NEWS

2020-09-08_Quirón
2020-09-08_Quirón1
22/Oct/2020

The medical team of the Hip Unit of the Department of Orthopedic Surgery and Traumatology of the Hospital Universitari Dexeus (ICATME), led by Dr. Manel Ribas, has published in the latest issue of the Spanish Journal of Orthopedic Surgery and Traumatology (RECOT) the first large series in Southern Europe of cases of periacetabular osteotomy using a mini-invasive technique in the treatment of residual hip dysplasia.

This is a retrospective study of 131 patients who underwent this technique at the Dexeus University Hospital between 2007 and 2016. The study concludes that the periacetabular osteotomy using the mini-invasive approach allows to restore the coverage of the acetabulum, correcting dysplasia, improving capacity. functional and quality of life of the operated patients.

Residual hip dysplasia

“Residual hip dysplasia is a more common pathology than is believed. At the end of growth, the head of the femur, for different reasons, may not have been well covered by the acetabulum and hip instability and alteration of the hip occurs. a series of stabilizing structures that in the long run produce pain and loss of functional capacity, which leads to the need to implant a prosthesis “, explained Dr. Manel Ribas, head of the Hip Unit of the Hospital Universitari Dexeus.

Classic approach

In recent decades there have been various attempts to try to restore these hips but it was not until 1988 that Dr. Ganz from the University of Bern developed a technique capable of correcting this pathology. It is a periacetabular osteotomy that, through four cuts around the acetabulum, allows it to be rotated in a way that provides more coverage to the head of the femur and recovers the contact of the patient’s natural cartilage between the acetabulum and the femur, protecting the joint.

In 2003 Dr. Manel Ribas was the first Spanish surgeon to perform this technique. “However,” adds the surgeon, “with the aim of continuing to improve, in 2007 at the recently opened Hospital Universitari Dexeus we performed the first periacetabular osteotomy using a mini-invasive technique described by Dr. Soballe”.

“This new surgical approach consists of making a series of blind cuts, which are visualized with the help of a radiological team in the operating room, avoiding the muscle so that we achieve less bleeding, less surgical time, less post-operative pain, a rapid functional recovery and an aesthetic improvement over the previous technique “.

The study published by RECOT compiles the first 131 cases of mini-invasive periacetabular osteotomy performed by Dr. Ribas’ team at the Dexeus University Hospital and analyzes the medium and long-term results.

According to Dr. Luis Ramírez Nuñez, surgeon of the hip unit and first signatory of the study, “the patients treated with this technique achieved correct acetabular coverage with few complications and with a significant improvement in functional results.”

“Four years after undergoing the operation, 98% of the patients did not need to undergo any other procedure since the intervention had completely solved the dysplasia,” he adds.

 

Underdiagnosed pathology

Dr. Ribas affirms that “it is important to be able to diagnose and treat residual dysplasia since it is an underdiagnosed pathology that is extremely confusing with other hip pathologies such as acetabular shock injury and requires a differentiated treatment”.

The Hip Unit of the Dexeus University Hospital is a benchmark in the performance of this technique that is performed on a regular basis. Since Dr. Ribas’s first intervention in 2007, nearly 500 surgeries have been performed using this technique.

This news has been published on the Quirón Dexeus Hospital website. You can see it by pressing here.


2020-06-21_COVID 2
22/Oct/2020

Within a week we will celebrate 2 months from the restart of elective surgical activity with the greatest success: no reported case of Covid complication19 in our center.

The months at the top of the contagion curve, when confinement was normal and necessary, and we only intervened in those strictly urgent hip surgeries, are behind us.

When the contagion curve stabilized, always below 1, it was time to resume elective activity, that is, the vast majority of hip surgeries: surgery for femoroacetabular shock, dysplasia and osteoarthritis of the hip in its different presentations by mini-invasive techniques.

From the beginning of May we proceeded through the “Safe Hospital” protocol. Hospital Seguro is a protocol that includes a series of both physical and clinical-diagnostic measures whose objective is to protect all Covid patients, both negative and cured, from possible Covid positives, both in outpatients and in emergencies. operating room area, intensive care and hospitalization plants.

Thanks to the implementation of this protocol and the positive response not only from healthcare personnel but from all the patients cared for (at this time ICATME works at full capacity) we have been able to carry out our activity without any reports from Sars-cov- two.

As with other infectious agents, human beings must adapt to coexist in this new phase.

Thank you all that made this posible. Even so, adapting does not mean letting your guard down at any time and anywhere beyond the hospital environment.

Now, although already during the high curve of the pandemic in Spain, patients could move between Autonomous Communities to be treated in hospital centers with the corresponding document, with the lifting of the State of Alarm Decree, said movement between Autonomous Communities enters a new phase of normality, which never excludes 3 premises for their own good and that of others: distance, hands and mask


2020-06-18_Six Dreams 1
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2020-06-18_Six Dreams 4
22/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).


2020-05-20_UC 2
2020-05-20_UC 1
2020-05-20_UC 3
22/Oct/2020

The Hip Unit has successfully returned to its usual activity. In a very satisfactory way, maintaining the “negative Covid circuit” protocol implemented by ICATME and Dexeus University Hospital, which isolates and protects patients who have not suffered from Covid-19 and those who have been cured.

The care activity of patients with pathologies of the locomotor system is resumed.

For more information follow the link clicking here.

 

REMEMBER TO GO TO YOUR APPOINTMENT:

1. You must wear the mask.
2. Try to be punctual, neither before nor after the indicated time.
3. Only the patient will be able to access the consultation, unless he is a dependent or a minor.
4. Respect the social distance of 2m.


2020-04-28_Covid 1
2020-04-28_Covid 2
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2020-04-28_Covid 5
22/Oct/2020

During the ascent phase and the peak phase of the Covid 19 pandemic curve, the Hip Unit has only deferred those non-urgent interventions (also called “electives”) following the rules dictated by the Alarm State Decree.

The protocols have been followed in the entire group of Quirónsalud hospitals. With the proper protection regulations, both for patients and healthcare personnel, and in completely separate circuits for Covid – and + patients, we have managed to satisfactorily attend to hip emergencies and their corresponding interventions.

Consultations have been made in the form of a telephone and telematic visit, to minimize the presence of patients in hospital facilities. In the case that attendance has been compulsory, they have been carried out with due spatial and temporal separation.

These prevailing rules will be followed until further notice. However, the ICATME hip unit, in view of the de-escalation of the curve in Spain, will resume its activity in a very short time under extremely strict preoperative, intraoperative and extraoperative protocols.

From here we want to thank the Quirónsalud group and its network of professionals, and especially those with whom we work at the Dexeus University Hospital for making it possible.


2019-11-05-Dr-Flavio-Superpath.jpeg
22/Oct/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.


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