NEWS

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12/Dec/2018

On November 30, the XXIII Round Table on the prevention and treatment of athlete injuries was held in the Agora Room in Sitges. As every year, the topics have been radiant today: “Myths and truths about sports nutrition”, “Treatment of residual dysplasia in the athlete” or “Chronic posttraumatic encephalopathy”.

Dr. Manel Ribas, before a large audience full of personalities of medicine and the world of sport, said: “The residual dysplasia is not exclusive of an evolutionary sequel of newborns, diagnosed and treated for congenital hip dislocation. Impact on the adolescent can produce an early closure (in its maturation phase) of acetabular triradiate growth cartilage.Accordingly, there is a lack of acetabular coverage of the femoral head “.

After the appearance of the periacetabular osteotomy (1988), different authors in Europeans and Americans have shown an excellent rate of return to sport, either in medium or high impact modalities.


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12/Dec/2018

Dear patients,

In light of the news that some media have spread, we must inform our patients that no implant – hip prosthesis, of those that have been and are being implanted in our University Hospital, are subject to withdrawal or alert to the Spanish Agency and international monitoring and control agencies.
We wish to emphasize that all these implants are approved and comply with European regulations.
We hope to transmit to you in this way a message of total tranquility.

Dr Manuel Ribas

Unidad de Cadera
Fundación Icatme
Hospital Universitari Quirón-Dexeus
Barcelona, España


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12/Dec/2018

Dr Ribas has participated in the VII Estonian Orthopedic Congress, held on 14, 15 and 16 November in the city of Viljandi.

After finishing the congress, Dr Ribas himself commented: “It has been an honor to be able to participate together with distinguished teachers from all over Europe (G. Macheras, N. Reina, C. Lohmann or K. Holen). Professor Katre Masaalu, current president of the “Estonian Association of Traumatology and Orthopedics (ETOS), and Professor A. Mäarson for their love, enthusiasm and great sense of organization. No wonder Estonia has become the 2.0 country par excellence. From here I wish you, as one day, professor Miguel Cabanela told me, never stop your enthusiasm! “.

In addition to the affectionate words of Dr Ribas, we want to record some of the conferences that have been given at this congress.

For example, Professor Nicolás Reina (HU Toulouse) presented a very brilliant presentation on the fundamentals of bone reconstruction in the treatment of avascular necrosis of the femoral head. It will undoubtedly follow in the footsteps of Ficat, Puget and Chirón.

We also want to highlight the words of Professor Lohman (HU Magdeburg) who said: “Do not use local anesthetics in the aspiration of synovial fluid in the hip, because its effect is bactericidal and can influence the detection of bacteria. After the time that Dr Ribas was a fellow of Professor Klaus Steinbrink at the Endoklinil in Hamburg, “We must still insist on something that science had already taught us more than 20 years ago” – Dr Ribas.

For many years we have put different names (Athletic Pubalgia, Sports Hernia, …) to the same concept. After the historic meeting in Doha (Doha Agreement, BJSM-2015), we all agreed to simply call it “Groin Pain”, translated “Inguinal Pain”, to which we will add “related to …” and its classification in three basic groups: pubic ring, hip and others.

To understand hip pain, it is basic in the work of Brian Kelly of the Hospital School for Special Surgery in New York, and to know how to correlate: “The concept of the 4 layers or levels” (“The Layers Concept”).


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12/Dec/2018

Dr. Ribas presents his results with implantation using mini-posterior and supracapsular mini-invasive technique assisted by portal (superpath) with short stems and ceramic-ceramic friction torque in the Congress that has held the European Hip Society Meeting in the city of The Hague this September.

The head of the Hip Unit has presented the mini-invasive periacetabular osteotomy technique for the treatment of hip dysplasia and its results in athlete after more than 15 years of accumulated experience. Since 2006, in his mini-invasive approach described and learned from his creator, Professor Kjeld Söballe.

The majority of patients treated with this technique (95%) resume their sports activity, either with a high or medium impact (UCLA score 8 to 10), with a better clinical and functional profile.

Between 48% and 60% of the calls “Trochanteric bursitis, trochanteritis, – (also known today as Great Trochanter Pain Syndrome – GTPS) – contains, in different stages, injury or even tendon rupture of the gluteus medius and / or minor that will require your Treatment. The risk of not doing so is the very degeneration of the fat (the muscle fibers are transformed into non-contractile fat tissue) of these muscles, which are fundamental in sustaining the body through the lower extremities in activities of daily life.
Dr. Ribas, in 2007, developed a reparative technique for cases of breakage with very good results and that were precisely presented at this congress. This technique has been performed by different members of the unit for years and even in cases of partial rupture, Dr Cárdenas and Dr Astarita repair it using an arthroscopic technique.


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12/Dec/2018

Dr. Ribas participates in the Chilean congress of hip preservation surgery CIPCA 2018 that was held this September at the Eloísa Díaz Hospital in Santiago de Chile. The head of the Hip Unit has shared, with the attending public, his experience in the treatment of residual dysplasia of the young and young adult, and femoroacetabular shock, the latter through the known in the German-Anglo-Saxon world by AAMOT (Arrthroscopic Assisted Mini-Open Technique) and created by Dr Ribas himself in 2003.

Since then, more than 1000 patients have been treated using this technique, which is known and used worldwide. One of its greatest exponents is Prof. Javad Parvizi from the Rothmann Hospital in Philadelphia, or Prof Ezechieli from Hannover-Paderborn.


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12/Dec/2018

Brilliant participation of Drs. Cardenas and Astarita in the VI Edition of the Joint Congress of the Spanish Association of Arthroscopy (AEA) and SEROD in Zaragoza.

Dr Cardenas has given several conferences as an expert in this national congress, such as the one entitled “How do I avoid postsurgical instability? Surgical tricks” where Dr. Cardenas placed special emphasis on different technical resources. Dr Cardenas is one of the most recognized arthroscopists throughout the continent, as well as a professor in Lis, United States.

Dr. Astarita has participated in the course of arthroscopic treatment of hip joint injuries of the young man.


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12/Dec/2018

Last week the SCCOT congress was held in Reus, where the Hip Unit participated actively:

1 Round table presentation:

-Surgery preservation in low grade dysplasias; performed by Dr Carlomagno Cardenas.

3 Communications:

– CO-7- Retorn a l’Esport i tolerància a l’activitat post-osteotomia periacetabular (OPA); realized by Drs: Dra Marta Comas Aguilar, Dr Luís Ramírez, Dr Manel Ribas, Dr Carlomagno Cardenas, Dr Vittorio Bellotti and Dr Emanuele Astarita.

– CO-8- Osteotomia periacetabular al tractament de la displàsia de maluc mitjançant tècnica mini-invasiva, els nostres resultats a mig-llarg plaç; realized by Drs: Dra Marta Comas, Dr Luís Ramírez, Dr Manel Ribas, Dr Carlomagno Cardenas, Dr Vittorio Bellotti and Dr Emanuele Astarita.

– CO-32- Tractament de la pseudoartrosi d’escafoides mitjançant placa volar: resultats als 3 anys de seguiment; realized by Drs: Dr David Campillo, Dr Ignacio Esteban, Dr Sergi Barrera, Dr Alex Lluch, Dra Marta Comas and Dr Xavier Mir.

2 Communications opting for prize:

MO-4- Pot reduir-se la taxa de contaminació de l’injert autòleg de cresta ilíaca després de l’extracció i manipulació per a un procediment TLIF. Realized by: Dr Sergi Alabau, Dra Gemma Vilà, Dr Daniel Pérez, Dr Francesc Ciccolo, Dra Maite Ubierna and Dr Enric Cáceres.

MO-1- Nou penjoll periòstic vascularitzat del primer metacarpià al tractament de la pseudoartrosi d’escafoides: estudi anatòmic i sèrie de clínica; realized by: Dr Sergi Barrera, Dr David Campillo, Dr Xavier Mir, Dr Gerardo Méndez, Dr Jorge Knorr and Dr Francisco Soldado.

1 Poster opting for prize:

MP-1- Estudi anatòmic de la vascularització del primer metacarpià de l’avantbraç: disseny de penjolls vascularitzats periòstics; realized by: Dr Sergi Barrera, Dr Jorge Knorr, Dr David Campillo, Dr Xavier Mir, Dr Alfonso Rodríguez and Dr Francisco Soldado.

From here we want to congratulate the Hand Unit for the prize for the best poster! Our most sincere congratulations! We also want to congratulate the residents for the form and quality of the presentations.

As tutor-responsible for education, I want to take the opportunity to encourage the units that did not send communications to do so for the next congress!

A hug,

Dr Carlomagno Cardenas


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12/Dec/2018

Dr. Ribas has participated for the second time the Congress of the SMCC (Mexican Society of Hip Surgery) held, this time in the city of Puebla, where he gave 9 lectures on hot topics such as: the latest multi-center studies in prostheses of surface in the young athlete, the experience of 14 years in the mini-invasive periacetal osteotomy for dysplasia, the indications of his miniopen technique for the femoroacetabular shock, when to use the miniopen technique and when to use the simple hip arthroscopy, the prostheses and sport, when short shoot or when long and hip minivandrings for the implantation of prosthesis.

Also add that the recent multi-center study about which Dr. Ribas spoke in one of his lectures that he gave in the city of Puebla during the celebration of said congress, of the surgeons with the largest number of hip interventions in the adult Young (27 centers, 13 countries), shows that the overall survival rate reaches 90% at 22 years.


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12/Dec/2018

Dr. Ramírez, member of the Hip Unit of ICATME, has published the article: “Outcome of oscillating saw open osteotomy in two-stage lower limb bone transport with monolateral frame” in the prestigious Journal Injury Journal, carried out together with doctors of the Septic Unit of Vall d’Hebrón University Hospital, where the results of bone transport performed with an oscillating saw are described and certain pre-established beliefs with respect to the osteotomy technique are disproved.

To read the abstract click here.


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12/Dec/2018

The European Federation of Associations in Orthopedic Surgery and Traumatology, EFORT, has accredited the ICATME Hip Unit as a reference center for the training of the “Visiting fellows” in modalities such as:

  • Prosthetic Surgery of the Hip and Prosthetic Revision
  • Hip Preservation Surgery
  • Arthroscopic Hip Surgery

The official list of accredited centers can be consulted by clicking here.

The announcement of this program was made earlier this year in the magazine Orthopedics Today.

The first requests for a stay have already been received and soon visiting surgeons will be integrated into the center’s training program for a period of 4 months. Those responsible for the program will be Dr Cardenas, consultant of the Hip Unit and member of the Teaching Commission of the Dexeus University Hospital together with Dr Manel Ribas, head of the Hip Unit.

This initiative is part of the EFORT Foundation to which Dr Enric Cáceres, head of the ICATME Raquis Unit and former president of EFORT, continues to support.


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12/Dec/2018

On September 19, 20 and 21 in the city of Gant, in Belgium, Dr. Charlemagne Cardenas of the Hip Unit of ICATME, taught together with Dr. Cronin and Sarantos, from the United Kingdom, and Dr. Wade Gofton from Canada, the training course in the SUPERPATH technique for the placement of hip prostheses; With this revolutionary technique it is possible to implant a hip prosthesis if you cut any muscle or resect any ligament, incredibly improving recovery times.

With this course there are already more than 190 surgeons around the world who have received theoretical and practical training from Dr. Cardenas, who was the first in Spain to perform this technique and participates as a director in the courses that are taught each year in Gant, Rotterdam and Madrid.


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12/Dec/2018

The French magazine Maîtrise Orthopédique publishes, in its latest issue, an extensive eight-page interview about the chief surgeon of the ICATME Hip Unit, Dr Manel Ribas. In it, in addition to reviewing his professional career, Dr. Ribas explains step by step the procedure to perform the mini-invasive periacetabular osteotomy.

The magazine Maîtrise Orthopédique is one of the most recognized scientific journals of traumatology in Europe.

If you want to read the extract of the interview, click here.


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12/Dec/2018

Dr Carlomagno Cardenas-Nylander of the ICATME Hip Unit is invited to the “Vivantes Klinikum in Friedrichshain” of Berlin, Germany, to present the mini-invasive technique of periacetabular osteotomy.

Last Thursday, August 24, Dr. Cardenas presented his experience in the treatment of hip dysplasia through the mini-invasive periacetabular osteotomy (OPA) at the Department of Orthopedic Surgery and Traumatology of the Vivantes Klinikum in Friedrichshain. company of Dr. Alexander Moser, performed the first surgery with variation of the transartoric technique in a patient.

Dr Cardenas, who operates regularly at the Dexeus University Hospital in Barcelona, ​​has performed this technique in other centers such as the Hospital de Barcelona, ​​the Moisés Broggi Hospital or the Consorci General Universitari de València.

The ICATME Hip Unit has in Dr Manel Ribas and Dr Charlemagne Cardenas-Nylander one of the longest series in Europe with almost 300 cases of periacetabular osteotomy.


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