Dumaguete Orthopedic Clinic

18/09/2025

🚨 From Tragedy to Triumph 🚨

26 years old.
A year ago, she was a passenger in a devastating motorcycle accident.
Her pelvis and femur were shattered.

On October 26, 2024, she went through life-changing surgery—plates, screws, rods holding her bones together.

Fast forward almost a year later…
She walks into the clinic with confidence.
No one could even tell she once carried so much metal inside her.

👉 A story of strength, resilience, and healing.
👉 Proof that broken bones don’t mean broken lives.

Today, she walks tall.
A very happy patient.
And an inspiration to everyone facing challenges.

18/09/2025

One workout already helps your body.
Research shows that even a single exercise session can slow cancer cell growth by up to 30%.

When you move, your body:
• Releases protective hormones
• Improves blood flow
• Activates immune cells that fight harmful cells

This is why one walk, one gym session, or one set of simple strength exercises can already make a difference.

But the real power is in being consistent. Regular exercise + good nutrition + proper sleep + stress control = stronger protection for your health.

You don’t need to be an athlete. What matters is showing up, moving daily, and letting your body heal and protect itself the way it was designed to.

Exercise is not just fitness—it’s medicine.

18/09/2025

🦵 Even with knee osteoarthritis, there’s hope beyond pain.

🔑 The key? Strengthening the quadriceps.

A new 2025 study (Hegde et al) shows that patients who focus on targeted quadriceps training feel less pain and move with greater confidence.

👨‍⚕️ As surgeons and clinicians, we often think of big solutions—but sometimes it’s the simple, consistent strengthening work that brings the best results.

📌 Stronger quads don’t just support the knee… they give patients back their mobility, independence, and dignity.

13/09/2025

Even at 86 years old, still strong. 💪👵
Just one month ago, she sustained a comminuted intertrochanteric hip fracture—a severe injury that often leaves elderly patients bedridden and dependent.

She underwent Bipolar Hemiarthroplasty, a procedure that restored stability and function to her hip.

✅ From fracture to fixation
✅ From pain to progress
✅ Now, walking with an assistive device—independent and determined

Her recovery is proof that with the right treatment, age is never a barrier to mobility and quality of life. 🌿✨

13/09/2025

🚨 From Broken Hip to Walking Again in Just 7 Days 🚨

This patient suffered a comminuted intertrochanteric fracture — a severe type of hip fracture where the bone breaks into multiple pieces. Injuries like this often leave patients bedridden for weeks, risking pneumonia, blood clots, and permanent loss of independence.

✅ We performed a cemented bipolar hemiarthroplasty.
Why this over other options?
• Plates and screws are not ideal in fragile, osteoporotic bone — high risk of failure and prolonged immobility.
• Hemiarthroplasty with cement gives immediate fixation and stability.
• The patient can bear weight early, avoiding the dangers of being stuck in bed.

📸 Left: The fracture before surgery
📸 Right: The hip replaced with a stable implant
📸 Bottom: Just 1 week later — already up, walking, and independent!

✨ This is the power of choosing the right treatment:
• Faster recovery
• Lower complications
• Regaining independence

Every step forward is a victory. 🙌

09/09/2025

In cases of severe arthritis or fracture, the damaged hip joint is replaced with artificial components.
• A cup is placed in the acetabulum (hip socket).
• A stem goes inside the femur.
• A metal or ceramic head sits on top to form a smooth, stable joint.

👉 The goal: relieve pain, restore mobility, and get patients walking again within days.

Modern minimally invasive approaches allow smaller incisions, less blood loss, and faster recovery—helping patients regain independence sooner.

📌 Always consult with a trusted orthopedic surgeon to know if this procedure is right for you.

07/09/2025

👵 90 years old.
🛏️ Bedridden for 3 weeks due to a hip fracture.

Yesterday, she could not even sit up.
Today—less than 24 hours after surgery—she is back on her feet.

This is the power of modern orthopedic surgery. Hip fractures don’t have to mean the end of mobility. With the right treatment, patients—even in their 90s—can stand, walk, and regain independence. 💪

⸻

Case Highlight:
• 90/F
• 3 weeks bedridden due to a left femoral neck fracture
• Underwent Bipolar Hemiarthroplasty, left hip

✅ Immediate mobilization achieved.
Patient stood and ambulated with assistance within 24 hours post-op.

Clinical insight:
Early mobilization after hip arthroplasty in the elderly helps prevent complications of prolonged immobility, reduces morbidity, and restores confidence in movement.

06/09/2025

𝐄𝐱𝐩𝐞𝐫𝐢𝐞𝐧𝐜𝐞 𝐭𝐡𝐞 𝐅𝐮𝐭𝐮𝐫𝐞 𝐨𝐟 𝐊𝐧𝐞𝐞 𝐒𝐮𝐫𝐠𝐞𝐫𝐲 𝐚𝐭 𝐍𝐞𝐠𝐫𝐨𝐬 𝐏𝐨𝐥𝐲𝐦𝐞𝐝𝐢𝐜 𝐇𝐨𝐬𝐩𝐢𝐭𝐚𝐥 !

We are excited to announce that Arthroscopic ACL Repair is now available at NPH. Our orthopedic surgeons use state-of-the-art endoscopic technology for a minimally invasive approach.

Why choose Arthroscopic ACL Repair?
* Smaller incisions = Less pain, less scarring
* Quicker recovery = Get back to your active lifestyle faster
* Precision = Targeted repair for optimal results
* Minimal downtime = Return to work, sports, and daily activities sooner!

This cutting-edge procedure offers a safer and more efficient way to treat ACL injuries, allowing patients to recover quicker and experience fewer complications compared to traditional surgery.

📞 Call us today at to schedule your consultation or learn more about this advanced treatment. (035) 419 2112)

**photo shows Dr. Miralles and team performing arthroscopic ACL repair.

05/09/2025

05/09/2025

🚑 Knee Aspiration: Relief in Minutes

When swelling and stiffness limit your knee movement, fluid may be the culprit. This can build up inside the joint due to arthritis, inflammation, or injury—causing pain and pressure.

👉 Knee aspiration (joint fluid removal) is a quick, safe procedure that:
• Drains excess fluid from the joint
• Relieves pain and pressure immediately
• Restores mobility and comfort
• Helps you get back to daily activity faster

💉 In some cases, we combine aspiration with a steroid or gel injection for longer-lasting relief.

Don’t let knee swelling slow you down—effective solutions are available.

📞 For consultation and treatment options, contact us at (0975) 931 6587.