NEWS

Portada-01-1-1200x805.jpg
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


2020-03-09_Mexic-3-1200x621.jpeg
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.


2020-03-03_Revista española1
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).


2020-02-11_Mexic 1
2020-02-11_Mexic 4
2020-02-11_Mexic 2
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.


2020-02-02_Dubai1
2020-02-02_Dubai3
2020-02-02- Dubai2
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.


2020-01-13_Publicacions2
2020-01-23_PAO miniopen
2020-01-23_caso a 8 años
07/Apr/2020

In a few days, confirmation of publication of different works in indexed scientific journals by the Hip Unit has been received:

  1. Periacetabular osteotomy in the treatment of hip dysplasia through mini-invasive technique. Our medium-long term results in 131 patients. Periacetabular osteotomy for hip dysplasia treatment through a mini-invasive technique. “Our medium-long-term results in 131 patients” (Journal of the Spanish Society of Orthopedic Surgery and Traumatology) Ed. Elsevier.
  2. Mini-invasive and arthroscopic symphysoplasty technique for the treatment of pubic osteopathy in the German journal of surgical techniques in Traumatology and Orthopedics “Operative Orthopädie und Traumatologie” Ed. Springer.
  3. AAMOT-mini-invasive technique assisted by arthroscopy for the treatment of femoroacetabular shock (Arthroskopisch-assistierte Mini-open Arthrotomie zur Korrektur des femoroazetabulären Impingement / Arthroscopic-assisted “mini-open” arthrotomy for the treatment of the femoroacetabular impingement) together with the impingement. Dr. Marco Ezechieli. Ed. Springer.

2019-12-19_Razón1
2019-12-19_Razón
2019-12-19_Razón2
07/Apr/2020

The Press Association of the newspaper La Razón, one of the largest circulation in Spain, has awarded the head of the Hip unit of the Dexeus University Hospital in the section of hip traumatology among applicants from different parts of Spain.

In his speech Ribas thanked the members of his team and orthopedics and traumatology service of Icatme. Dr. Charlemagne Cardenas member of the Unit, Dr. Eugenio Jimeno, medical director of Icatme and Dr. David Campos member of Icatme accompanied Ribas at the event, held at the prestigious Westin Palace in Madrid.

This recognition coincides with the third consecutive year in which Icatme is in first place as the best orthopedic surgery and traumatology service in Spain according to the IEH (Hospital Excellence Index, prepared through a vote by the Spanish doctors of the different hospitals in the country).

You will find the news of the award by clicking here.


2019-11-17_Ribas-1200x554.jpeg
07/Apr/2020

Once again, the Icatme Hip Unit participates in a scientific event of great impact. The most innovative strategies in the prosthetic exchange are analyzed in this congress and in it prominent figures, both European and from the other side of the ocean, participate.

The fact that Dr Ribas participates in this congress is not accidental. In the early 1990s, Dr Ribas was trained in replacements of infected hip and knee prostheses in the world-famous Endoklinik in Hamburg with Drs. Steinbrink, Roig, Engelbrecht and Dr Lars Frommelt. The latter is considered today the largest microbiologist of the musculoskeletal system in the world.

Upon his return to Spain, 10 years before his last long training stay at the Mayo Clinic, Ribas shared the cases of septic replacement with Frommelt and studied their antibiotic application strategies in acrylic cements.

Today, with the new technical advances, the scientific community meets biannually in Philadelphia to establish a framework of consensus on these therapies (“Philadelphia Consensus”). Spain was behind the US and the United Kingdom the country with the largest number of delegates, just ahead of Germany.

The Spanish Society of Orthopedic Surgery and Traumatology (SECOT) through its website and in App has been the first to translate the Philadelphia Consensus from English to Spanish. The Spanish Society of Infectious Diseases and Clinical Microbiology has also established a Consensus Document.


2019-11-16_Bellotti
2019-11-16_Bellotti 1
2019-11-16_Bellotti 2
2019-11-16_Bellotti 3
07/Apr/2020

In the months of October and November, Dr. Vittorio Bellotti was able to participate, through the European Hip Society, in the daily work in these orthopedic centers of excellence in hip surgery.

He has been able to be in hip prosthetic implantation interventions through another mini-invasive approach, another surgical school, periacetabular osteotomy for hip dysplasia, precisely in the place where the latter was born.

Gone are the end of the eighties, when Dr. Ribas visited Dr Ganz in the same hospital overnight in the round trip on the train TALGO Barcelona – Bern.

As of the end of 2003, Dr. Ribas began performing said osteotomy for the treatment of dysplasia, only that in 2006 he modified the approach to perform it by the mini-invasive method, nowadays only available to few centers in the world.


2019-11-05-Dr-Flavio-Superpath.jpeg
07/Apr/2020

Between November 6th and 9th, Professor Dr. Flavio Peirano, a renowned Argentine hip and knee surgeon, head of the Churruca Hospital of the Federal Police of Buenos Aires, visits the Hip Unit, ICATME, Dexeus University Hospital –  Quirónsalud Group.

Dr. Flavio carries out a stay of medical training exchange, with the aim of bringing to Buenos Aires the Superpath technique of implanting hip prostheses with musculoskeletal protection. The Superpath technique (Supracapsular Percutaneous Portal Assisted Total Hip) for the implantation of hip prostheses with protection of muscles, tendons and capsule was introduced in Spain by Drs Cardenas and Ribas back in 2015 after their training and accreditation in San Diego – CA through the SOV program.

From here, other leading specialists in our country such as Dr. Raúl Torres, Jesús Mas, Juan Rivera or Boris García have also developed and expanded the technique.


2019-10-25_ISHA-Dr-Ribas.jpeg
07/Apr/2020

During the ISHA 2019 Congress, held in the city of Madrid, Dr Ribas, head of the Hip Unit made a presentation in which he related his experience in the miniopen treatment of tendon ruptures of medium and minor gluteus.

The painful syndrome of the greater trochanter (GTPS) is an underestimated pathology of a huge prevalence in the general population, between 10 and 25% of the population suffers from this syndrome.

Between 48 and 60% of patients diagnosed with GTPS have medium or smaller gluteal tears that can degenerate into muscle fat tissue irreversibly if the tears are not treated properly.


2019-10-16_ISHA 2
2019-10-16_ISHA 1
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.


2019-10-15_Article Dr Ribas
2019-10-15_Article 2
2019-10-15_Article 3
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.

 


2019-10-03_Garcia-Bragado.jpeg
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!


2019-09-30_Venecia-1200x901.jpeg
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.


icatme copy
HOSPITAL-UNIV-DEXEUS_HORIZONTAL_POSITIVO-COLOR_CMYK

Copyright by BoldThemes 2018. All rights reserved.