NEWS

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30/Mar/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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30/Mar/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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30/Mar/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.


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30/Mar/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.


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30/Mar/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.


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30/Mar/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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30/Mar/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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30/Mar/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.


30/Mar/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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30/Mar/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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30/Mar/2020

On this occasion, the XXI Congress of the Spanish Society of Hip Surgery was held in the city of Elche, Valencian Country and was able to count on the presence of Dr Ribas, chief member of the Hip Unit.

Dr. Ribas, 15 years after the publication of his article “Current evidence in the treatment of femoroacetabular shock” in the Spanish Journal of Orthopedic Surgery and Traumatology of the article, has made a presentation on the evidences of this pathology.

In his presentation, Dr. Ribas pointed out, point by point, all those evidences that today doctors and patients should know. The most outstanding, with the highest level of evidence, is that it has been shown that the surgical treatment of femoroacetabular shock presents better clinical-functional results than the best non-surgical treatment and simply rehabilitation.

Different randomized, multicenter, comparative studies (level of evidence 1) have been carried out that corroborate this. These studies have been published even in high-impact scientific journals such as “The Lancet.

 


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30/Mar/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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30/Mar/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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30/Mar/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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30/Mar/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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30/Mar/2020

This year 2019 the city of Amsterdam has been the leader of the most important theoretical and practical pelvic course at European level, the seventh edition of the European Pelvic Course.

Dr. Manel Ribas and Dr. Luis Ramírez-Núñez from ICATME attended this training course held on April 4 and 6, where they had the opportunity to expand their knowledge and develop pioneering approaches at a practical level such as the “Para-recto” and the “Anterior Intra Pelvico approach”, both considered as less invasive pelvic surgery.
They also had the opportunity to try out new implants and specific instruments dedicated to the pelvis.


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30/Mar/2020

On January 28, Dr Manel Ribas attended the Grand Gala of the Sports World. The celebration took place at the National Art Museum of Catalonia (MNAC) in the city of Barcelona. Among the guests were personalities from the world of sports such as Leo Messi, Ivan Rakitic, Samuel Umtiti, Bob Beamon, Eddy Merckx, Marc Márquez, Carlos Sainz and Juan Carles Navarro among others.

Juan Godó was in charge of hosting, and he was the one who handed out the prizes to the best sportsman of 2018 to the Catalan pilot Marc Márquez and to the dumbbell León, Lydia Valentín.


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30/Mar/2020

The members of the Scientific Committee of the European Hip Society meet in Milan and establish the 16 symposiums and instructional courses to be held during the next edition.

The EHS Meeting is the most important hip surgery congress held on the continent every two years. This edition will be held at the Palais des Congres de Lille, on 1 and 2 October next 2020.

Dr. Manel Ribas celebrates his 7th birthday, out of the 8 maximum allowed, as a member of said committee.


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