ORTHOPEDICS

Innovative Techniques - Treatments

At Metropolitan General, innovative surgical techniques and treatments are applied, such as Minimally Invasive Surgery - M.I.S techniques, advanced arthroscopic techniques, biological treatments, robotically assisted orthopedic operations using navigators or digital systems and fast -track rehabilitation protocols.

Indicatively, the following are performed:

• Arthroplasty using Minimally Invasive techniques such as posterior MIS, AMIS, ALMIS, ALMIS supine etc
• Custom-made hip arthroplasties
• One-day Hospitalization Arthroplasty with digital navigation in combination with fast track mobilization protocols
• Regenerative and Reconstructive Orthopedic Surgery
• Biological Treatments with infusions of stem cells, P.R.P, chondrocytes
• Advanced Arthroscopic Surgery and Shoulder Surgery
• Spinal Endoscopic and Minimally Invasive Surgery
• Computerized Assisted and Navigational Orthopedic Surgery

Surgical Operations

The whole range of orthopedic surgical operations is performed, such as:

• Knee-shoulder-hip-ankle arthroscopies
• Total hip, knee and shoulder arthroplasties
• Total arthroplasties of the knee, with individualized bone cutting guides
• Unicameral arthroplasties
• Reverse shoulder arthroplasties
• Revision of total arthroplasties
• Endoscopic microdiscectomy and kyphoplasty
• Intramedullary nailing
• Management of orthopedic injuries & fractures with classic and transcutaneous techniques
• Treatment of soft tissue and bone tumors
• Treatment of chronic bone infections
• Procedures using microsurgical techniques

ΝAVISWISS, HIP NAVIGATION SYSTEM

Naviswiss, a fast intraoperative navigation system, allows the performance of Total Hip Arthroplasty with high accuracy and excellent functional outcomes.

It is compatible with the entire range of Total Hip Arthroplasty implants, without requiring the use of extra software or accessories. It supports all types of surgical access as well as primary procedures and revisions, without the need for preoperative imaging tests (X-rays, CT, or MRI).

The system has stamp-size sensors, which are inserted inside the bones during the surgical procedure. Using the sensors, the infrared camera records both the orientation and the position of bone structures in full detail, thus enabling the machine to deliver real-time, accurate reference angles reporting (i.e. compared to baseline) to confirm proper implant fitting.
Ii is also capable of accurately estimating the length of the surgery limb to preserve limb length equality (i.e. the length of the operated limb should not differ from its preoperative length). The software provides instructions at every step of the procedure, through graphics and texts.

Advantages

• No need for preoperative imaging tests (CT or MRI) - Less exposure to radiation
• Compatible with all arthroplasty implants
• Supports all types of surgical access, primary procedures and revisions
• Technologically unique, stamp-size sensors
• Proper alignment of the acetabulum (the cup-shaped socket of the hip joint)
• Highly accurate implant insertion (accurate identification of the implant position)
• Preserves limb length equality
• Less risk of complications
• Optimal functional outcome

Νaviswiss with Hip NaviPlan software

An additional capability of the Νaviswiss system is the accompanying Hip NaviPlan software (3D preoperative planning), which can be used optionally and supplementary to support the preoperative planning of Total Hip Arthroplasty, based on 3D computed tomography (CT) imaging. It uses advanced algorithms to assist surgeons in selecting the appropriate implants for each patient individually. Furthermore, such algorithms, along with the visual identification of bone reference points, also provide intraoperative support to more detailed implantation of the arthroplasty.

Diseases which are treated include

• Fractures and dislocations of the bones and joints
• Emergency soft tissue traumatology (tendons, ligaments, nerves, muscles, etc)
• Osteoarthritides (knees, hips, ankles, hands, etc)
• Spondyloarthritides
• Herniated discs
• Cervical syndrome, shoulder periarthritides, upper & lower extremities nerve entrapments, etc)
• Intra-articular damages (meniscal tears, cruciate ligaments tears, etc)

Treatment of Sports Injuries

Μetropolitan General cooperates with orthopedic physicians specialized in sports injuries, orthopedic traumatology and sports assessment. That is why many athletes and teams, on an amateur and professional level, have confidence in them.

Opening hours 

On a daily basis, all orthopedic cases, chronic or not, are covered by the Outpatient Department. The Emergency Department which runs on a 24-hour basis, covers all orthopedic emergencies (road accidents, working accidents, falls, acute low back pain-lumbago, acute shoulder periarthritis, osteoporotic hip and spine fractures, etc).