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Home » Degenerative Conditions – Common Hand Problems in Diabetics

Degenerative Conditions – Common Hand Problems in Diabetics

Posted on April 30, 2012 by Badia Hand to Shoulder Center

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The Badia Hand to Shoulder Center in Doral, Miami, Florida has found a unique niche in the Florida orthopedic market. It is the only practice devoted to hands and upper extremities in the Sunshine State. “The specialty of hand surgery is very diverse because we’re basically every type of surgeon for the hand,” says Alejandro Badia, MD. “We’re the orthopedic surgeons, we’re the plastic surgeons, we’re the vascular surgeons, we’re the neurosurgeons of the hand.” 

On the surface, such a specialized practice might not seem to make economic sense, particularly in light of the trend toward large group practices that can cover every orthopedic problem. But the Miami Hand Center’s success has disproved the conventional wisdom-Badia and his three colleagues perform between 80 and 100 surgeries and see 400 to 500 patients every week. By concentrating on a single specialty, the private Latino-owned clinic can be run much more efficiently from both an economic and patient point of view. There’s another payoff for the center’s four surgeons. “Personally, I was offered a position with a group up in the Fort Lauderdale area, but what I realized early on, particularly in my specialty, which is so diverse-there’s so many different types of cases-is that it would be best to join somebody else who does that specialty, not only to be able to ask somebody else questions, [but to] be able to share work with somebody else on the most interesting and challenging cases,” says Badia. “The group I was going to join had a spine guy, a sports medicine guy, a pediatric orthopedist, but if I got a difficult hand case I didn’t want to be the only person to know something about that. Just the other day I saw a case I’ve never seen before.” He adds that being in a specialty practice also gives him and his other colleagues an opportunity to learn from one another. 

All Age Groups and Walks of Life Welcome

Though specialized in its practice, the clinic does not have a specialized patient demographic. Cases come from all age groups-from newborns to the elderly-and all walks of life. 

Though most of their patients go to outside groups for rehabilitation, the more complicated cases return to the clinic for specialized help. Badia is able to monitor the progress of these patients through a window looking onto the rehab section that he affectionately calls “the fishbowl.” “It allows us to monitor our patient’s progress while doing therapy,” says Badia. “That’s a big advantage because in hand surgery the therapy is really critical.” However, the rehabilitation services the clinic offers are limited-both by insurance approval issues and by the limited number of rehab therapists it employs-and is not a key part of the center’s income flow. Its high volume and status as an emergency center made the Miami Hand Center an ideal choice to be a pilot site for a new digital radiography system. The system allows the doctors at the center to manipulate the images, making them lighter or darker, or zoom in on the damaged tissue-all in order to make a better diagnosis. The system also makes good business sense for the practice by freeing space for the storage of films and increasing the efficiency of cataloging the studies. 

An Informal Hand Surgery Fellowship

Badia and his colleagues have not created a monopoly on their knowledge. At any time they have three to four hand surgeons working at the clinic as part of an informal hand surgery fellowship. These visiting physicians-most of whom are from Latin America-study at the Miami Hand Center from a few weeks to 3 to 6 months honing their skills. Badia says that these “fellows” serve an important purpose for the practice. “The fellowships are the key because it brings in new thoughts, and allows us to teach,” he says. In connection with the fellowship, Badia is in the process of setting up a cadaver laboratory to teach orthoscopy techniques-including wrist, base of the thumb, and carpal tunnel release. 

No matter how techniques and technology may change the way the physicians at the Miami Hand Center manage their practice and provide service to their patients, one thing will not change: every day will bring unexpected and new challenges that they will have to solve.


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Leonard Wolfson
Leonard Wolfson
19:42 04 Nov 19
Excellent visit. I injured my finger yesterday and was seen today by Dr. Badia. The staff was friendly and very efficient and the doctor spent more than enough time explaining what was going on and explaining my options. Truly a great experience.read more
Luisa Alfonso
Luisa Alfonso
16:25 06 Sep 19
The Dr and staff are professional and friendly. I’m happy I came here and I received the attention and answers I needed. I had injured my hand and I left the office feeling better. Thank you all for everything!!!read more
Robledo Aybar
Robledo Aybar
16:30 09 Aug 19
Due to a fall, I fractured my wrist in late Nov. 2018. Dr Badia and his team helped me overcome this issue and today I’m working, and back on my bike and running. The best service and experience!read more
Ellen Westbrook
Ellen Westbrook
23:08 29 Jul 19
Staff displayed professionalism and caring. Dr. Badia was as enthusiastic as I was about this surgery to improve the function of my hand. The surgical day process was smooth; I was kept informed every step of the way. I felt comfortable and safe.read more
victor mendelsohn
victor mendelsohn
02:37 30 May 19
From the first call I made to Dr. Badia‘s office I was impressed by the professionalism of the person who answered the phone. When I arrived at the office for my appointment I was once again greeted in a professional manner. This professionalism radiated through all of the team. I hadn’t seen Dr. Badia for over 10 years and he greeted me as if we’ve been in contact with each other for years.read more
Alexander Aguiar
Alexander Aguiar
18:19 24 Apr 19
From my first visit the staff as well as the Dr. Badia have been exceptionally professional and caring. I had an injury to my pinky finger, the required a placement of a rod in order to align. The surgery went well and was scheduled right away. The office staff has been amazing with scheduling and confirming appointments. Overall I am very happy with the care i received as well as the results. My finger healed and my range of motion has also gotten much better. Thank you Dr. Badiaread more
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