Revista de Medicina Desportiva (English) May 2018 | Page 4

Rev. Medicina Desportiva informa, 2018; 9(3):2
Prof. Doctor Paul Amado
Orthopedist. Medical Clinic of Foz and
Lusíadas Hospital of Porto
You are an orthopedic surgeon
with a master’s degree in
sports medicine. You’re very
fond of sports, aren’t you?
Yes, actually sports medicine,
especially the sports ortho-
traumatology, have always
attracted me a lot, and since
when I was a resident in ortho-
pedics I already felt that it was
a very little area understood by
the traditional orthopedic surgeon,
since it has very specific pathologies.
I remember, for example, that one
of the most prominent techniques
in orthopedics, the arthroscopy of
various joints, is widely linked to
sport, with its historic beginnings
at the Tokyo Olympics in the 60s. I
also have several scientific papers
on stress fractures and my master’s
thesis is on ankle instability.
The feet are decisive for most
sports. Is there a need for a specific
medical examination before
practicing sports?
The foot and ankle are two ana-
tomical areas of great importance
in sports medicine. In several sports
modalities, one of the pathologies
with the highest incidence is the
ankle sprains (45% in basketball)
and the sequels that then result.
What are the most frequent
injuries to the feet/ankles?
As I mentioned earlier, the ankle
sprain is a frequent pathology, but
a huge array of pathologies exists
in other sporting modalities. For
example, in track and field the ankle
2 may 2018 www.revdesportiva.pt
impingement syndrome indicates
the arthroscopy of the ankle, either
anterior or posterior. being, in my view, the most beauti-
ful clinic of Porto. I invite anyone to
visit us.
... and which ones need to be
operated? ... and your doctorate?
The ankle sprain in its acute phase
rarely has indication to operate,
however about 10% of these cases
evolves into the instability of the
ankle after some time and then
they need surgery, because at that
time it is already possible to repair
arthroscopically the ligaments of the
ankle.
If there was more prevention...
Yes, prevention with good functional
preventive rehabilitation programs is
indispensable to lessen the likeli-
hood of occurrence of ankle sprains.
We developed this program in the
physiotherapy of the Foz Medical
Clinic.
6. You are now the clinical direc-
tor of the Foz Medical Clinic in Porto.
Interesting, right?
On May 1, 2017 I was appointed as
the clinical director, which is from
the beginning a person al challenge
and responsibility, since it it is a
health unit with good reference at
Oporto for 32. From the very start,
my first challenge was to modern-
ize the facilities. We managed to
acquire a building, about 30 meters
away from the former location,
also historic, and now we have we
have the triple of the capacity and
modern facilities. Thus, we managed
to maintain the nostalgia of the pre-
vious installations, but now with a
modern and very functional aspect,
Yes, I finally finished my Interna-
tional Doctorate at the Faculty of
Medicine of Santiago de Compostela,
last day 24/4/2018, after 10 years of
research, with the grateful pleasure
of having had the highest classifica-
tion, which was also taken up by the
dean of the University. It was about
a subject not directly linked to sport,
although it may indirectly have this
aspect. The study demonstrated the
importance in the use of morpho-
genic bone proteins (BMP2) in the
interface of ankle prostheses, tripled
the quality of integration, greatly
diminishing the time needed for
this reaction. It has practical use in
the application of all prostheses in
orthopedics. This study is innovative,
and nothing had yet been pub-
lished. In relation to the PRP, platelet
growth factors (PDGF), the study did
not show any particular interest in
the osteo-integration of prostheses
but proved the interest in the repli-
cation and mutagenesis of the stem
cells, which reinforces what we have
already known about this technique,
with special interest in the treat-
ment of many sports injuries.
CLÍNICA MÉDICA DA FOZ