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Hand & Wrist Surgery - Our Team

Supported by a highly skilled team of hand therapists, physician assistants and nurse practitioners, our board-certified surgeons and physicians are experts in hand and plastic surgery and are dedicated to providing the highest level of care for our patients, their families and our referring physicians—from preoperative care through postoperative recovery and beyond.

Hand & Wrist Surgeons

michalkokarlKarl B. Michalko, MD

Karl Michalko, MD specializes in Orthopaedic Surgery limited to the treatment of the upper extremity including the shoulder. Dr. Michalko attended the University of Rochester School of Medicine and also completed an Orthopaedic Surgery Residency there. In addition, he completed a Residency in plastic and reconstructive surgery at the University of Wisconsin and a Hand Fellowship at Brown University / Rhode Island Hospital.

Dr. Michalko is board certified by both the American Board of Plastic Surgery and the American Board of Orthopaedic

OConnor-TimothyTimothy P. O'Connor, MD, FACS

Timothy P. O'Connor is Chief of the Division of Plastic Surgery at Rochester General Health System. He earned his medical degree at Trinity College in Dublin, Ireland. He completed a general surgical residency and plastic surgery residency at the University of Rochester School of Medicine and Dentistry. He received additional training in head and neck surgery at Roswell Park Cancer Center. He is board certified in general surgery, plastic surgery and hand surgery, and is a Clinical Assistant Professor of Surgery at the University of Rochester Medical Center.

Pennino-RalphRalph P. Pennino, MD, FACS

Ralph P. Pennino is the senior vice president of the Specialty Medical and Surgery Group and system chair of surgery at Rochester General Hospital. He received his undergraduate degree from the University of Notre Dame, and his medical degree from Georgetown University Medical School. He subsequently completed a general surgery residency at the University of Rochester Medical Center. He did his plastic surgical residency and an orthopedic hand fellowship at the University of New Mexico. He is board certified in hand surgery, plastic surgery and laser surgery and is a Clinical Associate Professor of Surgery at the University of Rochester Medical Center.