Dr. Joan Carles Monllau

   Dexeus University Hospital , Barcelona, Spain

  30 Years of experience

   650 USD for Video Consultation

BIOGRAPHY

Qualification and Experience

Dr. Joan Carles Monllau is a reputed orthopaedic surgeon working at the Dexeus University Hospital, Barcelona, Spain. He has over 30 years of experience in his field of surgery. He obtained his medical license in 1983 and then went on to pursue orthopaedic surgery. He has also done a Fellowship in Sports Medicine, Spanish Soccer Federation (Medical Department). 

Contribution to Medical Science

Dr. Joan has been a part of many different research papers published in renowned journals and he has been awarded many times for those as well. He was awarded the best free paper by the Catalan Society of Orthopaedic Surgery & Trauma (SCCOT). He has also been given university as well as company grants for his many different projects. Dr. Joan is also a part of many associations such as Member of Association Groupe de Recherche et Etude sur le Genou (AGREG), Member of the European Meniscus Transplantation Group (EMTG), and the Member of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS). 

Conditions Treated by Dr Joan Carles Monllau

Dr. Joan Carles Monllau treats a long list of conditions such as:

  • Osteonecrosis
  • Ankle Fracture
  • Avascular Necrosis of Hip Joint
  • Shoulder Arthritis
  • Ankle Injury or Trauma
  • Ankle Arthritis
  • Bone Tumor in the Hip Joint
  • Osteoarthritis (Most Common)
  • Major Fractures
  • Brachial Plexus Avulsion
  • Deformed Knees
  • Shoulder Pain
  • Carpal Tunnel Syndrome
  • Erb's Palsy
  • Hip Osteoarthritis
  • Brachial Plexus Rupture
  • Torn Anterior Cruciate Ligament
  • Brachial Plexus Injuries - Brachial Plexus Injury At Bith
  • Knee Osteoarthritis
  • Meniscus Tear
  • Knee Pain
  • Shoulder Injury
  • Torn Rotator Cuff
  • Injury or Fracture of the Hip Joint
  • Knee Injury
  • Rheumatoid Arthritis
  • Hip Fracture or Hip Dysplasia
  • Shoulder Inflammation

The doctor consults patients who wish for treatment for the issues in their musculoskeletal system. This includes conditions or injuries in the bones, ligaments, joints or tendons. The strength of the surgeon lies not just in their education experience and skill but also in their ability to improvise according to the situation at hand.

Signs and Symptoms treatable by Dr Joan Carles Monllau

Please find below the signs and symptoms seen when their is an orthopedic injury or condition.:

  • Ligaments
  • Tendons
  • Bones problem
  • Muscles that are so essential to movement and everyday life
  • Joints problem

Multiple symptoms are a common occurrence when musculoskeletal or orthopedic conditions are involved. Swelling, pain in your muscles and joints are pointers towards a more serious musculoskeletal problem. The range of motion is restricted in the affected area if you are having injury or condition of this kind.

Operating Hours of Dr Joan Carles Monllau

8 am to 4 pm, Monday to Saturday are the operating hours of the doctor.. The doctor makes sure that the procedures are completed with a whole degree of skill and efficiency.

Popular Procedures performed by Dr Joan Carles Monllau

There are several popular procedures performed by Dr. Joan Carles Monllau such as:

  • Meniscus Repair
  • Carpal Tunnel Release
  • Shoulder Tendon Repair-Rotator Cuff
  • Knee Arthroscopy
  • Total Knee Replacement B/L
  • Shoulder Arthroscopy
  • Ankle Fusion Surgery
  • Total Hip Replacement B/L
  • Anterior Cruciate Ligament (ACL) Reconstruction

Whether we are talking about dislocated joints, knee pain, back pain or arthritis, it is the orthopedic surgeon who will help get us better and back on our feet. Surgical procedures can relieve a patient from chronic, degenerative or acute conditions irrespective of the kind of issue their is. This is a specialty with vast connotations and it is no wonder that many of the orthopedic surgeons can also sub specialise focusing on certain areas of the body.

Past Experience

  • Head of the Functional Knee Unit, MAS - Hospital de l Esperanca (Barcelona) 2005 - current.
  • Currently, Head of the Knee Unit at the ICATME of the University Clinic Dexeus

Qualifications

  • University Associate Professor. UAB Surgery Department. (1997-2010)
  • University Professor of Orthopaedic Surgery. UAB Surgery Department. (2011-current)
Do you know?

You can book a video consultation with Dr. Joan Carles Monllau on our platform

MEMBERSHIPS (3)
  • Member of Association Groupe de Recherche et Etude sur le Genou (AGREG)
  • Member of the European Meniscus Transplantation Group (EMTG)
  • Member of the International Society of Arthroscopy, Knee Surgery Orthopaedic Sports Medicine (ISAKOS)
RESEARCH PAPERS AND PUBLICATIONS (2)
  • Author of several specialized books and has published more than 30 articles in renowned magazines.
  • He is Co-Editor of the Spanish Journal of Orthopedic Surgery and Traumatology (RECOT)
Procedures
Ankle Fusion Surgery

What is Ankle Fusion Surgery

Ankle fusion operation, also known as ankle arthrodesis, is a surgical procedure conducted to close the joint space by joining the bones that make up the ankle joint.

Your ankle joint is an articulation of three bones. These three bones are known as the tibia, fibula, and the talus. During ankle fusion operation, the cartilage covering the bony surface of the ankle joint is scraped off. The diseased part of the bones is also trimmed.

Next, the newly exposed bony surface of the tibia and the talus are placed in close contact. Additionally, they are compressed using screws. New bone formation takes place in and around the joint resulting infusion of the bones into a single bone.

Candidates for Ankle Fusion Surgery

Ankle fusion operation is recommended for patients experiencing unbearable pain during the ankle movement. The pain may result because of the following reasons:

  • Joint wear and tear
  • Rheumatoid arthritis
  • Post-traumatic arthritis
  • Infection in or around the joint
  • Neuromuscular disease
  • Failure of previous non-surgical treatment

Not all patients with the aforementioned conditions are always suitable for ankle fusion. Patients with the following characteristics are not suggested to undergo this surgery:

  • Insufficient quantity and quality of bone
  • Severe deformity in the leg
  • Vascular diseases that prevent proper healing
Anterior Cruciate Ligament (ACL) Reconstruction

Anterior cruciate ligament (ACL) reconstruction refers to the replacement of the damaged ACL with a tissue to facilitate normal functioning of the knee. ACL is a major stabilizing ligament in the knee, which connects the femur to the tibia. ACL helps provide proper movement of the tibia. ACL also facilitates pivoting or sudden change in the direction of the leg, preventing the damage to the knee.

 

Damage to the ACL Surgery 

The ACL can be injured in different ways, thus warranting a need for ACL repair. The following scenarios may damage the ACL:

  • Collision with a football
  • Slowing down while running
  • Landing incorrectly after a jump
  • Twisting of the knee and the foot in opposite direction

 

Initial Treatment for Anterior Cruciate Ligament Tear

The ACL may not require surgery when the knee is stable when the ligament is not torn completely, or even when you don’t have to strain your knees by active sports. The alternate treatment in such a situation is “RICE” – Rest, Ice, Compression, and Elevation.

Physiotherapy, exercise, and braces for legs can help provide support to the knee. Exercises such as swimming, running in a straight line, and playing golf can be preferred by active individuals if they do not wish to return to an active sports life.

Carpal Tunnel Release
  • Carpal tunnel decompression, popularly referred to as carpal tunnel release, is a surgical procedure conducted to relieve symptoms of carpal tunnel syndrome.
  • A nerve called median nerve along with many tendons pass through a small tunnel called carpal tunnel from the forearm to the upper hand. This nerve controls the movement of your fingers except for the little finger.
  • Sometimes there is tremendous pressure on the nerve and it presses the nerve against the tunnel. This results in specific symptoms such as numbness, weakness, tingling sensation, or pain in the fingers. This is known as carpal tunnel syndrome.


Is carpal tunnel surgery compulsory?

The treatment for carpal tunnel syndrome depends on the severity of the condition and the duration of the symptoms. Generally, the physicians first recommend non-surgical interventions such as the use of corticosteroid injections and wrist splints to relieve the symptoms of carpal tunnel syndrome.

A carpal tunnel treatment surgery is recommended in case:

  • You experience loss of function in fingers or hand because of nerve damage confirmed in a median nerve test.
  • Your symptoms do not subside. Wait for two to seven weeks after starting non-surgical treatment.
  • You have difficulty in performing daily activities ranging from reduced strength in the thumb, loss of feeling, and loss of coordination.
  • You are not able to get sleep properly because of the pain.
  • The main cause of this situation is rheumatoid arthritis.

The carpal tunnel treatment surgery is an open technique. The surgeon may make a cut in the transverse carpal ligament that forms the roof of the tunnel. The carpal tunnel treatment allows more room for the median nerve and the tendons to pass through the tunnel. Thereby, the pressure on the nerve is reduced causing relief from the symptoms.

Knee Arthroscopy

Arthroscopy is a minimally invasive procedure used for the diagnosis and treatment of conditions related to the joints. It is performed with the help of a special instrument called an arthroscope. It comes with an attached video camera and a light. What is observed by the camera is recorded and can be viewed by the surgeon on a television monitor.

Arthroscopic knee surgery is an alternative to total knee replacement and other forms of knee replacement surgery. During the knee arthroscopic surgery, small incisions are made to insert an arthroscope and other surgical tools to correct a defect in or around the knee joint. Total knee replacement, on the other hand, refers to complete removal and replacement of the diseased joint with a prosthetic implant.

When is knee arthroscopy required?

Knee arthroscopy is conducted for the diagnosis and treatment of the following conditions:

  • Inflammation of the knee
  • Injuries such as :

    • Fractures
    • Ligament tear
    • Tendon damage
    • Torn meniscus
    • Misalignment of kneecap
    • Bakers cyst
    • Meniscus tear
    • Loose fragments of bone or cartilage
Meniscectomy

Meniscectomy is a type of meniscus tear treatment in which a part of the meniscus is removed. This is done when an individual suffers from a type of a knee injury called meniscus tear. The surgical decision to remove all of or a part of the meniscus is taken based on the overall health, age, activity level, and the nature of injury of the patient.

This meniscus treatment is performed by a team of orthopaedic surgeons. The doctor is likely to advise this surgery if they think that it is the best available treatment for you, depending on the exact location of the tear, its pattern, and size.

There are different types of a meniscus tear. A small meniscus tear usually requires no surgery and heals on its own through home treatment. A moderate to larger tear in the red zone of the meniscus is best treated with the help of a meniscectomy surgery. A tear in the white zone of the meniscus, on the other hand, is not treated with the help of meniscectomy surgery because there are fewer chances of healing.

Meniscus Repair

The meniscus is a rubbery ligament between the shinbone and the thighbone. Meniscus tear takes place when there is a solid contorting movement of the knee, especially when the knee is bent while the foot is firmly placed on the ground. It is one of the most common knee injuries among sportsperson who play football, cricket, and tennis, and people who perform high-impact activities.

 A few people may suffer from meniscus tear due to ligament of knee degeneration that takes place with age due to several factors.

 Pain, swelling and tightness may increase over several days if you have a meniscus tear. You may not be able to straighten your knee, and it may lock in position. It may be problematic for you to put weight on your leg or even walk normally like before.

 Minor meniscus tears can heal by itself if there is a good blood supply to the area. However, some tears require arthroscopic surgery to fix the tear. It is important to rest and let the ligament heal. Ice packs and physical therapy helps with the recovery of a meniscus tear.

Different Approaches to Meniscus Repair Surgery

 Only 10 percent of meniscus tears can heal by itself if there is an appropriate blood supply.

Most of the surgeries are arthroscopic surgeries in which a special device is used to view inside the knee and see the torn meniscus. There are different procedures, however, that can be conducted to repair or fix the meniscus and these include the following:

  • Meniscectomy: It can be partial meniscectomy or complete, that is, the torn meniscus can be partially removed or completely. It can be done as an open surgery or arthroscopic surgery.
  • Meniscal Repair: It can be performed open or arthroscopically and the preservation of the meniscus involved three aspects:
    • Repair of the torn meniscus
    • Non-surgical treatment of asymptomatic meniscal pathologies
    • Partial meniscectomy and resection

  • Meniscal Regeneration: Meniscal transplantation (MAT) can be performed to restore the meniscus. In this case, a graft is usually taken from the hamstring muscle to reproduce the meniscus.

Shoulder Arthroscopy

A shoulder arthroscopy is a minimally invasive procedure conducted to inspect, diagnose, and rectify the problems involving the shoulder joint. During a shoulder arthroscopy, a small device attached to a camera is inserted into the shoulder to diagnose the reason for pain in the shoulder, among other problems.

Miniature surgical instruments are also inserted into the shoulder to rectify the identified problem. Such a surgery is known as arthroscopic shoulder surgery. When shoulder replacement is conducted with the help of arthroscopy, the procedure is known as arthroscopic shoulder replacement.

At each stage of the arthroscopic shoulder surgery, the surgeon is guided by an image displayed on the television screen. This is a minimally invasive procedure that ensures a quick recovery.

The shoulder has three bones, namely:

  • the clavicle (the collarbone),
  • scapula (the shoulder blade),
  • and humerus (the upper arm bone). 

 A rotator cuff tear, articular cartilage, labrum and surrounding soft tissues can be the cause of pain in the shoulder joint. These areas can get damaged or distorted as a result of some accident. The actual cause of pain can be diagnosed with the help of a shoulder arthroscopy. Sometimes, age-related wear and tear can is also responsible for shoulder joint-related pain and problems.

Symptoms of a shoulder injury include excessive pain in the shoulder joint and stiffness in the shoulder joint that may hinder easy movement of the arm around the shoulder joint. The patient may experience trouble while sleeping with the affected shoulder on one side. Slight swelling can also be observed physically in the joint region. 

 A physician may recommend a shoulder arthroscopy if your shoulder does not respond well to other alternative treatments such as exercising and physiotherapy. Common rotator cuff surgery can be used to conduct rotator cuff repair, removal or repair of the labrum, repair of ligaments and recurrent shoulder dislocation, and bone spur removal. Some of the less common procedures may include fracture repair, cyst excision, and nerve release.

Shoulder Tendon Repair-Rotator Cuff

The group of muscles and tendons form a cuff over the shoulder joint which is called as a rotator cuff. The rotator cuff holds the arm in the joint that aids in the movement. When one or more tendon muscle becomes damaged, stiffness, rotator cuff pain and soreness is developed along with decrease in the mobility. Rotator cuff repair is procedure that is used to repair the torn tendon and muscles in the shoulder which can be torn due to injury or overuse. The main goal of the rotator cuff repair is to restore the flexibility and movement of the joint and to decrease the pain.

Reasons for rotator cuff repair

Injuries – Athletics and construction workers are mostly involved in the rotator cuff injury. Repetitive movement and overuse may cause tendon tear.

  • Tear of rotator cuff
  • Inflammation of the tendon
  • Inflammation of the bursa

Advantages

  • Causes less rotator cuff pain
  • Requires less hospital stay
  • Causes less complications
  • Facilitates fast recovery

Treatment options

Partial rotator cuff injury tears can be treated non-surgically by taking rest, non-steroidal anti-inflammatory drugs, steroidal injections, and exercises. Severe rotator cuff injury tears require surgical treatment. The surgical techniques that are used to treat severe tears of rotator cuff include:

  • Arthroscopy
  • Open repair surgery
  • Mini open repair surgery

Arthroscopic surgery

Arthroscopy involves a small incision through which a narrow tube with a fiber-optic video camera is inserted that is connected to a television monitor. The arthroscope is inserted allowing the surgeon to visualize the internal structure of the joint. Small additional incisions are made to insert the surgical tools those are used to repair the joint.

Open repair surgery

This surgery is done for complex tears. During open repair surgery, a large muscle called deltoid muscle is slowly moved away to perform the surgery.

Mini – open repair surgery

The mini-open repair surgery is done by using an arthroscope. The damaged tissue or bone spurs are removed through arthroscopy. Mini-open repair surgery is a combination of both arthroscopy and open repair surgery.

Failure of the non-surgical treatment may cause the need for surgery.

 

Total Hip Replacement B/L

Total hip replacement surgery also called total hip arthroplasty, is a surgical procedure conducted to replace the damaged or diseased hip joint with an artificial joint or prosthesis. The hip prosthesis contains the following three components:

  • A stem, which fits into the thigh bone
  • A ball that fits into the stem
  • A cup which is inserted into the socket of the hip joint

The two types of prostheses used in the total hip replacement surgery include a.) cemented and b.) uncemented prostheses. A combination of both is sometimes used during the surgery, depending on the recommendation made by the patient.

The hip joint surgery is conducted in patients when other non-surgical and surgical alternatives fail to work and relieve the patient of the terrible hip pain. A successful hip joint surgery ensures increased mobility, improved function of the hip joint, and pain-free movement.

There are two types of total hip replacement surgery, differentiated on the basis of whether a single or both the hip joints are replaced. Total hip replacement bilateral refers to the replacement of joints on both the sides of the hips. This procedure is conducted when both the sides are affected.

 

BEST CANDIDATES FOR BILATERAL HIP JOINT SURGERY

Patients who experience the following symptoms are recommended to undergo bilateral hip replacement surgery:

  • Pain in both the sides of the hip, which restricts daily activities such as walking or bending
  • Pain in both the sides of the hip that persists even when in resting state
  • Stiffness in hip preventing the movement or lifting of the leg
  • No relief from the use of anti-inflammatory drugs, physical therapy, or walking support
Total Knee Replacement B/L
  • The knee plays an important role in mobility. However, this joint may get damaged or diseased over a period of time because of an injury or conditions such as osteoarthritis, rheumatoid arthritis and so on.
  • The damage to the knee joint may lead to terrible pain and immobility. A knee replacement surgery is advised when the pain and mobility are not improved despite continuous use of medications and physical exercises.
  • A bilateral knee replacement surgery is performed when both the knees are damaged to diseased. If only one knee is affected, then the knee replacement surgeon recommends the patient to undergo replacement of just one knee, a procedure known as unilateral knee replacement surgery.
  • Osteoarthritis, post-traumatic arthritis, rheumatoid arthritis, knee deformity, vascular necrosis, and swelling and inflammation of the cartilage surrounding the knee are some of the indications for unilateral and bilateral knee replacement surgery.
  • A knee replacement surgeon may decide to conduct a total knee replacement surgery or a partial knee replacement surgery, depending on the extent of damage. A minimally invasive surgery can also be conducted with the help of an arthroscope. This type of surgery allows for minimal healing time, quick knee replacement recovery time, and fewer complications.
Frequently Asked Questions
How many years of experience does Dr. Joan Carles Monllau have being an orthopaedic surgeon in Spain?

Dr. Joan has over 30 years of experience in his field.

What are the primary treatments and surgeries does Dr. Joan Carles Monllau as an orthopaedic surgeon?

Dr. Joan specializes in sports medicine and its related surgeries along with knee replacement.

Does Dr. Joan Carles Monllau provide Online Consultation?

Yes, Dr. Joan Carles Monllau provides online video consultation through MediGence.

How much does it cost to consult online with Dr. Joan Carles Monllau?

It costs 606 USD to consult online with Dr. Joan Carles Monllau through MediGence.

What associations is Dr. Joan Carles Monllau part of?

Dr. Jaon is a part of many associations such as Member of Association Groupe de Recherche et Etude sur le Genou (AGREG), Member of the European Meniscus Transplantation Group (EMTG), and the Member of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS).

When do you need to see an orthopaedic surgeon such as Dr. Joan Carles Monllau?

Dr. Joan is a specialist in treating and conducting surgeries related to the bones and joints in the body. Some of his primary procedures are knee and hip replacement along with other limb related procedures.

How to connect with Dr. Joan Carles Monllau for Online Consultation through MediGence?

He can be easily consulted by registering your profile with MediGence and writing down your inquiry. A meeting with the surgeon will be scheduled. Following which the consultation can be done.

What area of specialization does Dr. Joan Carles Monllau have?
Dr. Joan Carles Monllau is specialized in Spain and of the most sought after doctors in Orthopedics Specialist.
Does Dr. Joan Carles Monllau offer Telemedicine Consultation through Medigence?
Yes. Dr. Joan Carles Monllau offers telemedicine via MediGence. Top Orthopedics Specialist in Spain like Dr. Joan Carles Monllau are offering second opinions and video consultations at the click of a button. One can clear all their queries before opting to travel abroad for treatment with the power of Online Doctor Consultation.
What is the process of scheduling a Telemedicine call with Dr. Joan Carles Monllau?
To avail a Telemedicine call with Dr. Joan Carles Monllau, the interested candidate should:
  • Search Dr. Joan Carles Monllau on the MediGence website search bar
  • Click the video icon against his profile
  • Select an appropriate date
  • Register on the website
  • Upload necessary documents
  • Make the payment via secured payment gateway of Paypal
  • Join the video call by clicking the link received over email on decided date and time
How many years of experience does Dr. Joan Carles Monllau have?
Dr. Joan Carles Monllau is one of the most sought after specialists in Spain and has over 30 Years years of experience.
What is the consulting fee of Dr. Joan Carles Monllau?
The consultation fees of Orthopedics Specialist in Spain like Dr. Joan Carles Monllau starts from USD 650.
FAQ's Related to Orthopedic Surgeon
What are the tests required before and during consultation for Orthopedic Surgeon?

The tests precede and are performed simultaneously with the consultation with an orthopedic surgeon.:

  • Computed Tomography (CT Scan)
  • Ultrasound
  • X-ray
  • MRI

Basis the tests, the doctor can get a more accurate picture of the severity and reasons behind the condition and the best treatment to be done. The preparedness of the patient for the required treatment can be determined basis the screening and the diagnostic tests. The physical determinants of the patient give a good before and after picture of the patients condition..

When should you go to see an Orthopedic Surgeon?

When post consultation and tests, the doctor determines that your condition can only be resolved by an orthopedic procedure, they refer you to an orthopedic surgeon. It is not just the treatment but the management of the pre operative and the post operative part of the treatment is done by the orthopedic surgeon. The rehabilitation can be made seamless and effortless for you with the right guidance from the orthopedic surgeon. When it comes to recommending tests and telling you the right medicines that you need to take, the doctor does it all.

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