Orthopaedic and Traumatology Surgery

Orthopaedic and Traumatology Surgery

Orthopaedic and Traumatology surgeons treat and resolve disorders of the locomotor system.

The Orthopaedic and Traumatology Surgery service at Hospital Dr. Gálvez offers the appropriate diagnosis, control and treatment of this type of pathologies, which includes consultations, orthopaedic treatments and a whole range of surgical procedures.

Percutaneous Foot and Ankle Surgery Unit

Hammer toes, flat foot and pes cavus, Hallux Valgus (bunions), varus and rigidus, posterior tibial and Achilles tendon problems, metatarsalgias, sprains and torn ligaments, etc.

Bunion Treatment

Hallux Valgus is a deviation of the big toe towards the rest of the toes due to prominence of the first metatarsal and abnormal angulation of the joint, leading to the overlap of the first and second toe. It is more common in older women and may be hereditary, particularly if it appears in adolescence. Its occurrence is also associated with the use of pointy-toes footwear.

Hallux Valgus causes the inflammation of the bone membrane (synovitis) of the joint between the big toe and foot bone (metatarsophalangeal joint). It produces continuous, dull pain which worsens when walking and improves with rest and local heat; at times rubbing, clicking or grating can be felt on moving the toe, in addition to the deformity.

For its diagnosis, the clinical history and foot examination are essential elements. The doctor may also ask for X-rays, although this is not always necessary, unless opting for surgical intervention.

Initially, treatment can be carried out using anti-inflammatory and pain relief medication and physiotherapy, local application of heat or cold and avoidance of repetitive activities that aggravate the symptoms.

Use of appropriate footwear is recommended, avoiding shoes with pointed toes or high heels. Use wide-fitting footwear with soft leather on the upper part.

Surgical correction is the definitive option and offers various possibilities depending on the seriousness of the diagnosis. The procedure may be performed using conventional surgery or via percutaneous surgery. In conventional surgery, the foot is opened using incisions of varying sizes, requiring regional or general anaesthesia and hospitalization.

PERCUTANEOUS BUNION SURGERY

Percutanous foot surgery allows procedures to be performed via minimum incisions, without direct exposure, which leads to minimum trauma of the surrounding tissues. Local-regional anaesthesia is used (only the area between the ankle and foot is anaesthetised), hence avoiding anaesthetic complications.

The success of the surgical procedure is controlled and observed via fluoroscopy and the operation takes between 15 and 30 minutes. This procedure can be carried out in an hour without the need for hospitalization, without general anaesthetic and the patient is able to walk immediately.

Post-surgery and consultations until signing off

It is surgery that is performed as an outpatient. Once the operation has been completed, a post-surgical shoe is placed on the patient, from which time the patient is able to walk. The first check-up is usually within one week to remove the stitches and the surgical bandages. Several cures are performed over the following 12 weeks until finally being signed off. Moderate activity is recommended during the first weeks and from the sixth week, normal life can be resumed.

Biological Therapy Unit: Growth Factors

A growth factor is a biological signal that stimulates or inhibits cellular functions. Generally speaking, it is made up of proteins that foster the development of tissues. Platelet Rich Plasma (PRP) is obtained from the patient’s own blood after concentrating and breaking the blood platelets, hence releasing the growth factors that these platelets contain.

To obtain them, the blood drawn from the patient is subject to a centrifugation process to obtain platelet rich plasma. This procedure is performed in fully guaranteed sterile conditions. Preparation time is between 20 and 30 minutes.

PRP helps in the healing of tissues, accelerating recovery and improving the quality of scars. It is suitable for non-surgical treatment of tendon and ligament injuries and has also been used in muscular injuries, improving the repair quality and reducing recovery times. It also helps in the repair of tendon surgery, such as torn shoulder rotor cuff, torn anterior cruciate ligament, meniscus and articular cartilage repair, hence improving the outcome of surgical procedures and reducing recovery times.

It is also used to slow down the progression of arthrosis, particularly in the knee or hip, even succeeding in avoiding or delaying the need for prosthesis. Growth factors stimulate the regeneration of cartilage and reduce the characteristic symptoms of arthrosis: inflammation of the synovial membrane, deformity, pain, effusion, loss of movement, etc.

  • Hand and Wrist Surgery
    • Unit Tendon and triangular ligament injuries, congenital deformities, carpal tunnel syndrome, toe prosthesis, Dupuytren’s disease, Quervain’s disease, rhisarthrosis, coverage defects, etc.
  • Orthopaedic Surgery Unit
    • hip, knee and shoulder prosthesis
    • Treatment of fractures
  • Walking disorders
    • Pes cavus, flat foot, metatarsalgias
  • Anthroscope Surgery Unit
    • a Ankle, knee, elbow and wrist
  • Spinal Column Surgery
    • Dorsal, cervical and lumbar disk hernias
    • Canal decompression, Endoscopic Surgery, rhizolysis, nucleolysis and kyphoplasty