Consultant Tertiary Referral Gateway

Tertiary Orthopaedic Referral Gateway

Expedited clinical triage for complex primary arthroplasty, failed or infected prostheses, periprosthetic fractures, and severe articular trauma — dedicated to orthopaedic surgeons, rheumatologists, emergency physicians, and musculoskeletal specialists.

Tertiary Scope of Practice & Referral Criteria

Periprosthetic Joint Infection (PJI)

Evidence-based surgical intervention for acute, chronic, and recalcitrant prosthetic infections of the hip and knee, co-managed under antimicrobial stewardship.

  • • DAIR candidate: acute onset or early postoperative infection with well-fixed components.
  • • One-stage exchange: susceptible low-virulence pathogen and intact soft-tissue envelope.
  • • Two-stage protocol: articulating antibiotic spacer, targeted therapy, then replantation.

Aseptic Loosening & Massive Osteolysis

End-stage mechanical failure requiring advanced biological fixation, metaphyseal sleeves, and customized 3D-printed trabecular titanium restoration.

  • • Paprosky Type III defects: custom acetabular reconstruction and fluted modular stems.
  • • AORI Type 2/3 bone loss: metaphyseal cones, modular augments, and structural allograft.
  • • Highly porous trabecular metal scaffolds in osteopenic host bone.

Recurrent Instability & Extensor Disruption

Salvage arthroplasty for chronic hip dislocation, impingement malalignment, collateral ligament insufficiency, and catastrophic patellar tendon rupture.

  • • Constrained or dual-mobility reconstruction after failed primary bearings.
  • • Extensor mechanism allograft or mesh reconstruction where indicated.
  • • Correction of rotation, offset, and joint-line height on CT planning.

Periprosthetic Fractures & Articular Trauma

Urgent surgical stabilization and revision fixation for fractures surrounding stable or loose implants and catastrophic articular trauma.

  • • Vancouver B2/B3: modular bypass femoral revision with cable-plate fixation.
  • • Distal femoral periprosthetic: locked plating with or without retrograde nailing.
  • • Elderly acetabular fracture: acute THA with cup-cage osteosynthesis when indicated.
Revision arthroplasty stems
Revision arthroplasty stems
Trabecular osseointegration
Trabecular osseointegration
Periprosthetic cable plating
Periprosthetic cable plating

Standardized Transfer Pathways

Expedited Physician Escalation Protocol

Streamlined criteria for inter-hospital transfer from public, private, and military facilities across Abu Dhabi, Dubai, and the Northern Emirates.

1

Immediate Telephonic Triage

Available 24/7

Direct phone triage via Healthpoint Transfer Coordinator at 800 77. For acute periprosthetic fractures, vascular compromise, or acute joint sepsis, the on-call consultant engages within 15 minutes.

2

Secure DICOM & PACS Gateway

Cloud Encryption

Upload CT angiograms, calibrated full-leg alignment films, MRI metal-reduction sequences, and sequential radiographs through the encrypted PACS receiver.

3

Pre-Transfer Medical Optimization

MDT Clearance

Joint aspiration analysis, systemic optimization, and anticoagulation bridge protocol before inter-facility ambulance transfer.

4

Direct Theatre / Inpatient Bed Access

Express Admission

Patients bypass emergency holding and admit directly to the Orthopaedic Surgical Inpatient Wing or laminar-flow theatres.

Academic Rigour & Surgical Education

AO Recon Faculty & Clinical Fellowship Sessions

Dr. Feras Ya'ish regularly convenes accredited CME, hands-on anatomical cadaveric arthroplasty courses, and interactive tertiary case panels across the Middle East.

Dr Feras Ya'ish lecturing at the Emirates Orthopaedic Society Gulf Knee Course
Dr Feras Ya'ish teaching knee reconstruction on a surgical model
AO Recon faculty at a joint preservation and replacement course
Cadaveric Lab · Dubai14 CME Hrs

AO Recon Masterclass: Complex Revision Total Knee

Cadaver dissection covering bone-defect augmentation with titanium metaphyseal cones, line-to-line stem fixation, and rotating-hinge kinematic balance.

November 22–23, 2025

Clinical Webinar3 CME Hrs

Managing Periprosthetic Fractures Around Stable Stems

Interactive round-table on Vancouver B1 vs B2 differentiation, cable-plate constructs, and minimally invasive submuscular bridge techniques.

Monthly series

Hospital FellowshipFellowship Credit

Visiting Surgeon Observer Programme at Healthpoint

Theatre immersion in robotic and patient-specific knee reconstruction, complex revision, and trauma under Dr. Ya'ish's mentorship.

Healthpoint Abu Dhabi

Direct Transmission

Secure Physician Referral Gateway

Submit diagnostic data, pathology workup, and imaging links directly for immediate clinical evaluation by Dr. Feras Ya'ish.

Referral Coordinator Hotline

For direct hospital-to-hospital transfer authorization and insurance clearance coordination:

800 77

Toll-Free Healthpoint Central Dispatch (Ext 4022)

Data Protection Compliance

All clinical records uploaded via this portal adhere to UAE Federal Law No. 2 of 2019 concerning Health Data Protection and DoH Abu Dhabi Health Information Exchange (Malaffi) standards.

Clinical Referral Information

Co-management

Need an MDT opinion or observer placement?

Use the case submission gateway or call 800 77 for hospital-to-hospital transfer authorization and insurance clearance coordination.