Restoring Mobility,

Renewing Life

Expert orthopedic care specializing in advanced joint replacement and arthroscopic surgery. Committed to the highest standards of professional ethics and personalized patient treatment.

About Dr. Perales

Dr. Ivan Perales González is a board-certified orthopedic surgeon with extensive experience in hip and knee joint replacement and is an expert arthroscopist. He is known for his strong sense of commitment and professional ethics.

Highly recognized in his field, Dr. Perales holds significant leadership positions, including Deputy Director of Hospital Bonanova and Head of Service at Hospital Issstecali Mirador in Tijuana.

Orthopedic Surgeon | Hip & Knee Specialist

Dr. Perales believes in a patient-centered approach, combining cutting-edge surgical techniques with compassionate care.

Philosophy of Care

Dr. Perales believes in a patient-centered approach, combining cutting-edge surgical techniques with compassionate care. He is dedicated to developing tailored treatment plans that align with each patient's lifestyle and goals, ensuring the best possible outcomes for restoring function and reducing pain.

Areas of Expertise & Services

Primary Specializations:

Total Hip Replacement & Revision

Total Knee Replacement & Revision

Minimally Invasive & Robotic-Assisted Joint Surgery

Advanced Arthroscopic Surgery:

Knee Arthroscopy (Meniscus repair, ACL reconstruction)

Shoulder Arthroscopy (Rotator cuff repair)

Other Minimally Invasive Joint Procedures

General Orthopedic Trauma & Care

Comprehensive Non-Surgical Management of arthritis and degenerative joint conditions.

From sudden sports injuries to chronic wear and tear, we provide the full spectrum of knee pain treatments.

Common Conditions Treated:

-Osteoarthritis: Wear-and-tear arthritis causing pain and stiffness.

-Meniscus Tears: Cartilage damage from twisting injuries or degeneration.

-Ligament Injuries: Including ACL, PCL, MCL, and LCL tears.

-Patellofemoral Pain & Instability: Knee cap pain and tracking issues.

-Tendonitis: Inflammation of the patellar or quadriceps tendons.

Advanced Treatment Options:

-Minimally Invasive Arthroscopy: For repairing meniscus tears, reconstructing ligaments, and cleaning out damaged tissue.

-Partial (Unicompartmental) Knee Replacement: An option for arthritis isolated to one part of the knee, preserving more natural bone.

-Total Knee Replacement: For severe, widespread arthritis.

-Biological Treatments: Utilizing PRP (Platelet-Rich Plasma) and viscosupplementation (gel injections) to promote healing and lubrication.

Specialized Care for Seniors & Active Adults

We understand the unique orthopedic needs that come with age. Our goal is to help you maintain an active, independent, and pain-free lifestyle.

-Geriatric-Focused Joint Care: Comprehensive management of arthritis, osteoporosis-related fractures, and degenerative joint disease.

-Total Joint Replacement for Longevity: Performing hip and knee replacements with a focus on rapid recovery, durability, and restoring function to keep you doing the things you love.

-Conservative Management First: We explore all non-surgical options—including targeted injections, physical therapy, and lifestyle modifications—before recommending surgery.

-Holistic Pre- & Post-Surgical Support: Our team provides dedicated guidance to ensure you are optimally prepared for surgery and supported through every step of your recovery at home.

Testimonials

Robert, 72 (Total Knee Replacement)

"After years of arthritis pain, I put off surgery for too long. Dr. Perales and his team gave me my life back. I'm gardening and traveling with my wife again without a constant ache."

Maria, 58 (Knee Arthroscopy for Meniscus Tear)

"A hiking injury left me unable to walk comfortably. Dr. Perales performed a minimally invasive surgery, and the recovery was much faster than I expected. I'm back on the trails!"

James, 65 (Total Hip Replacement)

"The stiffness was unbearable. From the first consultation, I felt confident. The procedure was smooth, and the post-op care was exceptional. I wish I hadn't waited."

Frequently Asked Questions

Common Questions Answered for your convenience.

I'm over 70. Am I too old for joint replacement surgery?

Age is just one factor. Overall health is more important. We conduct thorough evaluations to ensure you are a good candidate for surgery, and many patients in their 70s, 80s, and beyond have excellent outcomes.

What's the difference between arthritis and a knee injury?

Arthritis is typically a gradual wear-and-tear of joint cartilage. A knee injury is often a sudden event damaging structures like ligaments or meniscus. Both can cause significant pain, and Dr. Perales is expert in treating both.

Will I need a total knee replacement, or are there other options?

Not always. Depending on the damage, options may include arthroscopic surgery, partial replacement, or non-surgical management. Dr. Perales will recommend the most conservative effective treatment for your specific condition.

How long is the typical recovery after knee replacement surgery, and will I need help at home?

Most patients stay in the hospital for 1-3 days. You will be walking with assistance the same or next day. Full recovery and return to all activities can take 3-6 months, with steady improvement each week. Planning for help at home for the first 1-2 weeks is strongly recommended for meals, chores, and transportation. Our team will provide a detailed recovery plan and resources.

Are there options to manage knee pain without surgery?

Absolutely. We always explore a full range of conservative treatments first. These can include a tailored physical therapy program, anti-inflammatory medications, corticosteroid injections for inflammation, viscosupplementation (gel shots) to lubricate the joint, and lifestyle/activity modifications. Surgery is considered only when these methods no longer provide adequate relief.

Does Dr. Perales accept international patients, and what is the process for a consultation?

Yes, Dr. Perales welcomes international patients. The process typically begins with a virtual consultation to discuss your medical history and review any imaging (X-rays, MRIs) you can provide. Following this, our international patient coordinator will assist with scheduling, travel logistics, and providing cost estimates for those paying directly.