ISAKOS Approved Teaching Center

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ICATKNEE (Knee Unit) of the Catalan Institute for Traumatology and Sports Medicine (ICATME)

Center Information

Hospital Universitari Dexeus. Sabino Arana 5-19
Planta 2 (ICATME)
Barcelona, Catalonia 08028
SPAIN
http://www.equilae.com

ICATKNEE is the Knee and Arthroscopy Unit of the Catalan Institute of Traumatology and Sports Medicine (ICATME) a renowned sports trauma center in Spain. The department is part of Hospital Universitari Dexeus, a private medical institution linked to the Universitat Autònoma de Barcelona (UAB) and credited to form specialists in Orthopedic Surgery by the National Health System (Spanish Ministry of Science and Education). More than half of our patients are amateur or professional sportsmen/women. Knee. We perform all kind of sport-related and orthopedic reconstructive as well as arthroscopic surgery, mainly ligament reconstructions (some 300/year), cartilage and meniscal surgery. We perform weekly ACL reconstructions, around the knee osteotomies, cartilage microfractures, mosaicplasties, and massive fresh osteochondral allografts. Meniscal surgery is one of our main objectives, that includes meniscal repair and meniscal substitution, either allografts (with a cumulated experience of more than 300 in the last 20 years), and partial reconstructions, either with implants (some150) or with a tendon graft. We also perform PCL reconstruction and complex (multi-ligamentary) knee reconstruction (some 30 cases per year). The Patellofemoral joint, including instabilities and degenerative conditions are also treated and currently investigated. A new surgical method for PF dislocation (quasi-anatomic MPFL Reconstruction) has been developed over years. Less frequent procedures: As we currently deal with soccer players, ankle arthroscopy is also performed quite often. That includes anterior and posterior ankle impingement, talus osteochondral injuries and ankle instability. Reconstructive surgery. TKR, Unicompartimental knee prosthesis and patellofemoral prosthesis (some 350 per year) are also common practice in our department. Treatment of Tendon injuries are also a focus of interest in our common practice. Research. Complete arthroscopic equipment is permanently set at the department of Anatomy of the School of Medicine (Universitat Autònoma de Barcelona-Campus de Bellatera), under the coordination of Prof Micki Dalmau-Pastor. In this department we are constantly conducting some research including development of new surgical techniques. On the other hand, our fellows are able to practice in cadaver specimens to improve their surgical skills.

Primary Language Spoken: Spanish
Sponosoring ISAKOS Member(s): We sponsor ISAKOS, ESSKA and AEA (Spanish Arthroscopy Association) members

Contact Information

Joan C. Monllau MD, PhD, Professor, Head of Knee and Arthroscopy Unit (ICATKnee)

Fellowship Program Information

Affiliation (Center Type): Autònoma University of Barcelona (UPF) (Teaching, Academic, University)
Fellowship Training Session or Other Educational Opportunity Length: Weekly Sessions 6-Month Term
Can the Center customize educational opportunities for participants?: Yes
Fellows Accepted Per Year: 4
Faculty Participating in Fellowship Education: Joan C. Monllau, MD, PhD, Prof. Knee Surgery (Arthroscopy & Open), reconstructive surgery, muscular and tendon injuries - Raul Torres-Claramunt, MD, PhD. Knee Arthroscopy and reconstructive surgery. - Simone Perelli, MD, PhD. Knee Arthroscopy and reconstructive surgery. - Daniel Perez-Prieto, MD, PhD. Knee Arthroscopy and reconstructive surgery. Bone and Joint infections. - Angel Masferrer, MD. PhD. Knee reconstructive surgery. Orthopaedic - Nicola Pizza, MD. PhD student. Knee arthroscopy and reconstructive surgery. - Fran Simón, MD. PhD student. Knee arthroscopy and reconstructive surgery. - Maximiliano Ibañez, MD. PhD student. Knee arthroscopy and reconstructive surgery.
Recent activity of Teaching Center: Judit Martínez (Sp)is our current 1 year fellow. Lucas Martorell (Sp), Steffano Gaggiotti (Arg), Nicola Pizza (It), Marco Gulmini (It) and Michelangelo Del Medico (It) are recent past fellows. Rodolfo Morales (Mexico) PhD scholar, Luis Melo MD (Colombia), GianLuca Costa (It), recent past one year fellows. Maria Tuca (Chile), Ricardo Espinoza MD (Chile), Gonzalo Rojas MD (Chile), Mohamed Tahoun (Egy), Agustin Molina-Romoli (Arg), Fede Ibañez (Arg), Cedric Depuyidt (Be), Louis Kluyskens (Be), Tammer Sehata (Egy), Vincent Marot (France), Rodolfo Morales MD (Mexico), Birol Aktas MD (Turkey), have completed a 3 to 6 months fellowship in our Unit. Some other fellows spend a shorter visit as observers in our department. Barcelona Knee Meeting 2023 (February 2023) - Role of Lateral Extraarticular Tenodesis in ACL deficient knees. - Parametric Finite Elements study comparing anatomical reconstruction versus quasi anatomical reconstruction - Evaluation Meniscal Allograft extrusion. Role of Capsulodesis. Comparison with some other fixation methods. - Role of Lateral Extra-articular Tenodesis in the ACL unstable knee. - Massive Fresh allograft transplantation in large Osteochondral Defects. - Biplanar cut-down open wedge high tibial osteotomy - Paediatric ACLR

Anticipated Fellowship Participation in Surgical Cases

Arthroscopy 60%
Knee Surgery 30%
Sports Medicine 10%
Area(s) of Specialty: Biologics Knee Arthroplasty Knee Arthroscopy Pediatrics
Role of the fellow with respect to Clinical, Surgical, Research, and other opportunities: Clinical: Assistance in the outpatient clinique. Clinical revisions. Surgical: Role as observer and first or second assistant, depending on the individual surgical expertise Research: We involve our fellows in our current knee and basic science research
Types of Educational Opportunities: Participate as an observer only, Scrub in for surgery, Assist in clinics under supervision, Work on cadavers, Receive hands-on training, Assist with research, Didactic sessions, Publishing opportunities
Research projects, research facilities and resources, cadaver labs, publication opportunities, integration of the patient and public involvement, and the role of the fellow: The unit manage three principal projects of investigation: 1) Cartilage (fresh massive osteochondral trasplantation) 2) Meniscus repair / substitution (allograft transplantation, meniscal implants) 3) ACL Reconstruction (anatomic single bundle/augmentation or selective partial reconstruction/lateral extrarticular tenodesis) 4) Multiligamentary knee (best approach, avoid tunnel collision, combination with osteotomies) 5) Osteotomies around the knee 6) TKR's and Unicompartimental knees 7) Patellofemoral surgery Beside the current facilities of ICATME at Hospital Universitari Dexeus, we conduct our research at the Morphologic Science Department of the University of Barcelona (UB) as well as in the local Teaching Center Facilities of ConMed Linvatec Spain.
Related Conference/Lecture Schedule: Every Monday (once a week) We have visiting professors often
Athletic Team Coverage: FC Barcelona (all sections - soccer, handbol, basketball, etc). Andorra Sky Federation. Spanish Tennis Federation.

Financial Support and Expenses

Types of Financial Support Available: A stipend is provided, Monthly Stipend of Only for one fellow with one-year fellowship committment
Other support that the Teaching Center can provide: No
Estimate of Living Expenses (Housing and other major costs): No. However, we provide our fellows contacts to get accomodation at reasonable prices (average 700 E / month)