Dr. Fabián Poletti

Md, MSc (DIC), FRCS (Eng), FEBOT (T&O)

Consultant Orthopaedic and Trauma Surgeon

Where Science Meets Passion

Medicine is more than just a collection of techniques and knowledge—it is the fusion of art and science in the pursuit of excellence. Within this delicate balance, Dr. Fabián Poletti has built his legacy. A Consultant Orthopaedic and Trauma Surgeon, his reputation has been firmly established on the Costa del Sol, where he treats patients from Marbella, Estepona, Sotogrande, and Gibraltar. He is not just a surgeon; he is an architect of movement, a restorer of lives, a doctor who does not simply operate on bones and joints but restores hope and quality of life to those who need it.

However, his journey toward excellence did not begin in a hospital. It was forged in the discipline of sports. As an athlete, Dr. Poletti experienced firsthand the demands of training, the resilience needed to overcome injuries, and the relentless desire for improvement. It was there that his vocation took root: to understand the mechanisms of the human body and restore them when time, illness, or misfortune take their toll.

A Journey Through Knee Surgery: From Preservation to Total Reconstruction

The knee, a biomechanical marvel that carries the weight of our steps and dreams, has been at the center of his career. With training that has taken him through Florence, Seville, London, and Oxford, Dr. Poletti masters every aspect of knee surgery, from joint preservation to the most complex prosthetic reconstructions

For younger patients whose joint wear does not yet justify a total knee replacement, his focus is on repair and joint preservation. Techniques such as meniscus repair, cartilage transplants, and osteotomies around the knee help maintain joint function and delay, or even prevent, the need for a prosthesis.

When osteoarthritis progresses and pain becomes unbearable, a knee replacement becomes the best option. However, in Dr. Poletti’s hands, this procedure is not simply the replacement of bone with metal, but a meticulous operation adapted to each patient’s anatomy and biomechanics. By incorporating state-of-the-art technologies such as personalized surgery, kinematic alignment, medial pivot implants, and computer-assisted navigation and augmented reality, Dr. Poletti ensures that every knee replacement feels like a natural extension of the patient’s body.

Within the vast field of joint replacement, Dr. Poletti is a leading expert in partial knee replacements, a technique that preserves the knee’s natural structure and allows for a more physiological movement. Whenever possible, he chooses this approach over a total knee replacement, as it allows the healthy portions of the knee to be maintained, reducing surgical impact and accelerating recovery. His expertise allows him to precisely identify which patients can benefit from this technique, ensuring optimal results with less invasiveness and a more natural joint feel.

His commitment to excellence does not end in the operating room. His innovative accelerated recovery protocol allows patients to walk as soon as two hours after surgery and be discharged in less than 36 hours. An approach that transforms the surgical experience and allows patients to return to everyday life more quickly.

Revision Surgery: When All Seems Lost, There Is Still Hope

Not all patients find the solution they expected in their first surgery. Many people suffer from complications after knee replacements, experiencing chronic pain, instability, or extreme stiffness. Others have been told that the only option left is arthrodesis, a procedure that fuses the knee into complete rigidity, sacrificing movement.

But Dr. Poletti has a different vision. Arthrodesis is an outdated solution, an unnecessary sacrifice in most cases. With his expertise in revision knee surgery, he offers these patients a new opportunity. Using next-generation implants and advanced techniques in bone and ligament reconstruction, he is able to restore function to knees that seemed beyond repair, giving back both mobility and joy to those who had lost them.

Every patient presents a unique challenge, and every revision surgery is a work of precision. But in every case that is resolved, there is a transformed life—a person who can walk again, climb stairs, and enjoy life without pain.

Hip Arthroplasty: Beyond Replacement, a New Way to Move

While his expertise in knee surgery spans from joint preservation to total knee replacement, hip arthroplasty is his specialization in hip surgery—a procedure that not only relieves pain but restores the freedom of movement. For patients whose mobility has been affected by osteoarthritis, wear and tear, or past injuries, Dr. Poletti offers state-of-the-art surgical solutions that combine precision, personalization, and accelerated recovery.

Every patient is unique, and their anatomy requires an approach tailored to their individual needs. For this reason, Dr. Poletti applies the spinopelvic approach, a revolutionary concept in prosthetic surgery. This methodology adapts implant positioning to the natural mobility of the spine and pelvis, achieving optimal alignment that not only improves prosthesis function but also reduces the risk of dislocation, premature wear, and long-term complications.

His surgical technique prioritizes soft tissue preservation, minimizing trauma and promoting rapid recovery. Thanks to his optimized approach, his patients regain their independence in the . shortest possible time, with an early return to daily life without compromising joint stability or procedural safety.

This combination of surgical precision, personalized planning, and accelerated rehabilitation ensures that hip arthroplasty is not merely a joint replacement but a rebirth of movement—a new beginning free from pain and limitations.

Passion for Sports and Regenerative Medicine

From the sports field to the operating room, Dr. Poletti has maintained an unbreakable bond with athletics. His knowledge is not only academic but lived and experienced firsthand. He understands what it means to be injured, the frustration of not being able to train, and the desperation to return as soon as possible without jeopardizing future performance.

This is why he has integrated regenerative medicine into his practice—a revolutionary field that offers new hope for joint and muscle injury recovery. Platelet-rich plasma (PRP), hyaluronic acid, and stem cell therapy are just some of the tools he uses to enhance the body’s natural healing processes.

It is not just about repairing damage but about regenerating tissue, strengthening joints, and preventing future injuries. This is a new era in sports medicine, and Dr. Poletti is at the forefront of this transformation.

A Legacy of International Training

Excellence is not a matter of chance. Behind every surgery are years of training in some of the world’s most prestigious centers.

Graduating Cum Laude from the University of Florence, Dr. Poletti specialized at the Florence Orthopaedic and Traumatology Center and the Virgen Macarena University Hospital in Seville. His pursuit of excellence took him to the United Kingdom, where he worked at renowned institutions such as Imperial College Healthcare NHS Trust in London and Oxford University Hospitals NHS Trust.

At the Royal Berkshire Hospital NHS Foundation Trust, he was part of the Knee Unit, working alongside Mr. Sean O’Leary, a global leader in knee surgery and founder of the UK’s National ACL Surgery Registry

After his experience in Tenerife, Madrid, and Denmark, Dr. Poletti found in the Costa del Sol the perfect place to consolidate his vision of modern orthopaedics. In this privileged setting, where the mountains meet the sea, he has built a practice that goes beyond surgery—a space where surgical excellence, technological innovation, and human care come together in a common purpose: to restore movement, rebuild independence, and allow patients to rediscover life without pain.