Artículos de Traumatología 

Videoblogs Traumatología

contact

Mon to fri 8 to 19:00h.

Appointment Phone: 91 735 57 56

Secretary of Traumatology: This email address is being protected from spambots. You need JavaScript enabled to view it.

Secretary Team Dr. P. Guillén: This email address is being protected from spambots. You need JavaScript enabled to view it.

UNIts

KNEE UNIT

This unit applies highly qualified diagnostic and treatment procedures to knee injuries making use of the highest standards of training and with highly qualified personnel, following Prof. Pedro Guillén García’s  school of practice.

Most commonly treated injuries are: ligament tears, meniscal tears, chondral lesions, cartilage defects, fractures, arthrosis, patella luxations, prosthetics replacements…

Unit Members:

Profesor P. Guillén García
Dr. M. Gago Barón
Dr. S. Aráuz de Robles
Dr. R. Torres Eguía
Dr. E. Ibáñez Cabeza
Dr. V. Concejero López
Dr. Marta. Guillén Vicente
Dr. Isabel Guillén Vicente
Dr. P. Marcos de la Torre
Dr. Lucia Áboli Martínez
Dr. F. Sanz Zapata
Dr. R. Navarro Mont

Performed Techniques:

  • Knee arthroscopy.
  • Ligamentoplasty.
  • Knee prosthesis.
  • Prosthesis replacements or rescuing surgery.
  • Corrective Osteotomies.
  • Intra-articular fracture osteosynthesis.
  • Cartilage cultures applied to chondral lesions (CEMTROCELL) via arthroscopy.
  • Patellar instability correction techniques

 

HAND UNIT

CEMTRO Clinic creates the Upper limb and Hand Unit so as to provide a specialized approach to pathologies affecting the musculoskeletal system at the shoulder, elbow, wrist and hand.

The aim of this sub-unit is to take a more detailed look at any pathology which may specifically affect these joints and which, although in many a case appear or worsen as a direct consequence of some kind of physical activity or professional activity, They finally have an impact on the patient’s daily life.

Two techniques have allowed us to improve the way we deal with these injuries and find effective solutions: arthroscopy as a therapeutic surgical measure – greatly researched and improved at CEMTRO Clinic- and the use of diagnostic tools with the highest possible quality available today in the health care world.  We must also keep in mind the weight an experienced physiotherapy unit, specialized in sports injuries, has in the whole process.

Dr. Marta Guillén Vicente

Most frequently treated lesions:

Carpal tunnel syndrome, hand microsurgery, acute and chronic tendinous lesions, rheumatic hand, unstable shoulder (dislocation), upper limb fractures, acromioclavicular luxations, scaphoid fractures and luxations, carpal instabilities (wrist laxity), unstable elbow, stiff elbow, rotator cuff tendinitis and tears, upper limb fractures (shoulder, elbow, wrist, hand),…

Performed techniques:

Wrist arthroscopy:

  • Scapholunar dissociation treatment
  • Intra-articular ganglion extirpation
  • Synovectomies
  • Reinsertion of triangular fibrocartilage
  • Arthroscopic arthrolysis...

Microsurgery

  • Nerve lesion assessment and repair
  • Tenolysis and tendinous transpositions
  • Dupuytren’s Syndrome
  • Carpal Tunnel liberation (Procedure)
  • D´Quervain’s Tendinitis
  • Polectomy (trigger finger) (Procedure)

Elbow surgery:

  •  Epicondilitis surgery
  • Complex elbow fractures
    • Phalangeal and metacarpal fractures.
    • Acute traumatic hand: partial or complete amputation reconstruction.
    • Rheumatoid hand: prosthesis…

SHOULDER UNIT
We commonly find shoulder problems affecting all age groups, which is why a specific shoulder unit has been created.  Problems range from unstable shoulders in young patients to rotator cuff pathologies in older age groups. Minimally invasive techniques, arthroscopy above all, have undergone an unprecedented evolution in the last 15 years, making the shoulder the second most arthroscoped joint, after the knee. New surgical and anaesthetic technologies as well as post-operatory protocols enable more complex procedures to be carried out with less pain and complications, shortening recovery times.

•Dr. S Arauz de Robles
•Dr. Marta Guillén Vicente
•Dr. P. Marcos de la Torre

Most frequentely treated lesions:

Shoulder arthroscopy:

•Subachromial decompression
•Rotator cuff suture (supraespinatus…)
•Artrholysis ?  SLAP lessions
•Surgery for gleno-humeral instability
•Achromio-clavicular pathologies

Open shoulder surgery: prosthesis, fractures,…
Biceps tendon pathologies

ANKLE AND FOOT UNIT
This unit specializes in orthopaedic and/or semi-invasive surgical treatments for ankle and foot pathologies.  It works alongside the Podologist Department..
Dr. M. Gago Barón
Dr. Isabel Guillén Vicente
Dr. E. Ibáñez Cabezas
Dr. P. Marcos de la Torre
Dr. R. Navarro Mont

Most frequent lesions:
•Hallux Valgus (bunion). (Procedure)
•Morton’s neuroma.
•Hammer toes.
•Calcaneus fractures.
•Subastragaline and tibioastragaline arthrosis.
•Chondral lesions.
•Achilles tendon tear and pathology.
•Impingement syndrome.
•Compression syndromes: tarsian canal, tendinitis and peroneal tendon dislocations,..

Performed techniques:
•Ankle arthroscopy.
•Percutaneous and minimally invasive foot surgery: hallux valgus reconstruction…
•Morton’s neuroma release-extirpation.
•Hammer toe corrections.
•Subastragaline and tibioastragaline arthrodesis.
•Fracture osteosynthesis.
•Cartilage culture implants (CEMTROCELL).
•Tarsian channel release.
•Peroneous group canal  assesment.

SPINE UNIT
Back pathologies are amongst the most common origin of pain in today’s world.  This multidisciplinary unit deals with pathologies and pain management using different approaches.  It is made up of trauma specialists, neurosurgeons, sports physicians, anaesthesiologists (pain unit), physiotherapists … all working with the same criteria towards a common treatment.
Profesor P. Guillén García
Dr. V. Concejero López
Dr. P. Mata González (Neurosurgery)
Dr. Ana. Isla Guerrero (Neurosurgery)
Dr. R. Fernández León
Dr. I. McVeigh (Pain Management)
Dr. Isabel. Pantín Ceñal (Sports Medicine and Trauma)

Most frequently observed lesions:
•Cervical and lumbar discal hernias.
•Cervical and lumbar arthrosis.
•Spondylolisthesis.
•Scoliosis.
•Lumbalgias and lumbosciaticas.

Performed techniques:
•Local spine infiltrations.
•Microdisectomies (minimally invasive disc surgery) whether cervical or lumbar.
•Arthrodesis.
•Neuropathic pain blocking/relief techniques....

HIP UNIT
Specialist physicians in this unit are highly experienced and specialized in hip pathologies: prosthesis placement with different localization as well as solving problems and complications which may stem from such placements.
Dr. R. Torres Eguía
Dr. M. Gago Barón
Dr. F. Sanz Zapata
Dr. L. E. Betancourt Trujillo

Most frequently observed diagnosis:
•Hip arthroscopy.
•Prosthesis replacements due to aseptic or septic loosening.
•Periprosthetic fractures.
•Regional pain.

Performed Techniques:
•Hip arthroscopy. (Procedure)
•Partial or complete hip prosthesis. (Procedure)
•Be-spoken hip prosthesis.
•Full knee prosthesis.
•Full knee and hip prosthesis replacement.

CHILDREN’S ORTHOPAEDICS AND TRAUMA UNIT
This unit has been created to deal with the upmost care and attention to detail when dealing with infants and any problems they may have concerning their immature and growing musculoskeletal system..
Dr. J. Alonso Hernández
Dr. C. Miranda Gorozarri
Dra. C. Rubio Alvaro

Most frequently diagnosed conditions:
•Scoliosis.
•Foot malformations.
•Bone malformations.
•Growth pain.
•Limb dismetria.
•Knee pathology: osteocondritis, osteocondrosis, meniscal and ligamentous lesions •Hip pathology: congenital hip luxation, enfermedad de Perthes’ illness, epiphysiolysis, septic arthritis, transitional synovitis,…
•Infant cerebral palsy sequels.
•Fractures.

Performed techniques:
•Orthopaedic correction procedures.
•Ortho-surgical corrective procedures for foot malformations.
•Surgical corrective procedures for epiphysiolysis, congenital hip luxation, septic arthritis…
•Corrective tenotomies.
•Percutaneous fracture osteosynthesis.
•Orthopaedic and surgical treatment of fractures.

SPORTS MEDICINE AND SPECIFIC TRAUMA UNIT
It is a fully integrated unit within the Trauma Service. CEMTRO Clínic diagnoses any injury associated to or produced during sports practice as well as performing specific medical check-ups for athletes, pioneering in this sense the integration of these two units in Spain.

Profesor P. Guillén García
Dr. T. Fernández Jaén
Dr. A. Barrera
Dr. K. Eliassi Antuña
Dr. C. Colmenero Rolón
Dr. R. Fernández León
Dr. C. Flores Lozano
Dr. J.C. Hernández Yañez
Dr. M. Quiroga
Dr. Isabel Pantín Ceñal
Dr. Mª Dolores Pérez Pérez
Dr. C. Romero Jaramillo
Dr. B. Toth Jakabfy

Most commonly diagnosed conditions and applied techniques:
•Overload pathologies: tendinitis,…
•Acute pathologies: sprain,…
•Stress fractures.
•Corrective procedures for inappropriate sports technique.
 

CARTILAGE UNIT
The society we live in continuously demands a better quality of life while also practising an ever-increasing amount of sport. This reflects in the fact that we keep demanding more and more from our bodies, for more years and in a wider range of activities, which leads to a higher number of joint injuries. Hence the appearance of cartilage lesions.  Cartilage has just one type of chondrocyte cell, which, additionally, does not feature any migration capacity from healthy to damaged areas. This means affected areas never heal, they simply develop scar tissue which does not have the same characteristics as healthy cartilage, leading the joint to further injuries, deformities and thus reaching such a degree of arthrosis and deformity that can only be delt with by prosthesis placement. This situation, together with the high number of patients coming to our practice on a daily basis led us to establish our Cartilage Unit. In it, we have researched and developed our own technique which would allow us to repair damaged cartilage, thus avoiding or delaying the onset of arthritis at different joints such as at the knee and ankle.

Head of Unit: Profesor P. Guillén García
Dr. S. Aráuz de Robles
Dr. Isabel Guillén Vicente
Dr. Marta Guillén Vicente
Ms. Elena Rodríguez Íñigo (BIOLOGIST)
D. J. M. López Alcorocho (BIOLOGIST)



CHONDROCYTE IMPLANT.
INSTANT CEMTROCELL TECHNIQUE.

Bones are lined at the joints by a tissue called cartilage.

This cartilage has the capacity to distribute loads and weights, which will later be transmitted to the joints, and to act as a sliding agent between two bone surfaces

Whenever there is a cartilage lesion, such functionalities are affected and pain appears as a consequence of cartilage absence. If this condition becomes generalized in the entire joint, arthrosis appears.

When cartilage lesions are circumscribed and the damaged limb proves to have good alignment, we may proceed with a cartilage implant with the aim of repairing lesion and delaying or eliminating the appearance of arthrosis.

When a patient shows a cartilage lesion which could be treated with a cartilage implant, we perform a joint arthroscopy, (usually knee and ankle) and after assessing its nature, site and size, as well as confirming that the injury may accept a cartilage implant, we take a cartilage biopsy from the affected joint which we then send to culture.

Once this procedure has been completed, patient continues with his daily routine until enough cartilage cells have been cultured (between 4 and 6 weeks), time for the second surgery to be performed possibly by arthroscopy, depending on the location of the defect.

Patient must not bear any weight for two months after this second surgical procedure although he may move the joint and walk using crutches.

Patient will then start rehabilitation and further exercises, without any jumps, for at least 8-9 months until she finally returns to daily or sport activity.

We have been performing cartilage implants in more than 400 cases since 1996 both for knees and ankles.

We currently culture cartilage biopsies at our clinic in our own white room dedicated exclusively to this practice, thus having greater control of the whole culture process and also of the cell itself.


GENERAL TRAUMA UNIT

Dr. V. Concejero López
Dr. M. Gago Barón
Dr. E. Ibáñez Cabeza
Dr. Isabel Guillén Vicente
Dr. P. Marcos de la Torre
Dr. R. Navarro Mont

PROSTHETIC INFECTIONS AND REPLACEMENT UNIT

Also known as Unit for the treatment of Septic Pathologies affecting the locomotor system and rescue surgeries for complications of knee arthroplasties. Infections are an ever-present problem associated to any medical specialty and they are frequently difficult to deal with, becoming a real challenge in the field of orthopaedic surgery. In children, such infections may appear after germs spread throughout the body via the circulatory system after finding their way into the body whereas in adults, it may commonly appear due to proximity (spreading from a near-by source), or as a result of serious, extensive or contaminated trauma (traffic accidents…), or also because of previous surgeries (prosthesis or plate placements…). It is both the peculiar properties of our bone architecture and the metal implants patients may have from previous surgeries, which contribute to the fact that the germs which originally caused the infection to group up may also become resistant to these focal points which are usually distant from the circulatory system.  The longer the infection remains within the soft tissues and the bone, the larger amount of scar tissue there will be, the worse the vascularization in this area will get (which will diminish transport of antibiotics) and thus a slow degradation and disappearance of bone will begin to take place. Such a situation favours and improves the germs’ habitat, it limits treatment effectiveness and makes rescuing the metal implant more difficult. It is therefore necessary to employ, together with antibiotics, specific surgical techniques and reconstructive procedures in order to treat the infection, ensure the new implant settles and improve patient’s condition. This is specially serious whenever a prosthesis has been placed, where infections may produce bland symptoms of different relevance (pain, heat or a general worsening of joint function…) or other more evident ones such us a temperature, intermittent pus drainage, both of which finally lead to prosthesis loosening and failure (rejection).

The unit for the treatment of Septic Pathologies affecting the locomotor system and rescue surgeries for complications of knee arthroplasties at CEMTRO Clinic is in possession of both the most advanced bone and prosthesis reconstruction techniques with and without metal implants and of the most proficient and experienced physicians so as to help and treat patients with chronic musculoskeletal infections and loosened and painful knee prosthesis, whether with or without infection.

Unit Staff:

Dr. F. Sanz Zapata

Dr. R. Torres Eguía

Dr. M. Gago Barón

PROCEDURES:

One or two stage replacement.

Reconstruction of bone defects as a result of infectious and loosening processes..

Arthrodesis.

Be-spoken prosthesis.
 

contact

Mon to fri 8 to 19:00h.

Appointment Phone: 91 735 57 56

Secretary of Traumatology: This email address is being protected from spambots. You need JavaScript enabled to view it.

Secretary Team Dr. P. Guillén: This email address is being protected from spambots. You need JavaScript enabled to view it.

miembros del servicio -EN-

Jefe del Servicio: Prof. P. Guillén García

Staff del Servicio:

  • Dr. M. Gago Barón
  • Dr. S. Arauz de Robles
  • Dr. R. Torres Eguía
  • Dr. E. Ibáñez Cabeza
  • Dr. V. Concejero López
  • Dra. M. Guillén Vicente
  • Dra. I. Guillén Vicente
  • Dr. P. Marcos de la Torre
  • Dra. L. Áboli Martínez
  • Dr. F. Sanz Zapata
  • Dr. R. Navarro Mont
  • Dr. A. Colino Castro

Miembros consultores:

  • Dr. J. Abad Morenilla
  • Dr. J. Alonso Hernández (traumatología infantil)
  • Dr. F. García de Lucas
  • Dr. M. A. Herrador Munilla
  • Dr J. I. Garrido
  • Dr. M. Leyes Vence
  • Dr. D. López Capapé
  • Dr. C. Miranda Gorozarri (traumatología infantil)
  • Dr. A. Ortiz Espada

Unidad de Medicina y Traumatología del Deporte:

  • Dr. T. Fernández Jaén
  • Dr. A. Barrera
  • Dra. A. De La Torre
  • Dr. K. Eliassi Antuña
  • Dr. C. Colmenero Rolón
  • Dr. R. Fernández León
  • Dr. C. Flores Lozano
  • Dr. J.C. Hernández Yañez
  • Dr. M. Quiroga
  • Dra. I. Pantín Ceñal
  • Dra. Mª D. Pérez Pérez
  • Dra. C. Romero Jaramillo
  • Dr. B. Toth Jakabfy
  • Dr. L. E. Betancourt Trujillo

Miembros consultores internacionales:

  • Dr. S. Abelow (USA)
  • Profesor Roger Guillemin (Premio Nobel de Medicina) (USA)
  • Profesor Lars G. B. Peterson (Suecia)
  • Profesor Wolf-Georg Forssmann (Alemania)
 

contact

Mon to fri 8 to 19:00h.

Appointment Phone: 91 735 57 56

Secretary of Traumatology: This email address is being protected from spambots. You need JavaScript enabled to view it.

Secretary Team Dr. P. Guillén: This email address is being protected from spambots. You need JavaScript enabled to view it.

PRESENTAtIoN

Professor Pedro Guillén has been behind this ward all the way and Works shoulder to shoulder with all of its members. Indeed, most members of this unit are full-time personnel of CEMTRO Clinic.

Clinical sessions take place weekly in which consultants present and share their cases, thus enriching their knowledge and experience.  For something like this to happen at a private health centre is truly extraordinary for these events in which knowledge is partaken yield a high quality service.  In fact, there is a high percentage of patients who come to our clinic for a Second Opinion being, as we are, a reference centre in Trauma, Sports Medicine and Orthopaedics.

We make use of an electronic clinical history (ECH) which allows our physicians to have access to all relevant medical information in a safe-proof manner from anywhere in the world. It also allows them to consult other physicians from other countries about their cases, something that actually takes place on a daily basis.  Specializing in medicine means separate Trauma Units are to be established in order to provide patients with a better service.


 

contact

Mon to fri 8 to 19:00h.

Appointment Phone: 91 735 57 56

Secretary of Traumatology: This email address is being protected from spambots. You need JavaScript enabled to view it.

Secretary Team Dr. P. Guillén: This email address is being protected from spambots. You need JavaScript enabled to view it.