NEWS

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07/Apr/2020

Communicated as of March 16, 2020 in relation to the current situation of the Coronavirus and its effects on visits and surgeries of the Hip Unit of ICATME – Hospital Universitari Dexeus.

Starting today, Monday the 16th and after the urgent meetings held over the weekend with the health authorities of the Hospital and the management of ICATME, it has been decided, acting with the greatest responsibility, to take the following measures, which will be subject to modifications as they change. the situation in the coming days:

  1. Reschedule surgeries until April 1. Cases of preferential or necessary assistance are maintained
  2. Limit non-urgent visits in the same period. Attendance is guaranteed for patients who come to the face-to-face visit in our center. Urgent cases will also be attended in person.
  3. Patients who, due to the situation of confinement, wish to make a telematic visit or telephone consultation should contact:
    Telephone: 93 205 43 62
    E-mail: info@icatme.com
    www.icatme.com
    www.micadera.es
    One of our team members will be available to address your concern
  4. Surgical emergencies are maintained, a rotating system of guards has been established to provide coverage in case of emergency
    The doctors who will provide in-person assistance follow all the protocols and recommendations to limit the transmission of the virus.

At ICATME the well-being of our patients has always been a priority. The activity is maintained in a controlled way to provide coverage to those who need it.

Dr. Manel Ribas
Dr. Carlomagno Cardenas-Nylander
Dr. Vittorio Bellotti
Dr. Emanuele Astarita
Dr. Luís Ramírez- Núñez
Dr. Gabriel Chacón
Dr. Anna Isart


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07/Apr/2020

Dr. Víctor Aguirre is appointed by the Mexican College of Orthopedics and Traumatology Medical Holder in the Chapter of Hip and Knee Surgery for the Biennium 2020 and 2021.

The tasks attributed to this appointment for the whole country are:

  • Realization and coordination of academic programs related to hip and knee surgery during national congresses.
  • Promote periodic meetings between surgeons in the field of Hip and Knee Surgery after identifying and updating the entire Mexican community with the most recent advances, in other words, promoting and maintaining the scientific update.

Our most sincere congratulations to Dr. Victor Aguirre, whose training stay in the hip subspecialty in our unit has left us with a deep imprint.

After his formative stay in the Hip Unit, Dr. Víctor Aguirre performs periacetabular osteotomy for the treatment of adult residual dysplasia according to the mini-invasive technique, which in his day, 14 years ago, Ribas learned from Professor Kjeld Søballe and that other doctors of the Unit (Dr Carlomagno Cárdenas) also perform.


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07/Apr/2020

As we have already announced through our Twitter account, the reviewers and the scientific editorial confirm their next publication in the Spanish journal of Orthopedics and Traumatology.

This is the description of the periacetabular Ganz mini-invasive technique by Søballe mini-approach (JBJS Am 2008) with the technical variants developed by the Hip Unit itself and its results in the medium term, in a significant number of cases ( 131), which today have exceeded five hundred. It is the greatest experience in this technique in all of southern Europe.

The first signatory, developer and lead author is Dr. Ramírez-Núñez, helped by Dr. Ribas, who is carrying out a line of work and publications on this subject, which will soon bear fruit. From here, our most sincere thanks to the fellows who, during these years, have made possible, with their collaboration, such a great database.

Remember also that Dr. Ribas learned periacetabular osteotomy from the hands of Dr. Robert Trousdale in 2003 during his stay at the Mayo Clinic with Dr. Oliver Marín of Madrid and Dr. Javier Camacho of Mexico City. He started it in September 2003 and in his mini-invasive variant in 2007, after his stay in Denmark with Professor Söballe (one year before its publication in the JBJS Am 2008).


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07/Apr/2020

Dr Ribas, for the third consecutive year, participates in the official congress of the Mexican Society of Hip Surgery in the company of famous world-famous surgeons such as Professor Reinhold Ganz, Professor Miguel Cabanela, Professor David Kendoff, Professor Mariano Fernández Fairén and the most recognized hip surgeons in the Central American country.

On this occasion there will even be an extra day of live surgery, in which Dr. Ribas will carry out jointly with expert surgeons from the country trained in the hip unit of Dexeus University Hospital, Dr. Victor Aguirre and Dr. Edwin a periacetabular osteotomy of Ganz but via mini-invasive, which will be commented live to the auditorium by Professor Reinhold Ganz himself.

This is the first time that Dr. Manuel Ribas has performed Ganz periacetabular osteotomy, in his minimally invasive variant approach, in the presence of its inventor, in 1988, the very and very honorable Professor Reinhold Ganz. As always, Dr. Ribas had recognition during his speech; not surprisingly, Dr Ribas translated this technique from German into Spanish in the “Operative Orthopädie und Traumatology” magazine by Springer (1990), published in Spanish by Doyma Publishing.

Dr Ribas always dedicated himself to the translation of articles and techniques published in said magazine during the following 13 years. That meant a great acquisition of knowledge in the specialty of Orthopedic Surgery and Traumatology. Currently this journal is indexed medline and Dr. Ribas already has published various techniques in the field of hip surgery.

During these days, you will also have the opportunity to give other master readings in the field of femoroacetabular shock surgery, pain surgery in the pubic-inguinal complex (of which it is a world reference, with techniques that bear the same name), of the ruptures of the gluteal tendons at the level of the greater trochanter (the so-called trochanteritis and even trochanteric bursitis), of the acetabular labrum transplant and finally, will also talk about the mini-invasive periacetabular osteotomy in athletes.


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07/Apr/2020

Last Monday, in the capital of Dubai Abi Dhabi, the advanced medical assistance plan for the citizens of that emirate state was presented to the Dubai Ministry of Health.

Two representatives of Icatme, Professor Enric Cáceres and Dr Ignacio Ginebreda, presented to the country’s authorities the program of comprehensive specialized assistance based on excellence, in which the Hip Unit will have, like the other Icatme units, a relevant role The Quirónsalud group manager, Don German Barraqueta, signed two MOUs (Memorandum for Organization and Understanding) with the health authorities of Dubai and Abu Dhabi.

This fact highlights the expansive nature of knowledge that exists in the world about the whole group, always linked to evidence-based medicine but also excellence.

Link to the news to the local Dubai press.


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07/Apr/2020

On October 16, 17, 18 and 19, almost all of the members of the Hip Unit have participated in this ISHA Congress contest, the only one in the world of hip preservation surgery (a specialty that treats injuries for reduce pain and improve hip functionality).

In this edition, in which doctors, hip surgeons, specialists in rehabilitation and sports medicine participate, the most up-to-date knowledge and techniques in the field of arthroscopy, osteotomies in young adults, treatment of injuries have been discussed of cartilage and acetabular labrum, accelerated and specific functional recovery, labrum transplants.

Important has been the contribution of the Unit with the themes:

  1. New advances in hip arthroscopy – Dr. Carlomagno Cardenas
  2. Periacetabular osteotomy in dysplasic sports – Dr. Manel Ribas
  3. Mini-invasive technique for the treatment of ruptures of the gluteal tendons (one of the most frequent pathologies and often confused with “trochanteric trochanteritis-bursitis”). In this conference, the results obtained by the Hip Unit were presented for more than the last 10 years. – Dr. Manel Ribas
  4. Mini-invasive periacetabular osteotomies – Dr. Carlomagno Cardenas
  5. Value of neurophysiological monitoring of the lower extremities in the mini-invasive periacetabular osteotomy as the method of choice – Dr. Estela Lladó.
  6. Mini-invasive technique for arthroscopic-assisted femoroacetabular shock with its updated indications in large chondrolabral lesions, labrum transplantation, large femoral gibbs, global pincer, femoral cysts (large cysts that require bone graft), sequelae of stiff brain trauma with rigidity -ankylosis caused by heterotopic calcifications, revision surgery of the femoroacetabular shock.

From here, we want to send our most sincere congratulations from Drs. Oliver Marín and Luís Perez-Carro, indefatigable organizers of this event, who have made it possible for Madrid to successfully host a contest of this caliber.

The next edition will be in 2020 and will be held in Ottawa.


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07/Apr/2020

The publication of the first Labrum transplant in the history of medicine reaches 200 downloads of specialists in hip preservation surgery.

This transplant was performed by Dr Ribas and Dr Tey in 2007 and subsequently published by said authors in the Hip-International hip scientific journal.

Currently, the Hip Unit is the medical team in Europe with the largest number of donor Labrum transplants. And their excellent results have been published in various scientific journals.

 


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07/Apr/2020

Our most sincere congratulations to the athlete Jesús Angel García Bragado who, at his 50 years, has achieved his 12 + 1 participation in the 50 km world march held in Doha.

Congratulations for triple departure:
1 / Selfless dedication, example for all. (18 of the participants had not yet been born in their first World Cup).
2/12 + 1 worldwide.
3 / 8th place and direct classification for its 6th Olympiad, this time in Tokyo.

From the My Hip team, congratulations!


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07/Apr/2020

This Saturday, September 28, Dr. Ribas, together with Dr. Paolo Esopi and Dr. Sílvia, carry out, in the Dolo Hospital – Venice, a gluteus maximus transfer intervention.

What is a muscle transfer for? One of the causes of the instability of a hip prosthesis may be due to the lack of musculotendinous support of the pelvitrocating muscles and especially the middle and lower gluteus (see the update on the conference given by Dr. Ribas in the Society Hip Italian from last week in Bergamo). The absence of correctly functioning pelvitrocantereos is an invalidating situation for the patient, who is even forced to wander with one or two crutches.

This insufficiency can occur for different reasons. During the last decades, multiple techniques have been used and described to replace and / or strengthen the pelitrochanteric muscles of the hip, which go from tendon transplantation, muscle transposition with microsurgical techniques to the application of human or artificial collagen mesh-plates .

In the last two decades, the technique of transfer of the proximal third of the gluteus maximus muscle, with its prolongation of Fascia Lata acting as a tendon (fixed to the greater trochanter of the ugly) described by Professor Dr Leo Whiteside of the USA, has represented a solution biological that alleviates this pathology with clinical-functional results.

The hip unit has been doing this intervention in very specific cases for more than fifteen years.


07/Apr/2020

His presence is required this year as a recognized pioneer in the treatment of lesions of the middle and minor gluteal tendons in his area of ​​femoral insertion, often misnamed “Trochanteritis or trochanteric bursitis.” Today the Anglo-Saxon medical literature calls it Great Trochanter Pain Syndrome (GTPS).

For the reader here are the most important points of his Presentation:

1 / The Great Trochanter Pain Syndrome (painful trochanter syndrome – GTPS, which causes pain in the lateral side of the hip and functional limitation) occurs between 10 to 25% of the population at some time in life, mostly in middle-aged women, according to a review article by the newly appointed head of the hip preservation surgery unit at the Hospital for Special Surgery in New York, Professor Bryan Kelly.

2 / Among different mechanical and biological causes, the fall in the production of estrogens during menopause, which alter the quality of tensile strength of the tendons, especially in the shoulder and hip *, stands out.

2 / Other reviews show that between 40 and 68% of cases of GTPS are ruptures at the level of the insertion of the gluteus medius / minor.

3 / An inadequate treatment, depending on the degree of rupture, can put at risk the fatty degeneration of the muscle and its loss of function with the consequent lameness and functional limitation.

4 / Different degrees of injury are distinguished, according to the combined Thomas-Milwaukee classification, from which medical evidence emphasizes different treatments according to the stage.

5 / The hip unit was a pioneer in Europe in the treatment of middle and minor gluteal tears. In their study presented in 2018, at the European Hip Society in The Hague (EHS), the good clinical-functional results of the treatment of tears are demonstrated, according to the mini-invasive technique for this pathology launched in 2007, with and more than 12 years of experience through mini-invasive and arthroscopic technique.

6 / Dr Ribas explains the algorithm in the treatment of these injuries.

 

* Salini et al. “Prevalence of and risk factors for asymptomatic rotator cuff tears in postmenopausal women.” Menopause 2014 Mar; 21 (3): 275-80.


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07/Apr/2020

The insufficiencies of coverage of the femoral head, associated with deformities (as in this case of sequels of Perthes disease), can be combined by mini-invasive technique with femoral osteotomies using new fixation systems such as femoral plates of angular stability. This fixation is enormously stable and allows immediate mobilization and rehabilitation to the patient.


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07/Apr/2020

The interest in learning to perform the mini-invasive periacetabular osteotomy in super hip surgeons grows in Spain and Portugal.

The mini-invasive periacetabular osteotomy for the treatment of Residual Dysplasia of the young adult, its injuries and its multiple pathological associations, is starting a growing interest in the countries of Southern Europe, both in patients and specialists due to the excellent results obtained with said technique.

During this summer, Dr Manel Ribas and Dr Carlomagno Cardenas, specialists in this intervention, doctors specializing in this technique, have carried out demonstration interventions before young surgeons of great renown, recognition and projection, both in Madrid and in Porto.

On the other hand, the active participation of the hip unit in the world hip preservation congress (ISHA society), which will be held in Madrid from October 16 to 19, is ready.


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07/Apr/2020

On May 24, Dr. Manel Ribas was named Honorary Member of the Russian Hip Society, in the Russian city of Nizhny, Novgorod.

His entry reading, pronounced in English and translated into Russian, has been “Novel soft tissue-sparing mini-invasive techniques in primary total hip replacement” (new techniques of primary hip prosthesis with soft tissue protection).

It is widely known that the Hip Unit is a European reference center and precisely with the figure of Dr Cardenas-Nylander, as well as the Head of Teaching of the entire ICATME department. The Hip Unit provides courses in corpses, training and specialists from South and Central Europe, also from Russia, the USA and Japan.

The Superpath technique has shown, according to data from the Australian Registry, up to a reduction of 91% in taking analgesics to hospital discharge, as well as autonomy in daily life in 85% of cases at 2 weeks.

With the appointment of Dr Manuel Ribas as an honorary member of the Russian Hip Society, a member of the third generation of doctors from the Ribas family revisits Russia 130 years later. 130 years after a doctor of the family-Saga of the Doctors Ribas, the also prestigious professor Dr Manuel Ribas, specialist in Internal Medicine and Epidemiology and former president of the Academy of Medical Sciences of Catalonia and the Balearic Islands until his death, brother of the Pulmonologist Joan Ribas, (different populations of Catalonia take their name as a street or avenue, such as the well-known Avenida del Dr Manuel Ribas and Perdigó de Badalona for example.

Professor Manuel Ribas was the right hand of Dr Bartolomé Robert, who was the mayor of Barcelona. Manuel Ribas never yielded to his work in the service of patients and has in his file one, which he considered a “black stain”: having lost the oppositions in Madrid in a hand to hand with his colleague also Professor Ramón y Cajal.

What I would not know is that two generations later Antoni Ribas, today professor of Oncology at UCLA and president of the International Society of Oncology, discovered immunotherapy against melanoma.

In the circles of the Ribas family, by the way very united, with meetings and family meals, it is said that “if one day Ribas can be a Nobel Prize winner”, Antoni can surely be.

A detail of Professor Manuel Ribas (1888): not knowing German, he moved to make his stay of specialized training in Internal Medicine in Germany. It sounds familiar, right?

Dr. Manuel Ribas, hip surgeon, did his final year’s work in History of Medicine in a seemingly simple way:

“Medical Biography of Professor Manuel Ribas i Perdigó”, year 1981.


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07/Apr/2020

Leading European specialists in double hip mobility and mini-invasive approaches participate in this edition of the, under the auspices of the Stryker North American Multinational Company.

It discusses the role of double mobility in hip prosthesis, mini-invasive surgery by direct superior approach that preserves muscle tendons and joint capsule (DSA: Direct Superior Approach), the role of rapid recovery with this approach and what the new materials bring

The program was integrated by Dr Jorge Guadilla (Vitoria), Dr Manuel Ribas, Professor Jean Alain Epinette (Lille and current president of the EHS-European Hip Society) and Dr Jesús Mas (Alicante).

In the afternoon practical sessions (cadaver-Lab) of instruction in the technique were carried out to the specialists assembled, coming from Spain and Portugal.

The “Double mobility” is not a current concept, it was developed in France in the mid-seventies. Because of its intrinsic mechanism of rolling one sphere over another, the lowest rate of prosthetic dislocation is obtained (first cause of revision during the first 5 years according to data from the Australian Prosthetic Registry). In France, currently almost 50% of surgeons use this technique, but it was not until the end of the first decade of the twenty-first century that its use has increased with the appearance on the market of the new polyethylenes with high cross-linking.

Different reports have shown a perfect combination in hyperlaxed patients, with neuropathies, muscular deficit of the hip, in obesity, in patients with lumbosacral fixation where the pelvis remains in an invariable position, in the treatment of advanced dysplasia, in deankylosis, etc. . and in prosthetic replacement surgery

The minimally invasive DSA approach allows the implementation of a double mobility system. The hip unit of the University Hospital Dexeus has a protocol of the technique according to individualized pathology and after a meticulous preoperative planning.

The mini-invasive approaches with tendinomusculocapsular, anterior direct and supracapsular protection assisted by the Superpath (R) portal as DSA have been implemented for years in the Dexeus University Hospital, being a reference center where specialists and residents in the specialty of Orthopedic Surgery and Traumatology meet. official MIR training program.


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07/Apr/2020

Yesterday, May 13 was a very intense day, 9 hip surgeries in which visitors from Mexico, Portugal, Romania, Spain (Madrid) and Japan, accompanied Dr Cardenas, head of the teaching unit of ICATME, in his interventions of prosthetic surgery and preservation surgery.

The Hip Unit receives around 5o annual visitors who request to attend the interventions of the members of our team. Once again, the Hip Unit proves to be a benchmark in the sector.


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07/Apr/2020

Sponsored by Brazilian Hip Society (SBQ), Dr. Manel Ribas as head of the Hip Unit of the Dexeus University Hospital (Quirónsalud group) participates with the presentation of 9 lectures that deal with topics ranging from pathology, its prevention and hip treatment in the young and in the athlete, whether elite or amateur and occasional.

Specialists surgeons from different parts of Brazil, sports doctors and rehabilitators attended this meeting. The event, organized by the well-known Prof. Lafayette Lage of Sao Paulo, was attended by renowned and renowned specialists such as Professor Javier Pérez Torres from Bogotá, Jorge Cruz from Meló, Fernando Leal, Manuel Padín from Oporto, and other renowned specialists from both sides of the Atlantic.

The importance of early detection of mechanical pathology of the hip was highlighted, as well as the treatment of the effects-causing lesions, mini-invasive surgery and its effect on the rapid recovery of patients.

Special emphasis was placed on modern mini-invasive techniques used to protect the capsule and its structures, in patients of all ages with osteoarthritis. Said prevention results in an increase in stability and a faster recovery by reducing the sensation of pain since the pain receptors remain unchanged, as well as the mechanoreceptors, and faster functionality is obtained.


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07/Apr/2020

On April 25 and 26, the annual Congress of SETRADE (Spanish Society of Sports Traumatology) was held in Palma de Mallorca, where two of the most recognized and world-renowned Spanish hip specialists attended: Dr. Luís Pérez Carro of Santander and Dr. Manuel Ribas of Barcelona.

The conference has been presented with a new and interesting format, where the experts sit on the stage, a rapporteur updates current knowledge by way of summary -by the way, many congratulations to the rapporteurs of the different round tables – and then an interactive dialogue is established between the moderator and the assistants.

On this occasion, Dr. Manuel Ribas participated as an expert and moderator at the “Femoroactabular Shock”, “Residual Dysplasia” and “Peripheral Hip Syndromes” (deep gluteus, ischiofemoral, infratuberal and trochanteric) tables. In these days, the current limitations of hip arthroscopy in different areas and the importance of the periacetabular osteotomy in the case of labral lesion due to Residual Dysplasia (insufficiency of femoral head coverage) were highlighted.

The Dexeus University Hospital is a reference in all of Southern Europe in the treatment of Periacetabular Osteotomy by a mini-invasive technique.


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