Hand surgery and reconstructive microsurgery


Curriculum vitae

 

Andrea Poggetti

Fields of interest

  • Minimally invasive surgery of the wrist and hand
  • Elbow surgery
  • Reconstructive surgery and microsurgery of peripheral nerves
  • Reconstructive microsurgery of the bone segments

Pathologies Treated
Degenerative pathologies:

  • Dupuytren's disease
  • Snap finger
  • Articular and tendon cysts
  • Medial and lateral epicondylangias
  • De Quervain disease
  • Carpal tunnel syndrome
  • Hammer finger
  • Osteoarthritis of the base of the thumb or RIZOARTROSI
  • Osteoarthritis of the wrist and fingers
  • Injury of the brachial biceps

Traumatic pathologies:

  • Fractures of the elbow and radial capital
  • Wrist fractures and their outcomes
  • Scaphoid fractures and their outcomes
  • Fractures of the metacarpals and phalanges
  • Treatment of peripheral nerve palsies and their outcomes
  • Injury of the extensor and flexor tendons
  • Sprain of the elbow, wrist and fingers

Insights

Minimally invasive treatment of wrist and hand fractures

Wrist and hand fractures are among the most frequent traumatic diseases afflicting the active population. Their correct treatment is essential for an early functional recovery. The use of minimally invasive techniques, such as arthroscopy or the most recent synergy of osteosynthesis, allow, with a minimal surgical insult, to guarantee the fixation of the fracture avoiding unnecessary scarring.

Reconstructive microsurgery

Microsurgery is a precision surgical technique that allows the biological reconstruction of tissues using the intraoptery microscope and specific surgical instruments. The reconstruction of amputated segments (fingers or limbs), post-traumatic defects or results of demolition oncological interventions is given by the possibility of manipulating very small structures and effectively repairing them.

The use of these techniques allows us to overcome the problems of traditional and artificial reconstructive capacities, respecting the biology of the tissues and ensuring morphologically and functionally better recovery.

Treatment of degenerative pathologies of the wrist 

and hand

Primary or secondary osteoarthritis is one of the most common diseases of the musculoskeletal system and is consequent to the wear and tear of articular cartilage. Sometimes it occurs in association with a picture of polyarthritis and is the cause of a painful friction between the bones involved. Women are much more affected than men.

The typical symptoms are associated pain, in the more advanced pictures, and progressive joint deformation in toto.

If pain and function do not improve with medical therapy, surgery can resolve the clinical picture. The results of the operation are very encouraging in the long term, with the patient who can return to using the segment involved for daily life activities with pain relief, and consequent increase in quality of life.