatment is planned, depending on the priority. The operating ward allows all examination and intervention procedures to be performed without moving the patient. A pelvic fracture cannot always be treated in the first few days of hospitalisation, even in the absence of other related pathologies. Monitoring and stabilising the clinical situation is indispensable for safe intervention.
In the not unusual case of associated rib fractures, these limit respiratory function, thus requiring a CT scan of the chest to assess the condition of the respiratory organs. The hospital stay after surgery may be reduced to a week or more, depending on the patient’s condition, the severity of the pathology, and the need to keep them in intensive care or acute care.
Shoulder
Paideia International Hospital offers treatment and surgery for conditions involving the shoulder, with a particular interest in arthroscopic procedures and prosthetics.
The main conditions treated are:
- Arthroscopy for treatment of shoulder instability
- Shoulder arthritis: shoulder prosthesis
- Adhesive capsulitis: arthroscopic arthrolysis
- Glenohumeral instability: arthroscopic capsular release
- Glenohumeral instability: Latarjet surgery
- Chondral lesion: membrane graft
- Long head of biceps Injury: tenotomy or arthroscopic tenodesis
- Cartilage injury: membrane grafting or arthroscopic microfractures
- Rotator cuff injury: arthroscopic rotator cuff repair
- Acromioclavicular dislocation: acromioclavicular reduction and stabilisation
- Shoulder prosthesis
- Revision of painful, poorly implanted and/or infected prostheses
- Calcific tendinopathy: arthroscopic calcification decompression
- Rotator cuff tendinopathy
- Cartilage transplants with scaffolds
- Treatment with growth factors
Knee
Sports traumatology
The Sports Traumatology and Knee Surgery Unit at Paideia International Hospital offers individual athletes and sports clubs a 24-hour referral service for diagnosing and treating acute and chronic sports-related conditions. The aim of the treatment is to treat athletes promptly through the collaboration of different specialists, from advanced diagnostics to surgical treatment to rehabilitation with personalised programmes in order to restore full athletic capacity.
The following are among the main conditions treated:
- Ligament injuries
- Cartilage lesions
- Tendon injuries
- Muscle injuries
- Fractures
Sports traumatology and knee surgery
Surgical activity uses state-of-the-art treatments and minimally-invasive techniques in arthroscopy, including the Nanoscope, which is the very latest development available to orthopaedic surgeons. It is a “reduced” version of the traditional arthroscope (diameter of about 2.2 mm, i.e. little bigger than a needle) for seeing inside the joint in the least invasive way possible and performing accurate diagnoses and possibly minor surgical procedures (e.g. small meniscectomies in the knee or CLB tenotomy in the shoulder). It does not replace the arthroscope, but can also be used on in outpatient surgery under local anaesthesia.
One of the most advanced surgical treatments we offer patients is regenerative medicine. In particular, PRP (platelet-rich plasma) injection treatment and adipose tissue-derived stem cells taken from periumbilical fat associated or not with arthroscopy or nanoscopy to allow direct visualisation of the cartilage or tendons to be treated.
The Knee Surgery Unit uses the most advanced and innovative techniques for treating:
- Ligament injuries (anterior and posterior cruciate ligament)
- Meniscus injuries (meniscal suture, selective meniscectomy)
- Cartilage injuries (scaffold transplants or mosaicoplasty techniques)
Save the ACL
At Paideia International Hospital we adhere to the modern “Save the ACL” philosophy, i.e. the “repair” of the anterior cruciate ligament of the knee. This is currently the most advanced surgical technique when it comes to treating knee ligament injuries, repairing the patient’s ligament without needing to reconstruct it by removing other tendons used as transplants. This reduces the invasiveness of the surgery (reduced pain) and improves recovery as the patient regains the natural ligament without having to reconstruct it with something else. Early diagnosis through an orthopaedic examination and high-quality diagnostic examinations (conventional X-ray, CT scans, MRI scans) is essential in order to enable the repair of the ligament. This is why we have a 24/7 on-call service for knee trauma.
Save the Meniscus
We also place great importance on the treatment of meniscus injuries. We adhere to the most modern “Save the Meniscus” philosophy through the use of modern meniscal suturing techniques. This avoids having to remove the meniscus while preserving its function as much as possible, which is crucial for the health of the knee.
One of the most advanced surgical treatments we offer patients is regenerative medicine. In particular, PRP (platelet-rich plasma) injection treatment and adipose tissue-derived stem cells taken from periumbilical fat associated or not with arthroscopy or nanoscopy to allow direct visualisation of the cartilage or tendons to be treated.
Robot-assisted Prosthetic Surgery
Robot-assisted surgery is an innovative solution when it comes to treating degenerative knee conditions (osteoarthritis and osteonecrosis).
The Mako Robot does not replace the surgeon but is a valuable aid in improving the precision of prosthesis placement. This reduces the invasiveness of the procedure (reduced pain and bleeding) and positions the prosthesis as precisely as possible for each individual patient, thereby increasing the longevity of the prosthesis.
The following can be performed using the robot:
- Total knee replacement
- Uni- or bi-compartmental knee prosthesis. This procedure involves working only on the damaged part of the knee
Injection Therapy
Paideia International Hospital’s Orthopaedic Unit performs joint injection (shoulder, knee, ankle), tendon injections and echo-guided hip injections. After assessing the clinical case, the orthopaedic specialist establishes the most appropriate injection together with the patient. In particular, it is possible to perform injections with:
- Hyaluronic acid
- PRP (platelet-rich plasma) starting with a simple blood sample from the patient him/herself, a centrifugate rich in growth factors is obtained which is injected where necessary (Arthrosis, Tendon Pathologies)
- Adipose tissue-derived stem mesenchymal cells from periumbilical fat extraction: through a small incision, fat is taken by liposuction from around the umbilicus, which is then centrifuged to obtain a concentrate rich in growth factors and mesenchymal stem cells, which is then injected where necessary (Chondropathy, Arthrosis)
Treating limb deformities
The limb deformity treatment centre at Paideia International Hospital uses computerised methods of pathology analysis and intervention management to reconstruct bone deficits and treat alterations in the length, size, and shape of skeletal segments, of different causes and origins.
These techniques are an irreplaceable resource when it comes to treating deformities, in children and adult patients, due to the precision of the correction, the reduction of radiographic exposure, and the possibility of combining different reconstruction techniques with external or internal synthesis devices.
Main pathologies treated:
- Non-healing fractures
- Pseudoarthrosis
- Deformities secondary to complex injuries or failure of previous treatments
- Congenital and/or post-traumatic deformities
- Bone infections
- Pathological fractures
- Charcot foot
- Axis deviations
Treatments:
- Non-healing fractures
- Pseudoarthrosis
- Deformities secondary to complex injuries or failure of previous treatments
- Congenital and/or post-traumatic deformities
- Bone infections
- Pathological fractures
- Charcot foot
- Axis deviations
Length of hospital stay: depending on the type of surgery, between two and six days on average. Patients treated with external or internal fixations for bone reconstruction may require outpatient clinical follow-ups, which are scheduled at discharge.
