Orthopedic Surgery & Traumatology

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The quality and price of orthopedic surgery varies widely between countries. The treatments offered in Spain is of the high standard, and is reasonably priced. Vithas Xanit International Hospital is renowned for its expertise in Sports Medicine and Orthopedics, and the hospital has treated numerous prestige athletes requiring surgery.

The Orthopedic Surgery, Traumatology and Sports Medicine Service at Vithas Xanit International Hospital offers its patients the best and most up-to-date techniques for treating all types of affliction connected to the musculoskeletal system:
• Innovative techniques in regenerative medicine.
• Minimally invasive surgery (MIS).
• Percutaneous surgery and prosthetic surgery.

The surgeries in high demand in this particular field are hip replacement and knee replacement.

Orthopedic surgery requires intensive rehabilitation lasting for several weeks, and beginning immediately after the prosthesis has been fitted. The physiotherapy center at Vithas Xanit International Hospital has a team of professionals specializing in different areas of rehabilitation who work closely with the medical traumatology team.

The physiotherapy treatment at the Vithas Xanit begins prior to the surgery in order to shorten recovery times and ensure that normal daily activities can be resumed as much as possible.

Orthopedic Surgery & Traumatology Protocol

Here you can find more information about our orthopedic surgery and traumatology protocol.

Orthopedic Surgery & Traumatology Treatments

HIP REPLACEMENT SURGERY – HIP ARTHROPLASTY

Hip replacement surgery is needed when joint wear or damage to the hip causes reduced mobility and pain, and is most commonly performed on people between 60 and 80 years old.

At Vithas Xanit International Hospital we offer our patients the latest, minimal invasive techniques for hip replacement surgery.

In our Traumatology and Orthopedics unit you will find the best professionals, the most innovative techniques as well as a state-of-the-art equipment, always for the highest satisfaction of our patients.

Here you can find more information about hip replacement surgery.

KNEE REPLACEMENT SURGERY – KNEE ARTHROPLASTY

Knee replacement surgery is needed when joint wear or damage to the knee causes reduced mobility and pain, is most commonly performed on people between 60 and 80 years old.

At Vithas Xanit International Hospital we offer our patients the latest, minimal invasive techniques for knee replacement surgery.

In our Traumatology and Orthopedics unit you will find the best professionals, the most innovative techniques as well as a state-of-the-art equipment, always for the highest satisfaction of our patients.

Here you can find more information about knee replacement surgery.

SHOULDER REPLACEMENT SURGERY – SHOULDER ARTHROPLASTY

The shoulder joint is the most mobile part of the body and also the least stable. It is one of the joints that we most use on a daily basis.
The shoulder joint, the shoulder blade and the upper part of the humerus (upper arm bone).

Main reasons for a shoulder replacement:
• Severe arthrosis
• Vascular necrosis of the humeral head
• Some shoulder injuries
• Certain types of fractures of the humerus.

Shoulder replacement procedure:
The shoulder surgery replaces the shoulder joint. At the same time it replaces the articular part of the shoulder blade and the upper articular part of the humerus.
The shoulder prosthesis consists of three elements:
• A hemispherical dome, which is placed in the cavity of the shoulder blade, or glenoid, which remains after the removal of the humerus head.
• A rod fixed to the interior of the upper end of the humerus in which it is fixed.
• A sphere that replaces the head of the humerus and is housed in the shoulder blade cavity. This is the part of prosthesis that will really enable the movement of the shoulder.

Type of surgery and anesthesia:
This type of surgery can be performed using minimally invasive techniques (MIS). The surgery takes several hours and is performed under general anesthesia.
The patient remains in hospital for 5 to 10 days, depending on the case.

Shoulder arthroplasty rehab:
Shoulder surgery requires an intensive rehabilitation for several weeks starting on the first day after the total shoulder prosthesis is fitted.

Postoperative follow-up – shoulder replacement:
Follow-up with X-rays are recommended, after 1, 2, 5, 7 and 10 years after surgery and a medical check up is recommended every 2 years.

ARTHROSCOPY OF THE JOINTS – RECONSTRUCTIVE SURGERY OF THE JOINTS

The tissues of the joints which can be repaired through surgery are :
• The ligaments
• The cruciate ligaments of the knee
• The joint capsules
• The cartilages
• The menisci (in certain cases)

Reasons for arthroscopy of the joints :
• Accidents
• Diseases.

Arthroscopy of the joints – techniques :
Arthroscopy is an endoscopic surgery which enables us to view the interior of a joint through a camera. It consists of introducing an optic fiber through small incisions (from 4 to 8 mm). An intubation is also introduced for the instruments which allows us to directly intervene on the joint.
• Arthroscopy of ligaments reconstruction :
The ligaments can be re-tensed, sewn or replaced when necessary. To replace a ligament, an autograft or allograft (donor graft) is used.
• Arthroscopy for reconstruction of the capsule:
The damaged area of the capsule is repaired.

• Arthroscopy for cartilage reconstruction:
In certain types of lesions, grafting of cartilaginous cells can be performed.

• Arthroscopy for reconstruction of the knee meniscus:
With certain types of lesions, meniscus can be sutured.

Type of surgeries and anesthesia:
These minimally invasive surgeries are performed under general or locoregional anesthesia. Depending on the reconstruction surgery, the patient usually remains in hospital less than 24 hours.

Rehabilitation following reconstructive surgery of the joints:
After an arthroscopy of joints, rehabilitation is necessary for several weeks.

Postoperative follow-up following an arthroscopy of the joints:
Periodic check-ups are highly recommended.

ENDOSCOPIC SURGERY FOR CARPAL TUNNEL

The carpal tunnel is located in the “transition” area between the hand and the forearm at the height of the wrist. There are nine flexor tendons of the fingers and the median nerve which provides sensitivity to the thumb, the index finger, the middle finger and part of the ring finger.

Reasons for endoscopy of the carpal tunnel
Carpal tunnel syndrome is a carpal compression of the nerve at the height of the wrist that is manifested by:
• Numbness and tingling of the mediums finger
• A pain in the hand which goes up to the forearm
• A motor deficiency

Endoscopic surgery for carpal tunnel surgery
Through a small incision in the wrist, the surgeon bisects the annular ligament of the carpus (ligament that can be found around the carpal bone), thus reducing the pressure within the carpal tunnel. As the ligament heals it becomes wider, and its resection has none long-term consequences. Sometimes, the surgeon may resect the sheath of the tendons when it is inflamed.

Type of surgery and anesthesia:
This is a short ambulatory surgery, which is usually performed under local or locoregional anesthesia.

HALLUX VALGUS PERCUTANEOUS SURGERY

Reasons for percutaneous surgery of the Hallux Valgus
• Deformation of the forefoot at the big toe level.
• Pain at the exotosis level (anchor of the metatarsal bone joint and the big toe).
This pathology is found 95% in women.

Hallux Valgus Surgery procedure:
Hallux Valgus percutaneous surgery is a minimally invasive surgery which aims is to straighten the first metatarsal bone by osteotomy: resection of this bone, and alignment of the big toe with the metatarsal, also by osteotomy and resections of ligaments.
The surgeon inserts a few tiny instruments through small incisions to access the soft tissues and perform the osteotomy of the foot. During this procedure the surgeon is guided by “touch” and with the help of x-rays.
This surgical technique does not allow to fit bone fixings. Therefore, the bones are stabilized with silicone pieces and strong bandages for 20 days.

Type of surgery and anesthesia:
The Hallux Valgus percutaneous surgery is ambulatory and it is usually done under local or locoregional anesthesia.

Postoperative follow-up:
A postoperative medical check-up is usual a week after the intervention.


Our Professionals

Narvaez

Dr. Antonio NARVAEZ

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