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Orthopaedics and Traumatology: specialties

Our organisation and knowledge units

We have highly specialised units to offer comprehensive and excellent care to our patients. For this, we have 5 organisational units.

Upper limb

Lesions of the brachial plexus, peripheral nerve, congenital conditions, and arthrogryposis, among others, in the shoulder, elbow, wrist, arm, forearm, and hand.

It is not covered by public health

Lower limb

We apply state-of-the-art surgical techniques for managing axial deformities and dysmetrias in the lower limbs. We also have extensive experience in treating conditions of the foot, knee, and hip.

It is not covered by public health

Tumours, infections, and dysplasias

We have a multidisciplinary team with experts in osteoarticular infections and tumours, dysplasias, metabolic bone diseases, megaprosthesis implants for tumours and surgery for osteogenesis imperfecta.

It is not covered by public health

Spine

We have extensive experience in spine care. We treat all kinds of conditions, such as scoliosis, spondyliolysis, vertebral malformations, tumours, and vertebral injuries, among others.

It is not covered by public health

Traumatology and Emergency Care

Experts in fractures and emergency paediatric injuries. We have extensive experience in treating paediatric patients with multiple trauma and in performing surgery for injuries to the growing locomotor system.

It is not covered by public health

 

 

Conditions on which we are experts

Microsurgery, brachial plexus, and peripheral nerve
  • Obstetric brachial palsy.
  • Upper limb neurology.
  • Microsurgical reconstruction of the limbs.
Birth defects
  • Thumb hypoplasia, thumb-in-palm, polydactyly of the hands and feet, syndactyly, brachimetatarias, brachysindactyly, radial and ulnar club hand, cleft hands and feet, amniotic bands radioulnar synostosis, congenital luxation of the radius, congenital amputation or Madelung deformity, among others.
  • Congenital pseudoarthrosis of the tibia.
  • Epidermolysis bullosa.
  • Artrogryposis.
Neuro-orthopaedics
  • Upper limb.
  • Lower limb.
Arthroscopy
  • Knee, elbow, hip, shoulder, and ankle.
  • Anterior and posterior cruciate ligament lesions.
  • Traumatic and congenital meniscus pathology.
  • Osteochondral lesions.
  • Patellar instability, Baker's cyst.
  • Posterior subtalar coalition.
  • Posterior ankle impingement/os trigonum.
  • Glenohumeral instability/recurrent luxation of the shoulder.
  • Sequelae of obstetric brachial palsy.
  • Femoroacetabular impingement, acetabular labrum lesions.
  • Tendinopathies/snapping hip.
  • Joint tumours.
Hip
  • Developmental dysplasia and congenital luxation. 
  • Perthes.
  • Avascular necrosis.
  • Proximal femoral epiphysiolysis.
Foot
  • Clubfoot.
  • Atypical and refractory cases of clubfoot.
  • Surgery for neurological foot, hallux valgus, flat and cavus foot, metatarsus adductus.
Tumours
  • Non-ossifying fibroma, simple bone cyst, osteochrondroma, enchondroma, giant-cell tumour, aneurysmal bone cyst, eosinophilic granuloma, and osteoid osteoma.
  • Ewing's Sarcoma, osteosarcoma, histiocytosis, soft tissue sarcoma.
  • Osteofibrous dysplasia.
  • Vascular tumours.
  • Ollier and Mafucci.
  • Trevor disease.
  • Stress fractures.
Infection
  • Acute, subacute, and chronic osteomyelitis.
  • Recurrent multifocal osteomyelitis.
Dysplasias
  • Achondroplasia.
  • Skeletal dysplasias.
  • Osteogenesis imperfecta.
  • Low height.
  • Angular deformities (varus/valgus).
  • Torsional deformities.
  • Dysmetrias.
  • Mucopolysaccharidosis.
Spine
  • Idiopathic, early onset, neurological, congenital scoliosis.
  • Spondylolysis, spondylolisthesis.
  • Fractures.
  • Tumours.
  • Kyphosis, Scheuermann.
  • Myelomeningocele.
  • Congenital torticollis.
  • Syndromic scoliosis (scoliosis associated with rare diseases).
  • Dystrophic scoliosis associated with neurofibromatosis.
Traumatology
  • Multiple trauma.
  • Physeal separation.
  • Salter and Harris I-V epiphysiolysis.
  • Pathological fractures.
  • Fractures of the femur and hip.
  • Fractures of the clavicle, shoulder, wrist, carpal tunnel, hand, and phalanges.
  • Monteggia and Galeazzi luxation fractures.
  • Fractures of the elbow, radial head and neck, radius, and ulna.
  • Knee fractures and dislocations.
  • Anterior tibial tuberosity avulsion fractures.
  • Fractures of the tibia, peroneus, ankle, and foot.
  • Lisfranc and Chopart luxation fractures.
  • Osteochondral fractures.

Treatments

Thanks to having the largest team of paediatric orthopaedics and traumatology specialists in Spain, and one of the largest in Europe, we can perform any of the existing therapeutic operations in this discipline.

Microsurgery, brachial plexus, and peripheral nerve
  • Microsurgical reconstruction of obstetric brachial plexus injuries.
  • Palliative surgery of obstetric brachial palsy.
  • Microsurgery of peripheral nerve lesions.
Birth defects
  • Pediatric reconstructive hand surgery.
  • Pollicisation.
  • Large bone reconstruction techniques.
Neuro-orthopaedics
  • Comprehensive treatment of cerebral palsy and locomotor system alterations in neurological patients.
  • Botulinum toxin infiltrations under electrostimulation and ultrasound.
  • Multi-level tenotomy and surgery.
  • Comprehensive treatment of patients with Duchenne muscular dystrophy.
  • Comprehensive gait study in neurological patients. Walkway gait assessment and movement analysis.
Arthroscopy
  • Ligament reconstructions.
  • Meniscal repair.
  • Arthrolysis in the context of joint stiffness, arthrolysis.
  • Interpositional arthroplasty in tarsal coalitions.
  • Follow-up on joint/Salter and Harris III-IV fracture reduction and pseudoarthrosis of this location.
  • Coadjuvant treatment in systemic conditions, synovectomies.
  • Resection of synovial cysts.
  • Carpal tunnel instability reconstruction.
Hip
  • Safe hip reduction technique.
  • Modified Dunn technique.
  • Periacetabular osteotomies.
  • Neck lengthening osteotomies.
  • Acetabuloplasties.
  • Closed reduction of hip luxation, spica casts.
  • Open reduction of hip luxation: Ludloff, Weinstein technique.
Foot
  • Ponseti technique.
  • Neurological foot surgery.
  • Correction of hallux valgus, hallux interphalangeus, clinodactyly, forefoot surgery.
  • Mosca-Evans and Calcaneo-stop technique for flat foot.
  • Clubfoot correction: wedge osteotomy, Dwyer.
  • Anterior tibial and posterior tibial transposition. Tenotomy.
Tumours
  • Tumour megaprotheses.
  • Multidisciplinary treatment of vascular lesions: embolisation, resection.
Infection
  • Masquelet technique.
  • Bone resection and reconstruction.
  • Multidisciplinary approach.
Dysplasias
  • Bone lengthening (monolateral or circular external fixators) and lengthening nails.
  • Corrective osteotomies.
  • Corrections with circular hexapod external fixators.
  • Guided physeal growth.
  • Clinical trials for the treatment of achondroplasia (Biomarin/Ascendis vosoritide).
  • Physeal bar resection using 3D-planning.
Spine
  • Fusion system – instrumented arthrodesis.
  • Non-fusion system – growing rods (traditional and magnetic rods), thoracic distraction device.
  • Vertebral resections.
  • Hemivertebral resection.
  • Tumour resection and fixation.
  • Navigated surgery.
Traumatology
  • Osteosynthesis with intramedullary nails, percutaneous plates, screws, cannulated screws, and resorbable screws.
  • Osteosynthesis with TENs or Kirschner intramedullary needles.
  • Arthroscopic approach and treatment of fractures.
  • Percutaneous fixation.
  • Minimally invasive surgery for deformities.
  • Customised 3D-guided surgery for deformities.
  • Percutaneous pain treatment.
  • Percutaneous tumour ablation.
  • Navigated surgery.
  • Non-surgical treatment of scoliosis.
  • Halo traction.
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