Trauma and Orthopaedic Surgery

Specialists in reconstructive surgery and functional rehabilitation of the musculoskeletal system

The Department of Traumatology and Orthopaedic Surgery at the Publio Cordón Memorial Hospital is dedicated to the diagnosis, treatment and follow-up of diseases and injuries affecting the musculoskeletal system.

Its scope of practice includes degenerative joint conditions, sports injuries, complex trauma, structural deformities and growth disorders, with a focus on preserving mobility, stability and functional independence.

Each case is analysed on an individual basis through a rigorous clinical assessment supported by advanced imaging tests. Wherever possible, conservative or minimally invasive treatments are prioritised, with surgery reserved for situations where there is a well-founded structural indication.

The structure, organised into highly specialised units, ensures that each condition is managed by teams with specific expertise, guaranteeing therapeutic consistency and continuity of care in cases involving prolonged recovery or high complexity.

When to seek medical advice for pain or functional impairment

The presence of persistent pain, joint instability, loss of mobility or sequelae following trauma may require a specialist assessment aimed at precisely identifying the anatomical structure involved.

The treatment plan is established based on the correlation between clinical findings, imaging tests and the patient’s functional needs, with the aim of restoring stability, alignment and biomechanical function, prioritising effective and long-lasting solutions.

In complex cases, the treatment plan is drawn up in coordination with the rehabilitation, radiology, anaesthetology and other relevant departments, ensuring a comprehensive approach.

Diagnosis and treatment planning

The care process begins with a detailed clinical examination that assesses alignment, active and passive range of motion, ligament stability, strength and gait pattern where indicated.

Therapeutic decisions are supported by weight-bearing X-rays, musculotendinous ultrasound, magnetic resonance imaging or computed tomography, depending on the condition. Any recommendation for surgery is made after weighing up the balance between conservative treatment and definitive reconstruction.

When surgery is required, planning is carried out using rigorous anatomical and biomechanical criteria, aimed at restoring function and promoting a progressive and safe recovery.

Specialist care by anatomical region

The speciality is organised into specific areas of focus, enabling each anatomical region to be addressed with technical expertise and continuity of care.

Hip

The Hip Unit, led by Dr Juan Ramón Prieto and the team specialising in hip surgery, carries out advanced surgical treatment for osteoarthritis and complex hip conditions.

Minimally invasive anterior hip replacement allows access to the joint whilst preserving the musculature, promoting early functional recovery. Pre-operative digital planning and intra-operative monitoring ensure precision in the alignment and stability of the components.

Shoulder and Elbow

The Shoulder and Elbow Unit treats traumatic and degenerative conditions through precise structural diagnosis and advanced arthroscopic, reconstructive and prosthetic techniques.

This includes the treatment of rotator cuff tears, glenohumeral instability, advanced osteoarthritis and complex ligament injuries of the elbow. Three-dimensional planning and coordination with rehabilitation enable the restoration of mobility, strength and functional stability.

Hand and Wrist

The Hand and Wrist Unit treats traumatic, degenerative and nerve-related injuries that compromise hand function, combining reconstructive surgery with advanced microsurgery.

We treat complex fractures, tendon injuries, nerve compression, osteoarthritis and high-precision functional reconstructions. The aim is to preserve fine motor skills, strength and sensation whilst ensuring long-lasting stability.

Foot and Ankle

The Foot and Ankle Unit carries out advanced reconstructive surgery and treats structural deformities that affect gait and balance.

This includes ankle replacement surgery, correction of major deformities, advanced arthroscopy and minimally invasive techniques aimed at restoring alignment and biomechanical load distribution.

Knee

The Knee Unit offers highly specialised care focused on the diagnosis and treatment of joint injuries, whether sports-related, degenerative or complex in nature.

It addresses conditions such as ligament and meniscal injuries, patellar instability, cartilage disorders and knee osteoarthritis, through an expert assessment that enables the most appropriate treatment to be determined in each case.

In the surgical field, advanced techniques such as arthroscopy, ligament reconstruction and prosthetic surgery — including robotic surgery — are employed with the aim of restoring stability, preserving the joint and restoring function.

Paediatric Traumatology and Orthopaedic Surgery

The Paediatric Traumatology Unit treats injuries, deformities and abnormalities of bone growth in children and adolescents.

Treatment planning is tailored to the stage of skeletal maturation and growth potential, prioritising solutions that respect long-term structural and functional development.

Team specialising in orthopaedic surgery

The department comprises orthopaedic surgeons with specific expertise in each anatomical area, working in close collaboration with rehabilitation, radiology and other hospital departments.

Every treatment decision is based on sound clinical criteria and an individualised analysis of risks and benefits. From the very first consultation, the diagnosis, the available options and realistic functional expectations are clearly explained.

The team takes the time needed to provide information, answer questions and support patients through every stage of the treatment process. Decision-making is a shared process, particularly when reconstructive surgery or highly complex procedures are being considered.

Structured follow-up enables us to monitor progress from conservative treatment through to post-surgical recovery, ensuring continuity of care and clinical monitoring in the medium and long term.

The combination of surgical subspecialisation, rigorous anatomical planning and sustained clinical support forms a model aimed at restoring mobility, stability and independence with safety and therapeutic consistency.