Medical services

What kind of services do we offer?

Joint replacement surgery

Prosthetic or joint replacement surgery is supported by the relevant scientific evidence. This is an advance and a great benefit for patients with degenerative joint conditions. We can now say that a joint prosthesis is implanted every minute somewhere in the world. At COT CAT, this type of operation is performed by surgeons with proven experience. This means that we can guarantee accuracy and offer the latest procedures and techniques, customised to each patient.

The revision or replacement of prostheses, whether due to incorrect positioning, instability, wear or infection, requires both experience and the right methodology to obtain satisfactory results. The COT CAT team is internationally renowned and is part of a European research group on prosthesis replacement.

Knee
  • Standard total knee arthroplasty
  • Personalised total knee arthroplasty
  • Knee hemiarthroplasty
  • Patellofemoral arthroplasty
  • Knee replacement arthroplasty
  • Large-resection knee arthroplasty; tumoural; large structural defects
Hip
  • Total hip arthroplasty
  • Hip hemiarthroplasty
  • Hip replacement/rescue arthroplasty
  • Large-resection hip arthroplasty; tumoural; large structural defects
Shoulder
  • Total shoulder arthroplasty
  • Shoulder hemiarthroplasty
  • Shoulder surface replacement arthroplasty
  • Reverse shoulder arthroplasty
  • Large-resection arthroplasty; tumoural; large structural defects
Elbow
  • Head of radius arthroplasty
  • Elbow arthroplasty
Hand
  • Trapeziometacarpal interposition arthroplasty
  • Trapezium arthroplasty
Spinal surgery

Treatment of spinal conditions has evolved considerably over recent years. COT CAT has experience in surgical treatment with both minimally invasive and conventional techniques, with the most consistent and innovative systems. The direct relationship we have established in the area of training, research and teaching at the international level has made us pioneers in the development and implementation of many techniques and treatments for spinal pathologies.

Unfortunately, surgical revision of the spine is not uncommon, whether due to gradual deterioration or because the technique used previously was ineffective. COT CAT has extensive experience in this field and is a leading centre in this type of problems.

  • Facet joint infiltrations
  • Rhizolysis
  • Percutaneous intradiscal procedures
  • Vertebroplasty/kyphoplasty
  • Percutaneous spinal instrumentation
  • Circumferential instrumentation in posterior lumbar arthrodesis
  • Minimally invasive posterior lumbar interbody fusion surgery; Lumbar MIS
  • Minimally invasive lateral lumbar interbody fusion surgery; Lumbar XLIF
  • Instrumentation without fusion of spinal fractures
  • Anterior cervical arthrodesis
  • Cervical disc arthroplasty; cervical disc prosthesis
  • Posterior cervical arthrodesis
  • Posterior craniocervical arthrodesis
  • Spine deformity surgery in young patients; Scoliosis/kyphosis
  • Deformity surgery in adults. Degenerative scoliosis in adults
  • Lumbar canal stenosis surgery
  • Palliative spinal tumour surgery
  • Oncological spinal tumour surgery
Minimally invasive surgery of sacroiliac fusion

Mechanical involvement of the sacroiliac joint of the pelvis is a painful, highly disabling condition. It requires suitable diagnosis and proper step-care therapy. If conservative treatment fails, the treatment of choice is surgery with sacroiliac joint fusion. Procedures can either be open or minimally invasive (MIS). Open treatments require significant surgical insult and lead to a long and painful postoperative period. MIS approaches provide a highly acceptable result with a small amount of insult and a barely disabling postoperative period. Dorsal and transarticular techniques have been developed. In our experience, which is supported by the scientific literature, the MIS transarticular technique with triangular titanium implants provides the best results with minimal insult, risk and postsurgical restrictions.

Hip
  • Total hip arthroplasty: replacement of the entire joint by a prosthesis, both of the coccyx and the femoral head.

There are two essential types of prostheses: cemented, for osteoporotic bone, where a resin-like substance (PMMA) is used to attach the implant to the bone, and cementless, with short or long stems depending on bone and patient characteristics, where A mechanical / biological anchorage of the prosthetic components is favored. Also, different friction pairs will be used in the new joint, to minimize wear and particle removal.

  • Hemyarthroplasty of the hip: replacement of the femoral head in cases of fractures of the proximal third of the femur, in elderly patients.

Usually, a femoral prosthesis with a rigid or bicentric replacement head (with two centers of rotation) will be used to limit friction with the patient’s coccyx and decrease the risk of dislocation.

This treatment allows early sedestation, support of the limb, and the most immediate re-education of the gait.

  • Hip arthroplasty replacement / replacement: replacement of part or all of the prosthetic components in case of wear, loosening or rupture.

The prostheses do not have an expiration date once implanted in the patient, but they have a variable duration depending on several factors: age of the patient, quality of the bone and soft parts (tendons, musculature), type of physical activity, traumatisms, infection, …

  • Large resection hip arthroplasty. Tumoral. Major structural defects: High complexity surgery due to bone loss occurring in the hip joint by:
  • Tumor lesions of the upper third of the femur
  • Periprosthetic bone burst fractures
  • Structural defects related to particles that occur on the friction surfaces of certain hip prostheses
  • Severe hip prosthesis infections
Arthroscopic surgery

Arthroscopic surgery can be used to operate on most joints without large incisions and to solve problems with the meniscus, ligaments, tendons, joints, etc. Once again, our group’s training allows us to offer a wide variety and quality.

Knee
  • Anterior cruciate ligament surgery
  • Posterior cruciate ligament surgery
  • Osteochondral lesions
  • Meniscal lesions; Meniscectomy; Meniscal suture
Hip
  • Labral lesions
  • Femoroacetabular shock
Shoulder
  • Instability surgery
  • Tendon lesion surgery
  • Subacromial impingement treatment
Ankle-foot
  • Ankle instability surgery
  • Ankle osteochondral lesion surgery
Foot and ankle surgery

New techniques are currently being used in foot and ankle surgery. The COT CAT specialists responsible for this area are trained and qualified to perform conventional techniques as well as the very latest techniques: percutaneous and endoscopic techniques. For optimal results, the correction of deformities of the foot and rearfoot requires a personalised choice and precise indication of each technique.

  • Percutaneous forefoot surgery
  • Foot compressive neurological symptoms surgery
  • Hallux valgus surgery
  • Hallux rigidus surgery
  • Mallet finger surgery
  • Metatarsalgia surgery
  • Pes cavus surgery
  • Pes planus surgery
  • Rearfoot surgery
  • Subtalar arthrodesis
  • Tibiotalar arthrodesis
  • Ankle and hindfoot arthrodesis
  • Ankle instability surgery
  • Ankle osteochondritis surgery
Shoulder and elbow surgery
  • Shoulder instability treatment
  • Rotator cuff tendonitis surgery
  • Elbow joint surgery; Instability; Pain; Joint block
  • Tennis elbow treatment
  • Golfer’s elbow treatment
Sport injuries

Sport injuries are a common occurrence in our society. The increase in high-performance athletes and sportspeople of all ages with high or very high activity levels has led to an increase in these pathologies.

The members of the COT CAT team have always been sensitive to the needs and demands of this group in order to offer the most appropriate alternative options.

Biological therapy

There are now alternatives to conventional treatment for various injuries with different levels of medical evidence. COT CAT is a pioneering group in the use of these techniques: platelet-rich plasma (PRP), adult mesenchymal cells (stem cells), conventional and pulsed radiofrequency, DISCOGEL, etc. in processes where they are required, and offers a permanent commitment to quality, safety and information.

Intradiscal Percutaneous Procedures

The role of the lumbar intervertebral disc in mechanical low back pain and / or root pain or sciatica, is indisputable.

Although the disc degeneration is not accompanied by pain and disability in many occasions, there is a significant percentage of discs that if they are manifested. Current scientific knowledge does not have a definitive tool in the treatment of these processes.

There are different intradiscal procedures that seem to delay or significantly improve intervertebral disc deterioration. Each of them needs an adequate indication. They are techniques that are performed with minimal incisions or punctures in the skin (percutaneous), do not require hospitalization (ambulatory), and have a very satisfactory risk / benefit.

In our experience, and with the data of the current scientific literature, we recommend the following treatments:

  • Intradiscal infiltration with DISCOGEL®
  • Percutaneous intradiscal decompression
  • Intradiscal infiltration with stem cells
Infiltrations Facetarias

The diagnosis of back pain, dorsalgia or mechanical cervicalgia secondary to overload of the vertebral joints or facets is very frequent.

Usually conservative, pharmacological and physiotherapy treatment can improve the clinical picture, and certain recommendations on activity and habits are important to promote recovery and decrease the possibility of relapse.

Facet infiltrations, both cervical, dorsal and lumbar, performed using anatomical reference techniques or guided with Rx, can significantly contribute to the treatment of this type of vertebral pain.

It is a percutaneous technique, ambulatory and with a very satisfactory risk benefit balance.

Neural therapy

Neural therapy is a medical practice consisting of the injection of a local anaesthetic (procaine), at very low concentrations, in specific areas of the body for therapeutic purposes. In this context, procaine is not used for its local anaesthetic purposes, but rather it facilitates the restoration of electric potentials of the cell membranes (cell repolarisation), which allows its functions to be re-established. This mechanism of action influences the vegetative nervous system; it triggers various local and distant actions and can be used as treatment for numerous diseases and ailments.

The procaine administered does not interfere with virtually any medicinal products, and it is therefore generally compatible with the patient’s medication.

Neural therapy requires a suitable anamnesis, examination and life history of the individual to be treated. It could be considered a holistic treatment, as it takes into account the whole person: it is understood that the HUMAN BEING is ill, and therefore it treats the HUMAN BEING. It is a medicine aimed at patients, not at diseases.

Individuals who may benefit from neural therapy include those with:

  • Acute and chronic joint pain: lower back pain, neck pain, shoulder tendonitis, knee pain, etc.
  • Headaches
  • Contractures
  • Generalised pain (fibromyalgia)
  • Facial pain
  • Dizziness
  • Neuralgia (trigeminal, sciatic, carpal tunnel)
  • Reflex sympathetic dystrophy
  • Chronic pelvic pain
  • Painful scars
  • Chronic pain after surgery
Traumatology

Fractures, ligament injuries, osteoarthritis and spinal injuries are not only a painful problem, but are also a functional problem restricting freedom of movement and, as a result, quality of life and independence.

In trauma injuries, a quick and efficient response is often very important in the outcome of acute injuries and their follow-up, or in the treatment of possible sequelae. The COT CAT team is capable of providing care to trauma patients as quickly as possible and with the utmost quality.

Traumatology emergencies

Monday to Friday

Open from 9:00 a.m. until 8:00 p.m. at the COT CAT clinics, floor 2 of the Àptima Centre Clínic

Àptima Centre Clínic Mútua de Terrassa
Plaça Dr. Robert 5, planta 2
08221 Terrassa
Tel.: 93 736 70 22 / Fax: 93 736 70 42

Contact COT CAT SPORT on:
Tel.: (+34) 93 736 70 26
Email: medicinaesport@aptimacentreclinic.com

For more information, please contact us.

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