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NATIONAL EXPERIENCE

His Medical Degree as Surgeon and Midwife, was completed at the renown Universidad de Monterrey. Once finished, the Doctor focused his efforts to obtain his Specialization, at the Orthopedic and Traumatology Hospital No. 21, known as the biggest hospital in the northeast of Mexico, and the hospital with the highest number of Orthopedic, Arthroscopy and Traumatology Surgery cases.

With the aim of continuing his learnings, Dr. Porthos accomplished his own fellowship in the Hospital General de Zona No 67. An experience that left him with more than 85 successful Hip Arthroscopy cases, and a full knowledge of the clinical practice in Mexico.

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SOCIETIES AFFILIATIONS

As well as being a member of the Orthopedic and Traumatology Mexican College, Dr. Porthos also acts as professor of the Orthopedic and Traumatology Mexican College Federation.

 

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INTERNATIONAL EXPERIENCE

As a Researcher and Specialized professional, Dr. Antonio Porthos Salas has had the opportunity to learn from the best; in New York, under the supervision of two of the most renowned Hip Surgeons in the world, Dr. Alejandro Gonzalez Della Valle and Dr. Eduardo Salvati. Dr. Porthos obtained the hip, knee and shoulder joint preservation and reconstruction Fellowship at the Hospital for Special Surgery, known as the number 1 in Orthopedics in New York City, NY, United States.

Thereafter, under the direction of Dr. John O’Donnell, Hip Arthroscopy pioneer and founder of the Hip Arthroscopy International Society, Dr. Porthos received the Hip Arthroscopy Fellowship and the Minimally Invasive Anterior Total Hip Joint Replacement Fellowship at Hip Arthroscopy Australia, in Melbourne Australia.

Under the supervision of Dr John Clohisy and Dr. Cecilia Pascual-Garrido Dr. Porthos Salas Continued his training in Hip Preservation of the Young Adult in Barnes-Jewish Hospital, Washington University of Saint Louis, Mo one of the most recognized center in hip preservation in United States.

Posteriorly he went to one of the world leaders and pioneer in Direct Anterior Approach Total Hip, Dr. Tyler Goldberg in The Texas Orthopedics / Saint David´s Surgical Hospital in Austin Texas.  

           

ASSOCIATIONS AND INTERNATIONAL COURSES

With the intention of widening his knowledge and practical experience, Doctor Antonio Porthos Salas, has completed workshops in Hip, Knee and Shoulder Arthroscopy, imparted by AANA (Artroscopy Asociation of North America) and by ISHA (International society of Hip Arthroscopy), from both of which he is a professor teaching annual courses at an international level.

Dr. Porthos makes international trips 4 times a year in order to attend refresher congresses, and pays visits to internationally renowned doctors in order to continue learning, and remain at the forefront of his specialization, allowing him to offer the best treatments to his patients.

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NATIONAL AND INTERNATIONAL PUBLICATIONS

Dr. Antonio Porthos Salas has been widely published and is a renowned researcher and professor at a national and international level.

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ARTICLES, PUBLICATIONS AND MEDICINE BASED ON EVIDENCE.

The Ligamentum of Teres – It’s increasing importance

The ligamentum teres (LT) has attracted much greater interest over recent years due to the increased use of hip arthroscopy. There have been advancements in our understanding of the LT’s biomechanical function and its role in hip and groin pain. Our ability to suspect LT tears by clinical examination and imaging has improved. Publications by many authors concerning LT tear treatment and outcomes continue to increase. This manuscript is a review of the function, mechanism of injury, clinical assessment, imaging, arthroscopic assessment, treatment, outcomes, reconstruction, and unusual conditions of the LT.

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El atrapanovias. Una técnica útil, fácil y segura en la toma de autoinjerto de recto interno y semitendinoso en reconstrucción de ligamento cruzado anterior.

La toma o cosecha de autoinjerto del recto interno y semitendinoso siempre ha sido un gran reto. Numerosas técnicas han sido descri- tas y en la mayoría de ellas su toma es con aguja. La técnica o amarre en atrapanovias que mostra- mos es una técnica rápida, útil, segura y libre de aguja, no daña el tendón y evita las punciones.

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Hemipelvectomía interna por angiosarcoma iliopúbico en paciente con trasplante renal.

La terapia inmunosupresora ha permitido disminuir las complicaciones de rechazo en pacientes trasplantados renales, lamentablemente se ha observado aparición de neoplasias de novo en estos pacientes. El objetivo es presentar el caso clínico de un paciente que tras cuatro años de terapia inmunosupresora por trasplante renal, desarrolla un angiosarcoma óseo. Se hace una descrip- ción detallada de caso clínico de aparición de neoplasia ósea maligna en la región iliopúbica izquierda, la cual es tratada quirúrgicamente con una hemipelvectomía interna tipo II + III sin reconstrucción, presentado com- plicaciones infecciosas y cicatrizales.

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Ligamentum Teres injuries – Observational Study of a proposed new arthroscopic classification.

Ligamentum teres (LT) Injuries or tears have been said to be a common cause of groin discomfort and pain, and they have been identified in 8-15% of patients undergoing hip arthroscopy. We propose a new classification, which also takes into account, observed LT pathologies, as well as the possible pathological mechanism of LT tears, and offer a guide to treatment. This classification is based on direct arthroscopic observation and dynamic rotational maneuvers of the hip under distraction. This classification incorporates those pathologies, which have been observed as a result of this more focused examination of the LT.

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Wear is Reduced in THA Performed with Highly Cross-linked Polyethylene

Highly crosslinked polyethylene (HCLPE) has been used extensively to decrease osteolysis and related implant failure in THA. We compared the wear rate of HCLPE and noncrosslinked conventional PE (CPE) liners and the rate of radiographic calcar resorption and osteolysis in young patients (35 – 60 years of age) who underwent THA by one surgeon.

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Radiographic and Anatomic landmarks to approach the anterior capsule in Hip Arthroscopy

Hip Arthroscopy (HA) is considered to be a very difficult and demanding surgical procedure, special instruments, an image intensifier and a fracture table or hip distractor are required to access the hip joint, the most common and worldwide used HA technique is entering blindly to the central compartment with the use of fluoroscopy and continuous distraction; with the potential danger if performed in unskillful hands of labral penetrations, labral resections and scuffing of the femoral head cartilage. Our technique in HA aiming the anterior capsule using radiographic and anatomic landmarks is safe, reliable and reproducible in FAI with big cams, deep sockets and cases with mild arthritis where the capsule is thick, stiff and calcified.

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Range of motion are similar in patients undergoing TKA with posterior stabilised and high-flexion inserts.

It is debatable whether high-flexion (HF) total knee arthroplasty (TKA) designs will improve postoperative flexion and function or will diminish the need for manipulation under anaesthesia (MUA). We retrospectively analysed range of motion (ROM), flexion, Knee Society Score (KSS), and rate of MUA in a consecutive group of patients who underwent TKA with a conventional posterior stabilised (PS) insert or an HF insert using identical surgical technique, implant design, and postoperative care. Our study found that one year after surgery, patients who underwent TKA with a PS or an HF insert achieved similar flexion, ROM, and function.

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The Mayo Table Technique in Hip Arthroscopy

The mayo table technique was developed because of the lack of appropriate hip instrumentation and an HFT when the author (A.P.S.) started to perform HA. This easy technique allows the surgeon to control hip maximal range of motion and also to assess completely the cam deformity in the posterolateral, superolateral, anterior, and anteroinferior aspects. It also allows the surgeon to revise where the cam is impinging and afterward perform a complete bony resection and decompression.

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Orthopedic Surgeon located in Monterrey, Mexico, specialized in Arthroscopy, and Hip, Knee and Shoulder Preservation and Surgery.