The team of the 1st Sports Injuries Clinic consists of Orthopedic Surgeons specialized in sports injuries, orthopedic traumatology, and sports assessment. It is also involved in total joint arthroplasty procedures.
With the aim of achieving the immediate and safe return of our patients to their pre-injury level of activity, our Clinic focuses on the detailed and accurate diagnosis of each condition. Through correct diagnosis and current, evidence-based management, patients receive safe and appropriate treatment with the shortest possible recovery time.
The medical team of the 1st Sports Injuries Clinic, utilizing current scientific literature in combination with experience and expertise, consistently achieves excellent surgical outcomes, comparable to those of leading centers abroad specializing in sports injuries. The main principles we follow include timely and accurate diagnosis using appropriate clinical and diagnostic evaluation, proper preoperative planning (or the decision for conservative management), individualized assessment of cost versus benefit, and ultimately the most cost-effective solution.
Arthroscopic management
The majority of cases in our Clinic are treated arthroscopically and involve the knee, shoulder, and ankle joints. Using state-of-the-art arthroscopic equipment and two digital arthroscopy towers, optimal surgical management is achieved, with simultaneous recording and proper archiving, as well as detailed explanation of the procedure to the patient, who receives the recorded material on CD.
Our procedures ensure the use of cutting-edge technology, resulting in shorter operative time, reduced risk of infection, and fewer perioperative and postoperative complications. Careful patient management leads to faster recovery and return to daily activities.
Regarding the knee joint, the Clinic also performs procedures at the Metropolitan Children’s Hospital in patients up to 14 years of age, as knee injuries in children are quite common. Early involvement in sports increases the frequency of injuries, often resulting in discoid meniscus tears or anterior cruciate ligament injuries. Other conditions encountered in children include juvenile arthritis, pigmented villonodular synovitis, and avulsion fractures at ligament insertions, which require arthroscopic and minimally invasive surgical management.
Hip arthroscopy is also performed in our Clinic with the assistance of an external collaborator specialized in this technique.
Fracture management
Fractures are successfully managed by our team due to extensive experience and expertise. In particular, for fractures of the diaphysis of long bones, as well as in periarticular areas, where feasible, we successfully apply closed intramedullary nailing (static or dynamic), a technique also used in complex cases such as malunion, delayed union, or nonunion of fractures.
PRP therapy
Another method successfully applied in recent years, particularly in athletes and dancers, is PRP (Platelet-Rich Plasma) therapy. As demonstrated in the literature, PRP therapy promotes faster healing of soft tissue injuries, tendons, ligaments, and muscles (e.g., plantar fasciitis, tendinitis, epicondylitis, partial rotator cuff tears, muscle strains such as quadriceps, hamstrings, and gastrocnemius).
The PRP technique is as follows: after blood collection from the patient and centrifugation, the layer enriched with platelet growth factors at concentrations three to five times higher than in whole blood is used. This material is injected intra-articularly in cases of chondropathy or mild to moderate arthropathy.
In cases of muscle strains and partial tendon or muscle tears, the injection is performed with ultrasound guidance by a specialized radiologist to ensure precise delivery to the site of injury and maximize therapeutic effect. Platelet injections are also administered intraoperatively in procedures such as meniscal repair, rotator cuff repair, and tendon repair, aiming at faster recovery, pain reduction, and overall functional improvement.
Total joint arthroplasty
In cases of arthritis (usually degenerative or post-traumatic), where there is a clear indication for surgical management (night pain, rest pain, functional limitation), total joint arthroplasty of the knee and hip is performed using minimally invasive techniques, personalized implants, small incisions, minimal blood loss, immediate mobilization, and short hospital stay.
Collaboration with the physiotherapy team
At the Clinic, the goal is to define a therapeutic plan and, in collaboration with the physiotherapy team, the high-technology resources available at our Clinic (CPM, Biotex, swimming pool, Human Tecar, acupuncture, massage, chiropractic care), and the application of modern physiotherapy approaches by the excellent personnel of the Physiotherapy Department, to achieve the best possible outcome for the patient who honors us with their trust and seeks our opinion and help.
The range of procedures covered by the 1st Sports Injuries Clinic includes:
Shoulder
- Arthroscopic labral repair for anterior and posterior shoulder instability (anterior stabilization – Bankart repair, arthroscopic repair of posterior instability, SLAP lesion repair)
- Arthroscopic rotator cuff repair
- Arthroscopic management of calcific tendinopathy of the supraspinatus tendon
- Arthroscopic subacromial decompression (subacromial space decompression)
- Removal of loose bodies, chondroplasty, and management of cartilage defects (glenohumeral osteoarthritis)
- Arthroscopic synovectomy and arthrolysis in severe stiffness (adhesive capsulitis – frozen shoulder)
- Tenodesis or tenotomy of the long head of the biceps tendon
- Management of clavicle and humeral fractures
Knee
- Arthroscopic anterior cruciate ligament (ACL) reconstruction using autologous hamstring grafts or bone–patellar tendon–bone graft
- Revision ACL reconstruction
- Arthroscopic posterior cruciate ligament (PCL) reconstruction using mainly synthetic (LARS) or autografts
- Posterolateral corner reconstruction
- Management of knee dislocations
- Repair of quadriceps and patellar tendon ruptures
- Arthroscopic meniscectomy, meniscus repair, microfracture, and treatment of osteochondritis dissecans
- Management of patellar dislocations, tibial spine avulsion fractures, tibial plateau fractures, supracondylar fractures, and proximal tibial fractures
- Arthroscopic treatment of knee arthrofibrosis
- Arthroscopic management of painful or stiff total knee arthroplasty
Hip
- Athletic pubalgia
- Overuse syndromes
- Muscle strains and hematomas (quadriceps contusions and strains, adductor strains)
- Proximal hamstring tendon avulsions (open repair at the ischial tuberosity)
- Peri-hip fractures (subcapital and intertrochanteric fractures)
Elbow
- Ulnar nerve transposition
- Distal biceps tendon ruptures
- Elbow fractures
Wrist and hand
- Distal radius fractures
- Wrist fractures (including scaphoid fractures)
- Metacarpal fractures
- Carpal tunnel syndrome and surgical release
- De Quervain’s tenosynovitis
Ankle and foot
- Ankle and subtalar arthroscopy
- Peroneal tendon stabilization
- Arthroscopic treatment of osteochondral lesions of the talus
- Arthroscopic management of ankle arthrofibrosis
- Percutaneous intramedullary screw fixation of proximal fifth metatarsal (Jones) fractures
- Management of foot deformities (hallux valgus, hammer toes, etc.)
- Plantar interdigital neuroma resection with dorsal approach
- Acute and chronic repair of Achilles tendon rupture
- Insertional Achilles tendinopathy and calcaneal prominence resection
- Plantar fasciitis and heel pain
Management of the young athlete
- Development of endurance, strength, flexibility, and stretching programs
- Arthroscopic surgery in children, including management of osteochondritis, tibial spine fractures, stress fractures, soft tissue injuries, muscle strains, bursitis, and athletic pubalgia
- Arthroscopic ACL reconstruction, meniscal tear management, discoid meniscus, patellar instability, osteochondritis dissecans, and Osgood-Schlatter disease