Medicine in general and surgery in particular evolve towards increasingly advanced techniques that are characterized by achieving more precise solutions for each problem, but with the least aggression and the lowest possible risk.
The specialty of Traumatology and Orthopedic Surgery is not far behind. Some of its professionals, like Dr. Casal, advocate introducing minimally invasive surgery with arthroscopic or endoscopic techniques whenever possible as a therapeutic option.
These techniques maintain the precision of the open ones, since they get direct vision of the area to be intervened, while preserving the integrity of all the tissues that are damaged when accessing them openly.. They demand a high degree of training, dexterity and precision, but their benefits are unquestionable.
Accesses are made through incisions between 0.5 and 1 cm. called "portals". They have many applications:
Arthroscopies of knee, hip, shoulder or ankle solve problems such as cuff tears or instability in the shoulder, meniscus or anterior cruciate ligament rupture in the knee, impingement in the hip, etc.
Tenoscopy is the percutaneous access to the tendon sheaths to explore and sometimes treat them, without causing the damage and sequelae caused by opening them to the open sky.
Endoscopies , perhaps less known, differ from arthroscopy in that the work area, instead of being the interior of a joint, is an area in which there is no previous cavity, such as the posterior area of the ankle. .
In the traumatological team of El Viso Medical Center, led by Dr. Casal, covers all areas of the specialty, both open and percutaneous, arthroscopic and endoscopic techniques, especially in Column, Knee, Ankle and Foot.
The multidisciplinary team is composed of surgeons, physiotherapists and podiatrists, who work synergistically to achieve the best results.
This way of working makes a difference in the evolution of patients, but much more so, in the case of amateur and professional athletes, and dancers, in which the Dr. Casal is a specialist.
The ankle is one of the joints in which arthroscopy and endoscopy is in full development, both accessing the anterior chamber (arthroscopy) and the posterior area (endoscopy). In experienced hands can offer good solutions for problems of the athlete or ballet dancer as the consequences of sprains or fractures, tendonitis, impingement, instability, osteoarthritis or cartilage injuries. In the spine, with a single access of no more than 1 cm. In skin, you access the herniated disc to solve many sciatica pictures. This technique is called Transforaminal Lumbar Percutaneous Discectomy. After this technique, patients walk within a few hours of the surgery fully recovered and receive discharge before 24 hours.