Innovative Methods

---

Mr. Tsialogiannis is one of the few doctors who can efficiently combine established orthopaedic techniques with new technologies, innovative surgical methods (MIS) and cutting-edge research alongside 15+ years of trauma experience, with the goal of providing the best service and outcomes for his patients. 

Traditionally, there are three primary approaches to hip joint replacement: Lateral, Posterior, and Anterior.

          1. Lateral Approach:

• In this method, the large Abductor muscle group is lifted off the bone and reattached at the end of the  surgery. Unfortunately, this approach often results in a traumatic experience for patients, leading to a limping gait and weakness, contributing to the Trendelenburg gait.

          2.  Posterior Approach:

• Widely used in the UK, the posterior approach involves cutting crucial stabilizers at the back of the hip, known as the short external rotators. The traditional posterior approach alters the anatomy of these muscles, jeopardizing the healing process. The evolution of this method is SPAIRE, a minimally invasive technique 
• 
  

Here are key points about the Posterior SPAIRE approach:

1. Muscle Preservation:
   
   • A distinguishing feature of the SPAIRE approach is the preservation of crucial muscles, specifically the short external rotators at the back of the hip. Unlike traditional posterior approaches that may involve cutting these muscles, SPAIRE aims to minimize disruption.

           2. Stability and Natural Feel:

• By preserving important muscles, the SPAIRE technique seeks to maintain the natural stability of the hip joint. This can contribute to a more natural feel for the patient and potentially reduce the risk of postoperative complications such as dislocation.

           3.  Minimally Invasive:

• SPAIRE is considered a minimally invasive approach. This means that the incision made during surgery is typically smaller than in traditional approaches, resulting in less tissue damage and potentially faster recovery times.

             4. Reduced Recovery Time:

• Patients undergoing the Posterior SPAIRE approach may experience reduced recovery times compared to traditional posterior hip replacement surgeries. This can lead to a quicker return to normal activities and a more comfortable rehabilitation process.

              5. Less Postoperative Pain:

• The minimally invasive nature of the SPAIRE approach may contribute to less postoperative pain for patients, enhancing their overall surgical experience.

               6. Preservation of Joint Anatomy:

• By minimizing disruption to the muscles and structures around the hip joint, the SPAIRE approach aims to preserve the natural anatomy of the joint. This can be beneficial for long-term joint function.
• 
  

It's important to note that the choice of surgical approach depends on various factors, including the patient's anatomy, the surgeon's expertise, and the specific goals of the surgery. Patients considering hip replacement should consult with their healthcare provider to determine the most suitable approach based on their individual circumstances.

Please note that specific details about surgical techniques can vary, and the information provided here is a general overview. Always consult with your orthopedic surgeon for personalized advice and information based on your unique situatio

Undoubtedly, technology plays a pivotal role in the evolution of surgical methods, allowing surgeons to enhance their skills and provide better functional results to patients.

Mr. Tsialogiannis has a special interest in Robotic Simulation Surgery in orthopedics. Robotic navigation ensures bone cuts are nearly 100% accurate, aiding surgeons in achieving superior functional outcomes for patients.

     Total Knee replacement is the final therapeutic stage after the cartilage in the knee joint is worn out. Mr. Tsialogiannis has extensive experience in performing Total Knee Replacement, with excellent results.

     Total knee arthroplasty (TKA) is an effective procedure that is performed in over 90 000 patients per year in the United Kingdom. Accurate implant positioning, and preservation of the soft-tissue around the knee are highly important variables and undoubtedly effect functional outcomes, implant stability, and long-term implant survivorship.

     Robotic TKA is an evolving field of study, benefiting from the use of computer software to convert mechanical alignment information into a virtual patient-specific reconstruction of the joint. Mr. Tsialogiannis uses this virtual model to develop the optimal surgical plan including bone resection and implant positioning based on the patient’s anatomy.

     Mr. Tsialogiannis has a special interest in Robotic simulation surgery in Orthopedics.

     With the use of robotic navigation, the bone cuts are almost 100% accurate helping the surgeon to accomplish better functional results for the patients.

   A rational approach to the patella disorders requires the understanding that various problems can present with combinations of articular pain, soft tissue irritations and even instability of the knee joint. 

    The search for the correct diagnosis will therefore require a search for the cause of the pain or instability. 

Painful stimuli can originate from :

1)  The surrounding soft tissues 

2)  Articular cartilage damage

3)  Mechanical patella instabilty.

  We are able to secure an accurate diagnosis and efficiently provide the best treatment of any problem related to the patella articulation. 

  Our field of experise  has been officially certified at the Sunnybrook scince center in Canada and includes the stabilization of knee cap dislocation .

    Our armamentarium offers novel and well established techniques that may involve re-alignmnet osteotomies and soft tissue procuders. 

    The patient is our priority and our clinical results meet our patients' expectations.