NEWS

2020-09-20_Hip Resurfacing1
26/Oct/2020

The study recently published by Catherine Van Der Straeten and the International Hip Resurfacing Group in Hip International journal entitled: “Hip resurfacing arthroplasty in young patients: international high-volume centers’ report on the outcome of 11,382 metal-on-metal hip resurfacing arthroplasties in patients ⩽50 years at surgery “has served to corroborate the great success of this type of intervention, in which the survival rates in male patients reach almost 90% after 22 years of the operation.

The study has had the participation of Dr Ribas, head of the Hip Unit.

You can consult the study by clicking here.


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26/Oct/2020

On September 11, Dr Ribas, head of the Dexeus Hip Unit, will participate as the main speaker in the webinar: “Primary prosthesis by superior approach with soft tissue protection”, together with doctors Marcelo Lizarraga, Víctor Valladares and Christian Valladares, all of them Peruvians. The Central Military Hospital of Peru is in charge of organizing the event.


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26/Oct/2020

As readers already know, Dr. Ribas’ grandfather was a prominent internist, specialist in pulmonary pathology and infectious diseases, who practiced in Barcelona in the late 19th and first half of the 20th century. He was the Head of the Hospital de la Santa Creu y Sant Pau, and had to face the cholera epidemic that broke out in Barcelona and the Spanish flu epidemic. Professor Ribas had as his assistant the one who later became a professor of medicine in Zaragoza and Madrid, and the Nobel Prize in Medicine: Professor Santiago Ramón y Cajal.

He wrote numerous books and reported works of enormous impact in the Europe of the time. He spoke perfectly German, having trained as an internist in Germany (perhaps someone is familiar).

Regarding epidemics, he publicly expressed an opinion that seems taken from the present, only 100 years ago:

“For an epidemic to be considered over, one or more of the following conditions must exist:
That more than half of the population is immunized.
That the germ loses virulence.
That there is an effective treatment to combat it.
Let there be a vaccine for the population.”

We believe that 100 years later his thinking is still very current.


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26/Oct/2020

The program of the “Primeiro Simpósio Internacional de Atualizaçao em cirugia do quadril”, held on May 1, 2019 in the Aula Magna of the Hospital de Santa Caterina de São Paulo, is now available in its entirety on the YouTube platform.

In the images we can see Dr Ribas with Dr Lage de São Paulo, famous hip surgeon around the world for his classification of acetabular labrum ruptures, and organizer of the contest.

We can also see Dr Ribas together with Dr Jorge Cruz de Melo, a recognized doctor in Portugal, also Porto FC staff.

 


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26/Oct/2020

After the intervention of the Hip Unit in the recovery of Aritz Aduriz, football player of the Athletic Club de Bilbao, the team of the Hip Unit has participated in the documentary “Six Dreams”, soon on Amazon Prime.

In this second season of this Spanish-produced documentary series, iconic figures from our national soccer will be followed: Borja Iglesias (Betis), Aritz Aduriz (Athletic Bilbao) or Santi Cazorla (Villareal).


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26/Oct/2020

The Basque footballer from Athetic de Bilbao has successfully undergone surgery on his left hip at the Hospital Universitari Dexeus Quirónsalud, in Barcelona.

The operation,  realized by Dr Ribas and his team, has been carried out with absolute normality and without any complications.

The official news of the club is echoed, you can access it by clicking here.

 


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26/Oct/2020

The Hip Unit, as well as all ICATME, have successfully started elective non-urgent surgical activity (for example: arthrosis surgery, femoroacetabular shock, hip dysplasia, …) since the beginning of May. of the SAFE HOSPITAL protocol that emerged from the adaptation of the protocols of the German Society of Orthopedic Surgery (DGOOC), International Hip Society (IHS), American Association of Hip and Knee Surgeons (AAHKS) and European Society of Arthroscopy of the knee and Sports (ESSKA), presenting its widely satisfactory results, protecting patients who have not suffered from COVID disease as well as those who were cured of asymptomatic positive COVID patients, by means of specific clinical and radiological examinations mandatory in the Dexeus University Hospital, Grupo Quirón Salud.

For the interest of readers, both healthcare and non-healthcare, an image is left that corresponds to the outline chart of the Safe Hospital protocol that is followed for the introduction of surgical patients according to the strictest safety standards.


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26/Oct/2020

On May 23 the Venezuelan Society of Orthopedic Surgery and Traumatology (SVCOT) organizes an international telematic Congress, with the assistance of specialists from both continents.

Dr Ribas and Cardenas present their achievements and their experience in the diagnosis and treatment of femoroacetabular shock (known in Central and South America as Femoroacetabular Impingement).

With more than 2,000 interventions carried out, the Hip Unit has emerged as one of the benchmarks in the treatment of this pathology, the first cause of pain in the athlete’s hip and the first mechanical cause of arthrosis in said joint.

In addition to exposing cases of femoroacetabular shock, clinical cases of other mechanical hip pathologies that need to be differentiated are presented. The most frequently confused with femoroacetabular shock is residual hip dysplasia. Both cause chondrolabral lesions to evolve freely, but the treatment of the cause is completely different: while femoroacetabular shock is treated with remodeling of the acetabular overlay and femoral hump, residual dysplasia is treated by redirecting the acetabulum to provide physiological coverage . This is obtained through periacetabular osteotomy, a technique of which this Unit is a reference center in Europe for its mini-invasive technique.


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26/Oct/2020

From the Hip Unit we want to thank Professor Kjeld Söballe (Aarhus -Denmark), brilliant hip and pelvic surgeon, former chairman of the scientific committee of the European Hip Society (EHS); he in 2006 (2 years before I published it in the American Journal JBJS Am 2008) taught me the mini-invasive technique. Our fortune is to have known him, his generosity, didactic commitment. We can never thank him as he deserves.

First of all thank you friend Kjeld.

He was the one who realized that Ganz periacetabular osteotomy could be done by a mini-invasive approach that does not compromise the muscles, produces less bleeding, much less postoperative pain, and a faster return to everyday activities, including sport.

Today there is an undetermined number of athletes with moderate dysplasia, with a ratio of 4 to 5 women to 1 man, although there are ethnic and genetic factors. Low-grade dysplasia is not always detected at birth or during the first year of life.

Mini-invasive periacetabular osteotomy requires a highly specialized and coordinated medical and nursing team. We can see in the image Dr. Luis Ramírez placing the screws while Dr. Ribas maintains the correct redirection of the acetabulum to give normal three-dimensional coverage of the femoral head by the acetabulum. In our experience, there is no limit or residual standard dysplasia that is the same as another. Treatment is individualized patient by patient under a detailed preoperative calculation. We recommend reading on Instagram – Linkedin or on Twitter of “Periacetabular osteotomy step by step” by Dr. Luis Ramírez.


2020-05-03_Osteotomia Periacetabular1
26/Oct/2020

Although the Hip Unit is aimed at young people and young adults with dysplasia, often not noticed during childhood, it occurred in the 2nd, 3rd and 4th decades of life. This work, published in the largest Spanish journal of Orthopedics and Traumatology, represents the first work published on this mini-invasive technique throughout Central Europe and Southern Europe.

To thank our colleague Dr. Luis José Ramírez, specialist and member of the Unit staff, and the fellows we have had in recent years who, with their dedication, have made this work of data collection, angle measurement and analysis possible. statistical.

We could have perfectly published this work in an international magazine, but we believe that we owe it to our country. Disseminate knowledge of this technique in our field. This is how fundamentally Spanish and Spanish-speaking medical colleagues can access such precious and uplifting information.

I thank Dr. Luis José Ramírez for his dedication to the subject, the subject of his Doctoral Thesis, under the baton of the Professor at the University of Barcelona Andreu Combalía and myself (Dr. Manuel Ribas) as his tutor.

New works will appear, already more specific in the line of his Doctoral Thesis, as well as in the field of dysplastic athletes. Recently in the American Journal of Sports Medicine it was reported that 21% of Scandinavian soccer players suffered from hip pain as a result of residual dysplasia, and 46% from borderline dysplasia. In these cases, individual assessment is essential to offer the most appropriate treatment: simple arthroscopic treatment, repair of chondrolabal lesions in borderline dysplasia, arthroscopic treatment associated with mini-invasive periacetabular osteotomy or just mini-invasive periacetabular osteotomy.

For now, the Dexeus University Hospital is the only one in the South of Europ, which has carried out, since 2007, periacetabular osteotomy using a mini-invasive technique.

You can consult the study by clicking here.


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26/Oct/2020

Dr Ribas participated in the Virtual Seminar on Double Mobility organized in Argentina this April 22, 2020.

For more than a decade, with the appearance of the new high cross linked polyethylene (HXLPE), the double mobility system born in France in 1974 by Prof Gils Bousquet (a 22 to 28 mm femoral head articulated with a large diameter HXLPE head) has enormous popularity, since in addition to providing great stability (superior to all conventional systems), it provides excellent clinical-functional results and durability. In the beginning, the polyethylene which if used in the present case is not comparable to actuality.
Nowadays the system with the improved polyethylene (HXLPE) holds very precise indications, especially in situations with special risk of dislocation, reducing these practically to zero. For this reason, in 2009, the North American FDA approved on use with the already new HXLPE.

In said seminar Drs. Ricardo Munafó and Federico Manfrin, expert in Duomobility in Argentina make an update. Dr. Manfrin explains the hip unit protocol of the University Hospital Dexeus as a case of his own Ribas.

The Duomobility represents a valid alternative in different situations as the Ribas includes in its protocol.


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26/Oct/2020

Dr Ribas participates in the Webinar, promoted by the German Society DGOOC for German speaking countries. In this virtual congress the operation of the Hip Unit during the pandemic in its different phases was explained.

A protocol for restarting habitual surgical activity was also discussed based on those proposed by the same DGOOC, AAHKS, IHS, ESSKA (scientific societies of the specialty in Europe and North America).


2020-03-03_Revista española1
26/Oct/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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26/Oct/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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26/Oct/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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26/Oct/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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26/Oct/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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26/Oct/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
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26/Oct/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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