Knee Replacement
• Pre operatively
• Pre-operation assessment
• Operation
• Post discharge
• Special instructions post operatively
Hip Replacement
• Pre operatively
• Pre-operation assessment
• Operation
• Post discharge
• Special instructions post operatively
The following are the procedures that can be performed by Professor Ugo Orestano:
Total Hip Replacement:
This procedures can be offered in two options:
- Cementless which is known as the Biological prosthesis and which is the latest- Professor Orestano uses the Azur Filler. This prosthesis in itself offers 3 types of heads 28/32/and what is known as the big head. The choice in such a prosthesis is agreed upon by the Surgeon and the client himself.
- With Cement which is the conservative method (old type) that is the common type of prosthesis.
After the pre-operative consultation and the choice of prosthesis is decided the operation is performed the patient is on his feet on the third day with the help of crutches. The patient is discharged after 10 days, with all the post operative information.
Total Knee Replacement:
The Professor would advise that the prosthesis called Keops is more preferable to be used in such an intervention due to its high performance in movement flexion and rotation and still maintaining a high stability.
This procedure also can be offered in two options obviously Professor Orestano would advise the Biological(cementless) but it can also be used with cement.
Partial Knee Replacement:
The prosthesis’ the Professor prefers are the Oxford/3 that is characterised by a mobile meniscus and the Accuris. Both prosthesis are the latest generation of partial knee prosthesis.
The partial knee replacement is recommended when the knee problem concerns only the medial or lateral compartments, in which case a total knee procedure is not necessary.
Also in this case the patient will be on his feet on the third day with the help of crutches, and discharged after ten days. Recovery will more rapid than with the total knee replacement.
Total Shoulder Replacement:
The prosthesis that Professor Orestano uses especially in grave Osteo arthritis or irreparable lesions of the cuff is called the Delta Prosthesis of the Depuy. This prosthesis permits a swift recovery of movement in the absence of pain. This implant can be cementless or hybrid. The patient will be discharged after 7 days. Post operatively the patient will have a splint to aid the healing of the soft tissue for 15 days. In the meantime gradual movement under a physiotherapists’ instructions will be programmed.
Hallux Valgus (Bunion):
The Hallux Valgus operation can be performed simultaneously for both feet. The operation consists of a small incision that allows the surgeon to remove the bunion and to correct the deflection of the toe. Ambulation is allowed the day after wearing special shoes (baruk). In the meantime during the same operation the correction of hammertoe can be included if necessary.
CTS: Carpal Tunnel Syndrome
This operation is done by releasing the compressed median nerve by means of a small transversal incision at the wrist. This operation is a day case procedure.
Dequervain
This ailment is very frequent in women and can be treated by a transverse incision at the radial part of the wrist, freeing the compressed tendons. This is a day case surgery.
Trigger finger
The condition is treated by a small incision to the palm of the hand in correspondence with the affected finger. This incision allows the release of the flexor tendon that is compromised. This is a day case surgery.
Slip disc:
This condition is treated by means of a small incision that allows a special retractor (kaspar) allows the surgeon to perform a flavectomy with partial laminectomy. This permits the removal of the slip disc after protecting the nervous root. Ambulation is allowed the day after, and the patient is discharged after the third day, with a splint that will remain for three weeks.
Other procedures:
- Achromioplasty of the shoulder.
- Lesion of the shoulder cuff.
- Arthroscopies of knees and cleaning of the meniscus and repair of the cruciate ligaments.
- Synovectomy- when the patient suffers consistent synovitis with fluid and they are too young for prosthesis.
In-growing toe-nail
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