Traumatology Center

We offer specialized care for patients with severe musculoskeletal injuries and related complications. The service has professionals specialized in this pathology, which is becoming increasingly common, partly due to increased life expectancy (geriatric fractures) and also due to the rise in public road and sports accidents (young adult fractures). Our traumatology service is capable of handling all types of orthopedic trauma, from minor injuries (finger fractures, sprains, etc.) to more complex injuries which, if improperly treated or treated by doctors with little experience in trauma, can leave severe disabling sequelae (hip, acetabulum, spine fractures, etc.). The ability to work in high-complexity centers, as well as performing all necessary studies, leads to satisfactory outcomes in the treatment of these severe injuries. The Traumatology Service’s research activities include studies in areas such as advances in minimally invasive surgeries, biomechanics, lower limb injury rehabilitation, and limb salvage strategies. There are two ways to treat these patients: one option is during inpatient consultations, where the doctor, upon the call from the family or referring physician, goes to the hospital to set up everything necessary for the surgery (operating room, prosthesis, anesthesiology, etc.), or in cases where outpatients are evaluated at Otamendi Hospital’s outpatient clinic on a scheduled basis (by appointment) or walk-in.

• Long bone fracture surgery
• Pelvic and acetabular fracture surgery
• Post-traumatic reconstructive surgery
• Joint fracture surgery
• Fracture sequelae surgery
• Elongation and graft surgeries

Hip reconstructive surgery is a surgical procedure performed to repair or replace a damaged or injured hip. This surgery can be performed for a variety of reasons, such as sports injuries, degenerative arthritis, or fractures. There are different types of hip reconstructive surgeries, including:

1. Hip arthroplasty: This is a surgery in which the hip joint is replaced with an artificial prosthesis.

2. Hip osteotomy: This is a surgery in which the hip bone is cut and repositioned to improve function.

   3. Labral surgery: This is a surgery performed to repair or reconstruct the hip labrum, the cartilage surrounding the hip joint.
   4. Arthroscopic resection surgery: This is a surgery in which a small camera and surgical tools are used to remove or repair damaged tissue in the hip joint.

Hip reconstructive surgery may be an option for those experiencing chronic pain, limited movement, and other symptoms due to a damaged hip. However, it is important to speak with a doctor to assess whether surgery is the best option and which procedure would be most appropriate for each specific case. Within hip reconstructive surgery, there are different surgeries in which the service specializes: Total hip replacement surgery. Partial hip replacement surgery. Hip resurfacing surgery. Femoroacetabular impingement surgery. Salvage surgery for failed hip surgery. One-stage hip revision surgery. Revision surgery for infected hips. Hip replacement surgery for hip dysplasia. Hip replacement surgery for metabolic pathologies.

Reconstructive knee surgery is a surgical procedure performed to repair or replace a damaged or injured knee. This surgery can be carried out for a variety of reasons, such as sports injuries, degenerative arthritis, or fractures.

There are different types of reconstructive knee surgeries, including:

• Knee Arthroplasty: A surgery in which the knee joint is replaced with an artificial prosthesis.
• Knee Osteotomy: A surgery in which the knee bone is cut and repositioned to improve its function.
• Anterior Cruciate Ligament Surgery: A surgery in which the anterior cruciate ligament of the knee is repaired or reconstructed. This ligament is one of the main ligaments that help maintain the stability of the knee joint.
• Meniscus Surgery: A surgery performed to repair or remove a damaged meniscus from the knee, which is a crescent-shaped cartilage that helps cushion the knee joint.

Reconstructive knee surgery may be an option for those experiencing chronic pain, limited movement, and other symptoms due to a damaged knee. However, it is important to consult with a doctor to assess whether surgery is the best option and which procedure would be most suitable for each specific case.

The upper limb is divided into different regions, which require differential treatment according to the functionality and aesthetics, namely: shoulder and arm, elbow and forearm, wrist and hand. The vast range and complexity of surgical techniques require continuous training. This enables the capability to perform everything from suturing a 1 mm diameter vessel to crafting a specific configuration of a cortico-cancellous graft.

In this broad spectrum of capabilities, one must never forget the delicacy, careful attention to details, and great technical precision needed to achieve success.

This success is understood as the restoration of a specific function to each region with the appropriate and least traumatic medical and/or surgical treatment, especially in the hand region. Our ultimate goal is the patient´s wellbeing.

• Hand Microsurgery
• Reimplantation Surgery
• Surgery for Osteoarticular Diseases
• Surgery of Small Joints
• Soft Tissue Surgeries
• Neurological Release Surgeries

The arthroscopy service uses minimally invasive procedures, with small incisions and surgical instruments the size of a pencil connected to a video camera that allows visualization of the intra-articular structures. It is a surgical procedure that allows the surgeon to diagnose with greater precision than clinical examination and other complementary studies, and treat joint pathologies without the need for open surgery, with all the advantages that arthroscopic surgery entails.

Arthroscopic surgery has been a true revolution and perhaps the most important event of the century. Its evolution has been gradual, with basic instrumentation, television visualization, and standard techniques commonly used worldwide. It is difficult to predict where this surgical revolution will end, with new energy sources such as lasers and increasing applications in various joints like the hip, knee, shoulder, elbow, wrist, and spine.

• ACL, PCL, and lateral ligament reconstructive surgeries.
• Meniscal surgery.
• Meniscal transplant surgery.
• Shoulder arthroscopic surgery.
• Hip arthroscopic surgery.
• Ankle arthroscopic surgery.

The foot and ankle region represents one of the most frequent areas of pain in the human body. The pain can become a disabling symptom for the individual when performing their daily life activities, not only due to the local condition but also because of the general impact it can have on the rest of the musculoskeletal system. The key to treating these ailments is to make a good diagnosis and thus apply the appropriate therapy. At CITOT (no sé qué es CITOT), we have doctors with special training in these conditions, trained to provide personalized treatment after a thorough evaluation of the patient.

• Degenerative deformity surgery
• Arthritic surgery
• Traumatic surgery
• Hallux Valgus surgery
• Ankle and foot arthrodesis
• Ankle prosthesis

The spinal pathology service is based on a professional medical-surgical unit that aims to address various spinal pathologies, both conservatively and surgically, after analyzing the disease and the patient from a comprehensive perspective. Thanks to this, we can treat all spinal diseases: degenerative, traumatic, tumoral, and infectious disorders, such as herniated discs, lumbar spinal stenosis, cervical myelopathies, spondylolisthesis, scoliosis, bone metastases, fractures, etc. Each patient is treated with seriousness, respect, and professional dedication. Our team offers the latest advances in medical and surgical treatment for each of the vertebral pathologies that may arise, aiming to improve people’s quality of life.

• Lumbar Microdiscectomy and Simple Discectomy
• Instrumented Arthrodesis of the Cervical, Dorsal, and/or Lumbar Spine via Posterior, Anterior, or Combined Approaches
• Deformities (Scoliosis/Kyphosis) in Adults and Children
• Vertebral Rhinoplasties
• Minimally Invasive Surgery