Presentation

INSTITUTIONAL

Presentation

 

The National Institute of Traumatology and Orthopedics Jamil Haddad (INTO), located in Rio de Janeiro, Brazil, under direct administration of the Ministry of Health, is responsible for serving exclusively patients from the public healthcare system (SUS). INTO is a reference for highly complex orthopedic surgical procedures in the country.

 

INTO is currently the only Brazilian hospital to integrate the International Society of Orthopedic Centers (ISOC), which congregates the 24 best orthopedic centers in the world.

 

 

The institute has been ranked among the 50 best orthopedic centers in the world for four consecutive years, by the Newsweek magazine (ranked by the German company STATISTA).

 

 

 

INTO’s headquarters

 

 

The institution, originally named Hospital of Traumato Orthopedics – HTO, was inaugurated in 1973 and received the status of an institute in 1994, after being recognized as a national reference not only in assistance, but also in teaching, research, prevention, and in the elaboration of public policies in Orthopedics, Traumatology and Rehabilitation, being renamed as National Institute of Traumatology and Orthopedics - INTO. In 2011, INTO moved to a new headquarters, five times bigger and with an operational capacity three times bigger than the former one, located at Avenida Brasil 500,

 

The Institute stands out not only in the clinical and surgical fields, but also in the areas of teaching and research with its 6 laboratories, including the Neuromuscular Research Lab (PNEURO) and the Effort Physiology Lab (LAFES), which aim to boost the development of studies in Exercise Physiology and Sports Medicine.

 

Another INTO’s highlight is the Multi tissue Bank, inaugurated in 1989, responsible for collecting, processing, storing and distributing bones, tendons, and menisci for use in transplant surgeries, as well as cornea and skin. INTO maintains teams prepared to collect tissues 24 hours a day, 365 days a year. The whole process is free of charge for both the donor's family and the recipient.

 

In the teaching area, INTO provides medical residency programs in Orthopedics and Traumatology, Hand Surgery, Nursing, Pharmacy, Social Services and Physiotherapy. It also offers specialization programs in multidisciplinary fields, in addition to having a Professional Master’s degree course (stricto sensu) in Applied Sciences to the Musculoskeletal System.

 

HEMOINTO, INTO’s own blood bank, responsible for maintaining the blood stocks for performing complex orthopedic surgeries, inaugurated in August 2014, reduced surgery suspension rates, through the possibility of autologous donations and systematic blood donation campaigns.

 

INTO’s Home Care unit, a reference since 2005, reduces hospital stay and increases bed turnover, representing more long-term efficiency. It also personalizes care and shows empathy, which ultimately increases patient adherence to treatment.

 

 

Mission, Vision, Values and Principles

 

Mission: To promote actions as a reference institute in health care, teaching, research, prevention and formulation of public policies in Orthopedics, Traumatology and Rehabilitation.

 

Vision: To be recognized nationally and internationally as a center of excellence in health care, teaching, research and management, in the fields of Orthopedics, Traumatology and Rehabilitation.

 

Values and Principles:

• Empathy
• Focus on Patients
• Quality and Safety
• Innovation
• Teamwork
• Transparency and Ethics
• Generation and Dissemination of Knowledge

 

 

Motto: INTO - Humanization and Quality

 

 PHYSICAL STRUCTURE

 

INTO	2024
Area	69,250 m2
Inpatient beds (wards)	255
ICU beds (adults)	16
ICU beds (pediatric)	4
ICU beds (post op.)	21
Semi intensive beds	7
Day Hospital beds	18
TOTAL BEDS	321
Operating rooms	21
Outpatient care offices	40

 

 

 

The institute's headquarters cover an area of almost 70,000 square meters in a privileged location in the port area, recently revitalized for hosting major events in the city.

 

INTO's outpatient clinic has 40 offices for orthopedic and multidisciplinary care, where more than 200.000 consultations are carried out per year. The waiting area is a welcoming, air-conditioned, spacious, and computerized environment, created to guarantee comfort for patients and their families.

 

The rehabilitation unit, in an area of two thousand square meters, including a pool for hydrotherapy treatments, has an estimated capacity of 60,000 appointments per year. At the rehab unit there is a team of physiatrists, physiotherapists, speech therapists, occupational therapists, psychologists, and social workers working together to recover patients, giving them back movement and quality of life.

 

The complex also houses a Day Hospital, with 3 operating rooms and 18 post-operative beds, intended for patients undergoing simpler and faster procedures, who can be discharged on the same day.

 

INTO's Surgical Center has 21 operating rooms, two of which equipped with live satellite transmission equipment. This technology is used in training and continuous education for health professionals.

The inpatient unit has 255 beds distributed over three floors, 16 adult intensive care beds, 4 pediatric intensive care beds, 7 semi-intensive therapy beds, and 21 post-operative beds.

 

 DEPARTMENTS AND SERVICES

 

Into offers services in 12 orthopedic sub specialties and in 28 clinical areas. Its strategy is to segment care into interdisciplinary centers, where diverse expertise is respected and shared, with the goal of delivering the best care to patients.

 

Specialized Care Centers (CAE)

 

- Spine Surgery Center

- Shoulder and Elbow Surgery Center

- Hand Surgery Center

- Hip Surgery Center

- Knee Surgery Center

- Foot and Ankle Surgery Center

- Reconstructive Microsurgery and Plastic Surgery Center

- Child and Adolescent Orthopedic Center

- Orthopedic Oncology Center

- Cranio-Maxillofacial Surgery Center

- Adult Trauma Center

-  Limb Length Discrepancy and Deformity treatment Center

 

Medical Services

 

- Anesthesiology

- Pain Control Clinic

- General Surgery

- Vascular Surgery

- Internal Medicine

- Infectiology

- Pediatrics

- Rheumatology

- Psychology

- Mental Health

- Urology

- Physiotherapy and Rehabilitation

- Phono audiology

 

Healthcare Support Units

 

Intensive Care Center

Surgical Center and Day Hospital

Outpatient Unit

 

Home Care

Rehabilitation

Laboratory of Clinical Analysis

Anatomic Pathology

Radiology and Diagnostic Imaging

Nursing

Social Services

Nutrition

Occupational Therapy

Speech Therapy

Pharmacy

Blood Bank

 

Research Centers and Laboratories

 

- Clinical Research Center

- Cellular Technology Center

- Animal Experimentation Center

- Molecular Biology Laboratory

- Neuromuscular Research Laboratory

- Exercise Physiology Laboratory

 

Special Projects

 

- Referenced Trauma

- Treatment Outside of Residence (TFD)

- Multi tissue Bank

- FORTALECER Program

- TeleInto

- OrtoBio

 

Post Graduate Program (stricto sensu)

 

• INTO offers a Professional Master's Course in Applied Sciences to the Musculoskeletal System, approved by the Coordination for the Improvement of Higher Education Personnel of the Ministry of Education - CAPES. The master's program aims at training professionals in the biological and health fields, with the objective to improve diagnosis, treatment, and rehabilitation of patients with musculoskeletal system diseases.

 

• INTO has just received approval from the Coordination for the Improvement of Higher Education Personnel of the Ministry of Education – CAPES to start the institute's professional doctorate course. This innovative program focuses on the production of advanced research that will result in theses, offering pioneering solutions aimed at enhancing diagnosis and treatment in the field of Orthopedics and Traumatology, thus reinforcing the institute's role as a leader in the forefront of orthopedic medicine.

 PERFORMANCE

 

In 2023, INTO was responsible for performing almost 59% of the total number of highly complex surgeries in the City of Rio de Janeiro, 39,3% in the State of Rio de Janeiro and nearly 4% in the whole Brazil.

 It is worth highlighting that the State of Rio de Janeiro currently has 32 units qualified to perform highly complex orthopedic surgeries.

 

 

Source: DataSus on February 9^th, 2024.

 INTO by numbers

 

INTO	2020	2021	2022	2023
Surgeries	5.724	7.182	7.494	7.024
Orthopedic consultations	46.535	59.328	65.176	65.218
Physiotherapy consultations	10.113	13.009	11.849	13.407
Rehabilitation consultations	11.763	11.694	13.516	13.464
Other consultations	32.281	78.004	78.562	125.185
Total outpatient consultations	100.692	162.035	169.103	217.274

                 Source: INTO’s Strategic Planning Coordination (COPLAN/INTO)

 

The year 2020 was severely impacted by the COVID 19 pandemics, as elective surgeries were suspended, following guidance from the health authorities and INTO took the role of attending all the orthopedic trauma cases in the State of Rio de Janeiro, in order to free up beds in general and emergency hospitals, so that they could treat the severe cases of COVID.