Dr. Iulian-Daniel Vilcioiu

Attending Physician in Orthopedics and Traumatology, Doctor in Medical Science

Dr. Iulian-Daniel Vilcioiu is an Attending Physician in Orthopedics and Traumatology, Doctor in Medical Science.

His license diploma was issued by the University of Medicine and Pharmacy ‘Carol Davila’ (Bucharest, Romania, 2011)

He made his residency in the Orthopedic and Traumatology Clinic, at the Bucharest Emergency Clinic Hospital (2012 – 2016).

Doctor in medical science – PhD thesis: Orthoplastic Microsurgery in bone and soft parts of the limbs complex injuries. Coordinator: Emeritus Prof. Ioan Lascar.

International courses: Faculty- AOTrauma Basic Principles of Fractures Management(Chişinău , Moldova, 2017), AO Foundation Faculty Education Program(Prague, Czech Republic, 2017), Faculty – AOTrauma Course—Management of Fractures of the Hand and Wrist(Bucureşti, România, 2017), What îs cool în wrist surgery. A non-comprehensive course of how i do it : S. Wolfe, JB Jupiter, F Del Pinal, P. Livernaux, J. Orbay, H Burger, R. Bindra, L Osterman, D Fernandez (Santander, Spania, 2016), AOTrauma European Faculty Seminar- Complications în Fracture Management (Davos, Elveţia, 2015), AOTrauma Basic Principles of Fractures Management- (Budapesta, Ungaria, 2014), AOTrauma Course—Management of Fractures of the Hand and Wrist(Graz, Austria, 2014).

International internships: Hand Surgery Fellowship guided by prof dr Michael Blauth and dr Rohit Arora (Universitatsklinik fur Unfallchirurgie, Innsbruck, Austria, 2014), Hand Surgery Fellowship guided by prof Dr. Riccardo Giunta and Dr. Elias Volkmer (Ludwig- Maximilians- Universitat, Munchen, Germania, 2015), Fellowship in Hand Surgery guided by Prof. Szolt Szabo (Hand Surgery Center, Miskloc, Hungary, 2016).

Publications and congresses: 11 articles published in international magazines, from which 9 articles in ISI coted magazines and 2 articles in BDI coted magazines (3 as first aid, 4 as main author, 4 as co-author), 13 oral presentations and 14 poster presentations during 16 specialty national and international congresses (FESSH, RSSH, SOROT, SRB)

Volunteer at the Anatomy Chair of UMF Carol Davila (2012 – present)

Membership: Romanian Society of Hand Surgery (RSSH), AOTrauma Foundation, National Society of Orthopedics and Traumatology (SOROT), European Society of Fist Arthroscopy (EWAS)

Microsurgical practical activity at the Experimental Microsurgery Laboratory at the Bucharest Emergency Clinic Hospital, led by Prof. Dr. Ioan Lascar (2010 – 2015)

Main interests: hand surgery, fist surgery, orthoplastic microsurgery, traumatology

CONSULTATII CHIRURGIA MAINII.

DUREREA MEMBRULUI SUPERIOR

  • Cronica: neuropatii compresive, tendinopatii, formatiuni chistice
    • Post-traumatica:fracturi neconsolidate (pseudartroze) sau vicios consolidate, instabilitatile mainii si pumnului
  • Acuta: fracturi, entorse si luxatii (leziuni de tendoane sau ligamente), rupturi musculare

ACCIDENTELE SPORTIVE

  • Sporturi de vara: fracturile epifizei distale de radius, fracturi-luxatii de pumn, leziuni de tendoane (biceps brahial, flexori si extensori ai pumnului si ai degetelor)
  • Sporturi de iarna: fracturile epifizei distale de radius, fracturile scafoidului, leziunea schiorului (ligamentul colateral ulnar al policelui)

ENTORSELE SI LUXATIILE PUMNULUI SI MAINII

  • Entorsele radio-carpiene si ulno-carpiene
  • Entorsele policelui (leziunea schiorului)
  • Luxatiile radio-carpiene
  • Luxatiile perilunate
  • Luxatii interfalangiene
  • Luxatii carpo-metacarpiene

FRACTURILE MEMBRULUI SUPERIOR:

  • Mana: falange, metacarpiene, police (fracturile Bennett, Rolando)
  • Pumn: antebrat distal (fractura epifizei distale de radius), carpiene (scafoid, semilunar, piramidal, trapez)
  • Antebrat si cot: radius, ulna, humerus distal

ARTROZELE

:

  • Artrozele radio-carpiene: post-traumatice (fracturi scafoid, disjunctii scafo-lunate, luxatii perilunate)
  • Rizartroza (baza de police- articulatia trapezo-metacarpiana)
  • Artroze interfalangiene: post-traumatice, degenerative (reumatoide)
  • Artroza radio-cubitala distala
  • Artroza scafo-trapezo-trapezoida (STT)

NECROZELE

  • Necroza scafoidului (post-traumatica, boala Preiser)
  • Necroza semilunarului (boala Kienbock)

FORMATIUNILE TUMORALE/CHISTICE

  • Chisturile sinoviale de pumn (dorsale, volare)
  • Tumori osoase
  • Tumori de parti moi la nivelul membrului superior
  • Bursita olecraniana

NEUROPATIILE COMPRESIVE

  • Sindromul tunelului carpian
  • Sindromul canalului Guyon
  • Sindromul tunelului cubital
  • Sindromul rotundului pronator

TENDINOPATIILE

  • Epicondilita humerala laterala- Tennis elbow
  • Epicondilita humerala mediala- Golf elbow
  • Tenosinovita de Quervain- inflamatia compartimentului extensor 1
  • Degetul in resort (Trigger Finger)

INSTABILITATILE PUMNULUI

:

  • Leziunile ligamentelor intercarpiene (disjunctia scafo-lunata- DISI)
  • Leziunile ligamentelor ulno-carpiene (TFCC)
  • Leziunile articulatiei radio-cubitale (deficitele prono-supinatiei)

INSTABILITATILE DEGETELOR

:

  • Leziunile ligamentelor colaterale
  • Leziunile tendonului extensor al degetelor (Mallet finger)
  • Deformarea degetului in butoniera

PSEUDARTROZELE

  • Pseudartrozele scafoidului
  • Pseudartrozele antebratului (radius, ulna)
  • Alte pseudartroze (carpiene, metacarpiene, falange)

REDORILE ARTICULARE

  • Post- imobilizari prelungite (fracturi de umar, cot, pumn, mana)
  • Post-chirurgicale
  • Post- combustionale

LISTA INTERVENTIILOR CHIRURGICALE- CHIRURGIA MAINII SI MEMBRULUI SUPERIOR

PUMN

  1. Rezectie chist sinovial dorsal sau volar
  2. Sindromul tunelului carpian
  3. Sindromul tunelului Guyon
  4. Sindromul tunelului cubital/transpozitie nerv ulnar
  5. Denervarea articulatiei pumnului in artrozele avansate, fara alte indicatii
  6. Artrodeza pumnului*
  7. Stiloidectomia radiala

MANA

  1. Fracturi degete
  • Reducere ortopedica si imobilizare gipsata
  • Reducere ortopedica si osteosinteza percutanata
  • Reducere chirurgicala si osteosinteza cu placa sisuruburi*
  1. Fracturi metacarpiene
  • Reducere ortopedica si imobilizare gipsata
  • Reducere ortopedica si osteosinteza percutanata
  • Reducere chirurgicala si osteosinteza cu placa si suruburi*
  1. Mallet finger- deget in ciocan
  2. Luxatii interfalangiene*
  3. Luxatii carpo-metacarpiene*
  4. Ligamentoplastie articulatii interfalangiene*
  5. Ligamentoplastie police *
  6. Trigger finger
  7. Maladie Dupuytren
  • Simpla
  • Complexa
  1. Leziuni tendoane flexoare/extensoare*
  2. Rezectie leziuni de tendoane/formatiuni tumorale
  3. Artroplastiile interfalangiene*
  4. Artrodezele interfalangiene *
  5. Artroplastiile si artrodezele policelui*

COT

  1. Epicondilita laterala (Tennis elbow)
  2. Epicondilita mediala (Golf Elbow)
  3. Ruptura tendon biceps*
  4. Bursita olecraniana

UMAR

  1. Disjunctia acromio-claviculara*
  2. Decompresia coafei rotatorii (Acromioplastie) in cazurile de impigement subacromial
  3. Reconstructia coafei rotatorii- chirurgie deschisa

PROCEDURI GENERALE

  1. Suturi plagi contuze (traumatisme prin taiere, strivire)
  • Simple
  • Complexe
  1. Excizie cicatrice
  • Simple
  • Complexe
  1. Extragere material de osteosinteza (placi, suruburi, tije centromedulare, brose)
  • Simpla
  • Complexa
  1. Mobilizarea chirurgicala a articulatiilor si tendoanelor(artroliza/tenoliza)

INFILTRATII ARTICULARE SI PERIARTICULARE

PUMN SI MANA: Articulatiile radiocarpiene si carpo-metacarpiene (artroza radio-carpiana, artroza bazei policelui- rizartroza), tenosinovita De Quervain, deget in resort –
COT: articulatia cotului, epicondilitele humerale externe si interne (Tennis elbow, Golf elbow) –
UMAR: umar dureros persistent: bursita subacromiala , leziuni coafa rotatorie, artroza scapulo-humerala-

IMOBILIZARI – (UMAR, COT, PUMN, DEGETE).

  • atele gipsate
  • aparat gipsat circular
  • atele de aluminiu
  • atele termo-formabile*
  • orteze fixe sau mobile*

PROTEZE SILICON– DEGETE AMPUTATE*

*Necesita materiale cu cost suplimentar
*Necesita materiale de osteosinteza (placi, suruburi, brose) sau materiale pentru suturi transosoase (ancore, mini-ancore)