SPECIALTY | TRAUMATOLOGY AND ORTHOPEDIC SURGERY CLINIC

INTERVIEW

Dr. Josep Roig. Director of the Traumatology and Orthopedic surgery clinic

In the Costa Brava Hospital, he has demonstrated considerable experience in arthroscopic surgery

What would you highlight from Arthroscopic Surgery?

Together with joint prosthesis, is probably one of the most advancements of orthopedic surgery of the 20th century. We have considerable experience in solving pathologies that some years ago needed the intervention of a great surgeon, with undesired results more often than not. Now we can solve painful injuries that incapacitate the joint’s movement.

If done with arthroscopy, the patient can return home a few hours after and the clinical results is undeniable and almost immediately.

Which joints can be treated with this procedure?

Shoulders, knees, hip, ankles and elbows. Each of them has its own intricacies and all of them have pathologies that can be treated with arthroscopy, without opening the joint, just by inserting a tube with a very limited diameter that contains all the optical equipment we need to see the injury that needs treatment (with a light source, obviously), the high precision surgical equipment activated remotely, guidance system and adaptation to the tiny place where we will proceed.

Can you tell us which shoulder injures can be treated by arthroscopy?

The shoulders are probably the joint that benefits more from this procedure, and our hospital is well known by its contributions to the field. It is a joint that, when injured, can be extremely painful, because almost every movement will require its involvement one way or another. Nowadays, we are in a position to treat rotator cuff injuries by reinserting the damaged tendons. We can also treat –with very successful results– the subacromial syndrome, positioning ourselves under this part of the shoulder blade and polishing the osteophytes and clearing out space, making the pain go away entirely.

Dislocation of the head of the humerus also benefits greatly from this procedure, especially if it is relapsing and the patient suffers because they know it can come back at any moment.

Honestly, our center has great professionals and has contrasted experience that puts us in a referent position when it comes to shoulder arthroscopy.

If we talked about knees, which injuries can be treated by arthroscopy?

The joints in the lower limbs affects bipedalism and march, so these injuries make themselves more prominent when supporting our weight when trying to walk. That is why our Traumatology and Orthopedic surgery clinic has developed successfully different ways of solving hip, knee, ankle and foot pathologies in general. Arthroscopic surgery is extraordinarily useful and we get very good results with pathologies such as: re-centering of the patella, osteochondritis, cruciate ligament and meniscus repair. We also achieve notable results when we make knee synovectomies in rheumatic pathologies.

With an entry gateway that will produce a subtle scar in the skin no bigger than 3 cm, we can repair serious knee injuries that are very painful and complicates walking for patients.

 

Can arthroscopic surgery be used on the hips, as well?

Yes. It is less known, but some pathologies that hamper leg abduction, that is, separate one from the other, lift it to the sides, etc. are often confused for femoral head injuries but they are not. For instance, the femoroacetabular impingement (FAI) can be treated by arthroscopy by modelling the femur to allow all the movements of this complex and important joint. We can also take care of pelvic injuries.

It is true that ankle instability can be solved by arthroscopic surgery?

In some cases of capsular laxity, we can provoke a retreat of the joint capsule by thermocoagulation and give stability to the injured person. It is a treatment that those who suffer of repeated ankle strain feel very grateful for. We can also make a cleansing of the joint space, eliminating the osteophytes in advanced arthrosis and even treat osteochondritis of the talus.

Do you consider arthroscopic surgery to be a less popular procedure?

In the medical field nobody doubts its potency; the quick patient recovery, the minimal invasion of the joint, truncal anesthesia instead of general… but it is true that lots of patients that suffer these pathologies ignore that can solve them with this kind of surgery.

Arthroscopic surgery and the development of prosthetic surgery in big joints allows people to go back to their normal life, that otherwise were relegated to be permanently injured or let their locomotive system to degenerate.

Our advice would be not to suffer more than it is needed: we might just solve your problem that affects your daily life so much, using minimally invasive techniques but with great reparative effect.