Orthopedics

• Fractures and dislocations of bones and joints
• Acute soft tissue trauma (tendons, ligaments, nerves, muscles, etc.)
• Osteoarthritis (knees, hips, ankles, hand joints, etc.)
• Spondyloarthritis
• Intervertebral disc herniation
• Cervical spine syndrome, shoulder periarthritis, nerve entrapment syndromes of the upper and lower limbs, etc.
• Intra-articular injuries (meniscal tears, cruciate ligament tears, etc.)

Metropolitan General collaborates with specialized orthopedic surgeons and sports medicine physicians, who have extensive experience in the management of sports injuries, orthopedic traumatology, and sports assessment. For this reason, many athletes and teams, at both amateur and professional level, place their trust in them.

All orthopedic surgical procedures are performed such as:

• Arthroscopies of the knee, shoulder, hip, and ankle
• Total knee, shoulder, and hip arthroplasties
• Total knee arthroplasties with personalized bone cutting guides
• Unicompartmental arthroplasties
• Reverse shoulder arthroplasties
• Revision total arthroplasties
• Endoscopic microdiscectomy and kyphoplasty
• Intramedullary nailing
• Management of orthopedic trauma and fracture fixation with conventional and percutaneous techniques
• Management of bone and soft tissue tumors
• Management of chronic bone infections
• Procedures using microsurgical techniques

At Metropolitan General, pioneering surgical techniques and therapies are applied, such as Minimally Invasive Surgery (M.I.S.) techniques, advanced arthroscopic techniques, biological therapies, robotically-assisted orthopedic procedures using navigators or digital systems, and fast-track recovery protocols.

Indicatively, the following are applied:

• Arthroplasty using Minimally Invasive Surgery techniques such as posterior MIS, AMIS, ALMIS, ALMIS supine, etc.
• Customized hip arthroplasties (custom-made)
• Day-case (same-day) arthroplasty with digital navigation systems combined with fast-track protocols
• Regenerative and Reconstructive Orthopedic Surgery
• Biological therapies with injections of stem cells, growth factors (P.R.P.), and chondrocytes
• Advanced Arthroscopic Surgery and Shoulder Surgery
• Endoscopic and Minimally Invasive Spine Surgery (MISS)
• Digital Assistance and Orthopedic Surgical Navigation

Metropolitan General is equipped with the state-of-the-art Rosa robotic-assisted system for orthopedic procedures by Zimmer-Biomet. The system features highly detailed and flexible software, as well as a multi-motion robotic arm that indicates the exact position where surgical maneuvers should be performed, thus offering the highest level of precision in knee arthroplasty placement.

The artificial joint is implanted based on the patient’s anthropometric characteristics, leading to excellent postoperative outcomes and increased implant longevity. In addition, real-time monitoring of the patient’s anatomical data through dedicated software provides appropriate feedback to the physician and supports personalized adjustment based on individual needs.

The detailed surgical technique offered by the Rosa robotic system helps minimize complications and enables faster postoperative recovery.

The Naviswiss digital rapid intraoperative navigation system allows total hip arthroplasty to be performed with exceptional accuracy and excellent functional outcomes, under conditions of high safety for the patient.

It is compatible with all total hip arthroplasty implants, without the need for additional software or accessories. It supports all types of surgical approaches, as well as primary procedures and revision surgeries, without requiring preoperative imaging assessment (X-rays, CT, or MRI).

The system’s sensors are postage stamp-sized and are placed on the bones during surgery. With the help of these sensors, the infrared camera records in detail the orientation and position of the bony structures, enabling the system to provide real-time precise reference angle values (i.e., in relation to the initial measurements) for the correct placement of the implant.

It provides the ability to accurately calculate the length of the operated limb, ensuring proper limb length equalization (i.e., avoiding discrepancies between the operated and the original limb). The software provides guidance at every step of the procedure through graphics and text.

Advantages

• No preoperative imaging assessment is required (CT or MRI) - reduced radiation exposure
• Compatible with all arthroplasty implants
• Supports all types of surgical approaches, primary procedures, and revisions
• Sensors of unique technology, postage stamp-sized
• Proper alignment of the acetabulum (the socket of the hip joint)
• Implant placement with exceptional precision (accurate determination of implant position)
• Ensures limb length equalization
• Lower risk of complications
• Optimal functional outcome

Naviswiss with Hip Naviplan software

An additional capability of the Naviswiss system is the accompanying Naviplan software (3D pre-operative planning), which may be used optionally and additionally to assist in the preoperative planning of total hip arthroplasty based on three-dimensional CT images. It utilizes advanced algorithms that help the surgeon select the appropriate implants for each patient and contribute intraoperatively, in combination with visual recognition of bony reference points, to more precise implantation of the arthroplasty.