Dr. Francisco Soldado PhD Barcelona Lisboa•francisco.soldado@cirugiamanoinfantil.com Contact

Specialized Surgery: Pediatric Upper Extremity and Microsurgery

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<strong>Malformations</strong><br /><br />They are caused by a failure in the formation of the hand during the first weeks of pregnancy. The first goal of surgery is to improve hand function. Taking care of your hands is to take care of their future.

<strong>Brachial plexus birth palsy and Glenohumeral dysplasia</strong><br /><br />

<strong>Cerebral Palsy / Spastic Hemiparesis</strong><br /><br />We may, restore or improve the function of the hand of the child with cerebral palsy or surgical therapy strategies. These treatments are crucial in improving the child's relationship with his environment.

<strong>Fractures and Injuries</strong><br /><br />Injuries and wounds more frequent in children occur in the hands. Treatment of injuries in the hand is growing differently from adult and require expert care in the pediatric area.

<strong>Microsurgery</strong><br /><br />Sometimes we need to resort to complex microsurgical techniques for limb reconstruction. With microsurgery can rebuild tissue transplanted limb defects resulting from tumors, trauma, infections, deformities.

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Obstetric brachial palsy
Brachial Plexus Birth Palsy: Definition and Mechanisms of Injury:
Risk of brachial plexus birth palsy. Necessary diagnostic tests.
BPBP treatment: physical therapy and surgery
Shoulder problems in children with BPBP
Prevention and Risk of IRCS and DGH
Diagnosis and Treatment of Shoulder Dysplasia
What doctor does my baby need?
Clinical experience of Dr Soldado

Malformations
Short or absent thumb: thumb hypoplasia
Deviated wrist: radial and ulnar clubhand
Short fingers: Brachydactyly, symbrachydactyly, amniotic band syndrome
Less fingers: cleft hand and ulnar clubhand
Extra fingers or thumb: Polydactyly
Glued fingers or syndactyly

Cerebral Palsy
Definition, overview and assessment of cerebral palsy
Upper extremity problems in children with spastic hemiparesis
Nonsurgical treatment of spastic hemiparesis
The upper extremity in cerebral palsy with spastic tetraparesis
Surgical treatment of spastic hemiparesis

Microsurgery
Pediatric vascular microsurgery: overview
Bone loss reconstruction I: Vascularized fibula transfer
Bone loss reconstruction II: Periosteum transfer of vascularized fibula
Bone recalcitrant nonunion or pseudoarthrosis
Bone revascularization (osteonecrosis, aseptic necrosis)
Joint reconstruction. Transfer of epiphysis and growth plate of the vascularized fibula
Reimplantation and revascularization
Functional muscle transfer (vascularized and innervated)
Skin loss coverage

Fractures/Injuries
Overview of fractures
Typical bone fractures in children
Treatment of fractures in children: overview
Classification and treatment of physeal fractures
Fractures of the shoulder girdle, shoulder and arm of the child
Elbow fractures of the child
Fractures of the forearm and wrist of the child
Hand fractures in children
Upper extremity injuries of the child

Francisco Soldado
CV
Publications
Research Support
Known cases like yours
Cooperación internacional: Misiones quirúrgicas

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