Tsoukas Dimitrios Orthopedist

Editorial Boards

• Editor-in-Chief Journal of Stem Cell Research Genesis Pub, from September 2020-Present.

• Reviewer Orthopaedic Journal of Sports Medicine American Orthopaedic Society for Sports Medicine AOSSM.

• Reviewer of the Biologic Orthopedics Journal.

• Reviewer British Journal of Sports Medicine.

Professional Experience

• 01/11/2022 – Present Director of 5th Orthopaedic Clinic for Advanced Arthroscopic Sports and Regenerative Surgery MITERA Hospital.

• 08/07/2020 – Present Associate Orthopaedic Surgeon for Diagnostic and Therapeutic Center of Athens HYGEIA SMSA

• 24/10/2006 – Present Director and Founder of Minimally Invasive Orthopaedic and Sports Medicine Surgery Center – MIOSMED Center. ISAKOS (International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine) and ICRS (International Cartilage Regeneration and Joint Preservation Society) Accredited Teaching Center. Collaborating organization AOSSM (American Orthopaedic Society for Sports Medicine) in the world campaign STOP Sports Injuries in children.

• 01/07/2019 – 30/06/2020 Associate Orthopaedic Surgeon Apollonion Private Hospital Nicosia, Cyprus

• 04/10/2017 – 19/06/2019 Associate Orthopaedic Surgeon for Diagnostic and Therapeutic Center Of Athens HYGEIA S.M.S.A.

• 01/10/2017 – 01/04/2019 Director Orthopaedic Sports Medicine Clinic MITERA Private Clinic Athens, Greece  

• 29/10/2018-31/03/2019 Director Women’s Sports Injuries and Health Center MITERA Private Clinic Athens, Greece

• 01/11/2013 – 30/09/2017 Director Orthopaedic Sports Medicine Clinic Meditteraneo Hospital Athens, Greece

• 01/11/09 – 30/10/13 Director Orthopaedic and Sports Medicine Clinic of Athens    Medical Center                                               

• 12/05/09 – 30/10/09 Director Orthopaedic and Sports Medicine Clinic of Athens Euroclinic

• 01/01/06 – 12/05/09 Director Orthopaedic Clinic of Athens Euroclinic Hospital

• 12/12/02 – 31/12/05 Director Sports Medicine Clinic Metropolitan Hospital of Athens.

• 23/01/02 – 11/12/02 Head of Staff Sports Medicine Outpatient Clinic Henry Dynant Hospital of Athens.

• 30/10/00 – 22/01/02 Consultant Orthopaedic Surgeon Henry Dynant Hospital, 2^nd Orthopaedic Department. Director Dr. I. Vlachos. Head of Knee and Arthroscopy united.

• 01/09/98 – 10/01/00 Staff Orthopaedic Surgeon “Hygeia” Hospital of Athens. Director Prof. Argiris Mitsou. 3^rd Orthopaedic Clinic

Experience in orthobiologics and regenerative medicine

Dr. Dimitrios Tsoukas obtained a certificate of continuing education on “Stem cells and Regenerative Medicine” on 25/01/2019 from the National and Kapodistrian University of Athens Greece.

 He completed a training at Imagine Regenerative Clinic, Milan, Italy on October 4-5, 2021, with Prof Carlo Tremolada in adipose tissue stem cells with the Lipogems technique. Prof. Tremolada is the Founder of Lipogems an FDA cleared technique. Dr. Tsoukas is now an international instructor of Lipogems and his clinic Elite Regenerative Clinic Athens is a center of Excellence for Lipogems and a Training Center SpA.

 He has internationally published many scientific papers, is a regularly invited speaker at sports medicine and regenerative medicine congresses and instructor at arthroscopic cadaveric courses.

 He was a global trainer of the American top biotechnology company Terumo BCT in adipose tissue derived stem cells after minor belly liposuction that he can perform by himself, after the training he received from Terumo BCT, January 18, 2017

He has trained doctors in live surgeries with this technique Adiprep in Spain, Israel, Belgium, Azerbaijan and Norway so far.

 He is the first orthopaedic surgeon in Greece and in Cyprus who has performed intra articular injections of adipose tissue derived stem cells after belly minor liposuction that he performed himself  for arthritic problems using  different techniques: Terumo BCT, Arthrex and Lipogems (FDA cleared) T-LAB  and the first one in Europe after knee liposuction for the same purpose, according the Lipopras technique of the Spanish Company Proteal now FIDIA Spa.

 He is an expert in PRP with photoactivation and certified in Tropocells PRP,

 He was the first doctor that implemented on 2016, PRP with hyalouronic acid intra articular injections in Doha Qatar to the Qatar Army Forces and their families.

 He served for 4 years as a member of the Regulatory and Industry Liaison Committee of the International Cartilage Regeneration and Joint Preservation Society (ICRS), member of the Biologics Alliance an Orthoregeneration Network of the Arthroscopy Association of North America (AANA), American Orthopaedic Society of Sports Medicine (AOSSM) and International Cartilage Regeneration and Joint Preservation Society (ICRS), active member of the Interventional Orthobiologics Foundation, International member of the American Academy of Regenerative Medicine and member of Scientific Academy T-Lab Regenerative. He is the Editor-in –Chief of the Journal of Stem Cell Research Genesis Publications.

 Finally, he is a reviewer of the Biologic Orthopedics Journal and British Journal of Sports Medicine. He is the first ever Greek Orthopaedic Surgeon invited to present to TOBI (The Orthobiologics Institute) on October 8-9, 2021, his lecture: A novel technique; Adipose tissue stem cells from knee liposuction for knee osteoarthritis.

 He was awarded in Greece by Boussias Healthcare Business Awards 2021 for innovation in surgical techniques with his stem cells techniques for joints arthritis.

He is practicing orthopaedic regenerative medicine from 2015 with many orthobiological procedures like PRP, adipose stem cells after mini belly or knee liposuction, that he performs himself, bone marrow stem cells and intraarticular injections in knee, shoulder, hips, ankles for arthritis, muscle, tendons and ligaments injuries, under ultrasound or fluoroscopic guidance.

 He is currently using auricular cartilage autologous micrografts for joints arthritis K-L 3 and early 4 according to the Regenera Activa technique. He was trained and accredited in the technique by Regenera Activa in Barcelona.

Experience in sports injuries

• Director of Orthopaedic and Sports Medicine Clinic in Metropolitan Hospital Athens (2002-2005), Athens Euroclinic (2005-2009), Athens Medical Center (2009-2013), Mediterraneo Hospital (2013-2017) and MITERA Private Clinic Athens, Greece (2017- 2019) .

• Founder and Director of Minimally Invasive Orthopaedic and Sports Medicine Center MIOSMED, the first one in Greece, in 2006. An officially accredited teaching Center of ISAKOS (International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine) and ICRS (International Cartilage Regeneration and Joint Preservation Society).

• Chairman of the Executive Committee of the Sports Injuries Section of the Hellenic Association of Orthopaedic Surgery and Traumatology HAOST, 2018-2020.

• Accredited Teacher of the European Society for Sports Traumatology Knee Surgery and Arthroscopy ESSKA, from 2018.

• Diploma in Football medicine from FIFA

• On line courses in football medicine from FC Barcelona ( Barca Innovation Hub).

• Doctor in Charge for various national and sports teams such as

• Foinikas Syrou Volleyball Club: 2022-2023; 1st Division –

• Kifissia Football Club: 2022-2023; Super League 2 –

• Psychiko Basketball Club; 2018 – until now; A2 Elite League

• APOEL Football Club Nicosia Cyprus 2019-2020. Super Cup Winners 2019; qualification in the best 32 teams of UEFA Europa League 2019-20; Winner of 7 championships in a row; Quarter finals qualifier of UEFA Champions League in 2011. –

• Anorthosis Famagusta Football Club Cyprus 2018-2019 First ever team from Cyprus qualified at the groups of UEFA Champions League. –

• Member Medical Commission of CEV (Confederation Europeenne de volleyball), 2016-2020. – Hellenic Volleyball Federation: Male and Female National Volleyball teams and Beach Volleyball teams. Vice President of the Hellenic Volleyball Federation medical committee. (Ref. No 15/15.07.2011). –

• Member Medical Committee of the Greek Boxing Federation (Ref No 2596/2006).

• AEK basketball professional team

• Elected Doctor in charge for the following Greek Basketball All Star Games: Drama 2002, Volos 2003, Chalkida 2004, Patra 2005, Larissa 2006, Lamia 2007, Amaliada 2008, Xanthi 2009, Iraklio-Crete 2010, Pyrgos 2011, Patra 2013, and Chania 2014.

  • Hellenic National Team for the 23rd Summer Universiade; Izmir, Turkey, August 11- 21, 2005. –

• Ilisiakos Basketball Club (1st National Division, 2009-2010)

• Athinaikos Female Basketball Team (Greek Champions 2009-2010,2010-2011,2011- 2012, European Cup Holders 2010-2011) Enlisted at ‘Record book of Guinness’ for their consecutive wins (more than 91, previous world record, in the history of Basket). – Panathinaikos Volleyball Team (Greek Champions 2003-2004), 2012-2013.

• Maroussi Basketball Club (Saporta Cup Holder 2004), 2007-2008, 2008-2009, 2010- 2011.

• Panellinios Basketball Club 2006-2007, 2007-2008.

• Ilisiakos Football Club, Ethnikos Asteras Football Club, Levadeiakos FC (2nd Professional Football League).

• Doukas Handball Club (Greek Champions 2007-2008), Ionikos FC handball, Koropi handball, Vrilissia handball,Paradisos Amarousiou handball.

Clinical experience abroad

• Orthopaedic surgeon in Bucharest, Romania. Medsana Medical Center, Academica Medical Center and Sanodor Hospital

• Post – training clinical fellowship – in a salaried position at the Universite Catholique de Louvain, Cliniques Universitaires Saint Luc, Brussels, Belgium (Director Prof. J.J. Rombouts). Spine Surgery Clinic (Director Prof. Ev. Munting). Training in Spinal elective, trauma, tumor, degenerative and deformities surgery.

• University Hospital K.U. Leuven, Pellenberg, Belgium. Chosen by U.E.M.S for the exchange program. Hip Surgery Clinic (Prof. J.P. Simon) and at the Knee and Sports Medicine Clinic (Prof. J. Bellemans); Chairman Orthopaedic Department: Pr. G. Fabry.

• Clinical attachment at the Royal Orthopedic Hospital, Birmingham, England. Hip Surgery Clinic (Consultant Ronan B.C. Treacy) and Knee and Sports Medicine Clinic, (Consultant Nigel Tubbs). Participation in hip and knee surgery especially knee arthroscopies, clinics and ward rounds.

Scientific visitations to specialized surgery clinics in Europe with main emphasis in sports injuries, knee, shoulder, hip and cartilage surgery

• Surgical training at the Chondrofiller Visiting Surgeons Programme  at the Johanna Etienne Hospital in Neuss, Germany. Prof. Jorg Jerosch.

• Surgical Training on Hyalofast one-step procedure for the treatment of chondral and osteochondral lesions. Rizzoli Orthopaedic Institute, Bologna Italy.

• LCA anatomic recon and associated lesions, Knee Experts Smith and Nephew meeting, Cadaver Lab Practice, Smith and Nephew Surgical Skill Center, York, England,

• Hip Arthroscopy – a day with Prof. Marc Philippon, Cotignola RA, Italy.

• Interventional Pain Cadaver Lab, Bordeaux University Hospital, France,

• 9 th Vienna Arthroscopy Forum, Austria, September

• 2 nd International Advanced Course on Surgical Knee Arthroscopy Tours, France

Hands-on cadaver lab instructor or instructor in live surgeries

• Terumo BCT Adiprep technique for adipose tissue derived stem cells for knee arthritis instructor. Clinica de Valles Sabadell Barcelona Spain, April 4 2017, Arad Clinic TelAviv Israel, August 29 2018, TerumoBCT scientific meeting Leuven Belgium 22-23 November 2018, Talassemiya Merkezi Hospital Baku, Azerbaijan 17 of January 2019.

• “Basic arthroscopic techniques: knee and shoulder”. Hands-on cadaver lab, Orthopaedic Department University of Ioannina and 2^nd Orthopaedic Department Iaso General Hospital –shoulder arthroscopy center

• 2^nd Hands – on arthroscopy course on cadavers “Anterior cruciate ligament reconstruction and menisci injuries/repair”, University of Thessalia School of Health Sciences, Department of Orthopaedic Surgery and Traumatology, Minimally Invasive Surgery-Arthroscopy Training Center, Larissa

• ACL Reconstructive Surgery: 4^th Seminar in Arthroscopy and Sports Medicine Evangelismos Hospital, Athens-Greece. Hands-on cadavers.

• 1^ST Arthroscopic Instructional Seminar MIOSMED Center in ACL Advanced Surgery; Double Bundle Technique, Athens-Greece.

      FIMS Team Physician Development Course hands on training, Santorini, Greece

      FIMS team Physician Instructor Course Santorini, Greece

Teaching and training experience

• Accredited Teacher of the European Society of Sports Traumatology Knee Surgery and Arthroscopy, ESSKA.

• Trainer in simulation anatomy cources to premed students, National and Kapodistrian University of Athens, Faculty of Medicine Medical Physics Laboratory Simulation Center MPLSC.

• Scientific collaborator in the First Department of Orthopaedics, Athens University Medical School at Attikon University General Hospital involved in research work, courses and seminars.

• Teaching and lecturing in congresses and cources of the European College of Sports and Exercise Physicians, ECOSEP.

• Director and Founder of Minimally Invasive Orthopaedic and Sports Medicine Surgery Center –  MIOSMED Center. ISAKOS  (International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine) and ICRS ( International Cartilage Regeneration and Tissue Preservation Society)  accredited Teaching Center.

• Teaching in spinal issues seminars in trainees in orthopaedics and orthopaedic surgeons1^st Orthopaedic Clinic University of Athens.

• Teaching in Technological Institute ( TEI) of Athens School of Medicine .

Clinical and Research Interest

Clinical Interest

• Anterior cruciate ligament rupture in adults and children.

• Meniscal and chondral injuries.

• Osteoarthritis and minimally invasive and robotic surgery.

• Stem cells and advanced orthobiologics.

• Female athletes.

• Sports injuries

Research Interest

• Regenerative Medicine

• Cartilage injuries

• Biological age- DNA test

Career achievements

• Adjunct Professor of the Department of Nutrition and Health Sciences of the University Nebraska-Lincoln USA 1/01/2022 until 31/12/2026.

• Member of the ISAKOS Newsletter Committee 2021-2023.

• International member of the American Academy of Regenerative Medicine from 2021.

• Member of Scientific Academy T-Lab Regenerative from 2022.

• First ever Greek Orthopaedic Surgeon invited to present to TOBI (The Orthobiologics Institute) on October 8-9, 2021 USA.

• First orthopaedic surgeon in Greece and in Cyprus who has performed intra articular injections of adipose tissue derived stem cells after belly minor liposuction performed by himself and the first one in Europe after knee liposuction for the same purpose

• Scientific Collaborator European University of Cyprus, School of Medicine Orthopaedic Department July 2020-2021.

• Founder and Director of the Minimally Invasive Orthopaedic and Sports Medicine Surgery Center MIOSMED, accredited Global Teaching Center of ISAKOS and ICRS, 2006 until now.

• Founder and Director of the Elite Regenerative Clinic Athens, 01/01/2022, a Lipogems SpA Center of Excellence and Training Center.

• Reviewer British Journal of Sports Medicine.

• Editor-in-Chief Journal of Stem Cell Research Genesis Pub, from September

• Accredited teacher/instructor of European Society for Sports Traumatology Knee Surgery and Arthroscopy ESSKA from 2018.

• Chairman Executive Committee of the Sports Injuries Section of the Hellenic Association of Orthopaedic Surgery and Traumatology, 2018-2020

• Scientific collaborator in Medical Physics Laboratory Simulation Center (MPLSC). Trainer in simulation anatomy. Courses to pre-med students and researcher on development of a low cost arthroscopy simulator (Prof. E. Georgiou).

• Member of the Medical Commission Confederation Europeenne de Volleyball (CEV), 2016-2020.

• Member of the Board Sports Medicine Association of Greece 2011-2015

• Member Scientific and Educational Contributor at the European College of Sports and Exercise Medicine Physicians (ECOSEP), including teaching, lecturing and having research work since 2008.

• Member of Regulatory and Industry Liaison Committee International Cartilage Regeneration and Joint Preservation Society ICRS, 2013-2015, 2016-2018.

• Member of the European Knee Advisory Board of Smith and Nephew, which is constituted by Key Opinion Leaders of the European Countries (until 2013).

• Head Doctor for Athinaikos Female Basketball Team Greek Champions 2009- 2010,2010-2011,2011-2012, European Cup Holders 2010-2011. Enlisted at ‘Record book of Guinness’ for their 91 consecutive wins.

• Elected doctor in charge for the Greek All Star basketball game for 12 consecutive years.

• Reviewer Orthopaedic Journal of Sports Medicine American Orthopaedic Society for Sports Medicine AOSSM.

•  Fully licensed to practice in Switzerland from 28/12/2016. Commission des professions medicales MEBEKO Swisse Confederation, Medical diploma and title of Orthopaedic Surgery and Traumatology recognition 

Awards

• Awarded by Med Professionals and Hellenic News of America for my experience in stemcells for orthopaedic and sports injuries, Athens, May 9, 2022.

• Boussias Healthcare Business Awards 2021: Silver award in surgical innovation for stemcells from adipose tissue for joints arthritis, Athens, September 2021.

• Awarded by AEK Athletic Club for my contribution to Greek Sports and Athletics, Athens, Greece, March 19, 2017.

• Awarded by the volleyball veteran player’s league for my contribution to volleyball. Athens, Greece, February 28, 2016.

• Awarded for my contribution in Greek Basketball by the Professional Greek Basketball League and by the Basketball Players Association, Greek Basketball All Star Game, Pyrgos, Greece, 2011.

• Awarded by the Ionikos Athletic Club Athens, Greece on 20/01/2008 for my contribution to Greek Sports and Athletics

Books

•  “Surgical decompression of Lumbar Spinal Stenosis According to the Senegas Technique”.  “Lumbar Spinal Stenosis”, Lippincott Williams and Wilkins 2000, (p. 207 – 214).  15BN:0-7817-2380-9.Editors: Drs R. Gunzburg and M. Szpalski.

• “The role of bone morphogenetic proteins in spinal fusion”; 1999 Yearbook in Spinal Biomechanics, Kafkas Medical Publications, editor: Ass. Prof. G. Sapkas.

• “Lumbar spinal fusion by growth factors and by local gene therapy”; 1999 Yearbook in Spinal Biomechanics, Kafkas Medical Publications, editor: Ass. Prof. G. Sapkas.

Recent Publications

• “Increasing consensus on terminology of Achilles tendon-related disorders”. Ankle platform study collaborative-science of variation group. Knee Surg Sports Traumatol Arthrosc 2021 Aug: 29(8):2528-2534. Doi: 10.1007/s00167-021-06566- z.

• “The role of cell therapies and hip arthroscopy in the management of osteonecrosis – An Update” Journal of Hip Preservation Surgery. 2018 June 14, 5 (3):202-208. Doi:10.1093/jhps/hny021.

• “Large variation in use of Patient-reported Outcome Measures; a survey of 188 foot and ankle surgeons”. Foot and Ankle Surgery 2018 Jun,24(3):246- 251.doi:10.1016/j.fas.2017.02.013

• “No difference in osteoarthritis after surgical and non-surgical treatment of ACLinjured knees after 10 years.” Knee Surg.Sports Traumatol. Arthroscopy (2016) Sep,24(9):2953-9 Tsoukas D.et all

• “Evidence of a Redox-Dependent Regulation of Immune Responses to ExerciseInduced Inflammation,” Oxidative Medicine and Cellular Longevity. 2016,2016:2840643.Epub 2016 Nov 15

•  The microcycle of inflammation and performance changes after a basketball match”. Journal of Sports Sciences Vol 32, issue9, May 2014 pages 860-869

•  “Oxidative stress and inflammatory responses following an acute bout of isokinetic exercise in obese women with knee osteoarthritis.” The Knee 2013, Dec. 20(6), 581-590.

• « The time-frame of acute resistance exercise effects on football skill performance. The impact of exercise intensity”. Journal of Sports Sciences 2013, 31(7):714-722.

• “Thiol based antioxidant supplementation alters human skeletal muscle signaling and attenuates its inflammatory response and recovery after intense eccentric exercise”. American Journal of Clinical Nutrition 2013, July, 98(1) 233-245.

• “Physical activity is associated with bone geometry of premenarcheal girls in a dose depented manner”, Metabolism Clinical and Experimental 62(2013), 1811-1818

Studies - Oral Presentations

• Stem cells from adipose tissue and osteoarthritis: Speaker, applied biomechanics and biomaterials in orthopaedics, National and Kapodistrian University of Athens Medical School, Athens, October 11, 2022

• Adipose tissue derived stem cells for joints arthritis: Speaker and Chairman, 10th International Congress of the Egyptian Arthroscopy Association EGAA, Cairo, Egypt, August 23-25, 2022

• Adipose tissue stem cells for sports injuries. Speaker at the International Congress of Sports Medicine and 18th Turkish Sports Medicine Congress. December 3-5, 2021. · Stem cells for joints arthritis. Speaker at the Global Regenerative Congress, November 19-21, 2021, Dubai.

• Stem cells from knee liposuction for knee arthritis. Speaker at The Orthobiologic Institute TOBI annual congress USA. October 8-9, 2021.

• “The role of stem cells in arthritic knees”. Speaker 5th Symposium of Regenerative Medicine. Stem cells-a vision beyond borders. November 29 to December 1, 2018, Belgrade Serbia.

• “Adiprep technique for adipose tissue derived stem cells”. Speaker Terumo Autologous Biologic Meeting, November 22 Leuven Belgium

• Injection therapies. Now and future. Acıbadem Sports and Euroleague: Speaker “International Symposium on Basketball Science” on May 19-20, 2017, Istanbul Turkey.

• “Animal trials and regulations in EU on orthopaedic stem cell applications”. Speaker 2 nd Pre-conference workshop on: “Stem cell Applications in Regenerative Medicine and Flow Cytometry”, Omics Group, June 11-12, 2015, Athens, Greece

• “ACL injuries in skeletal immature football players”. Speaker, 23rd International Conference on Sports Rehabilitation and Traumatology: football medicine strategies for muscles and tendons injuries. March 22-23, 2014, Milan Italy. · «Football injuries prevention”. Speaker 11th International Congress of Sport

… more than 60 presentations worldwide.