Reconstructive Orthopaedic Surgery Innovative Techniques - Musculoskeletal Tissue Bank

The Ward Reconstructive Orthopaedic Surgery and Innovative Techniques - Musculoskeletal Tissue Bank includes a total of 24 beds, distributed in 8 rooms with 3 beds each; all rooms are provided with bathrooms. A doctor from the Unit is on duty from 7.30am to 7.30pm on workdays and from 7.30am to 1.30pm on pre-holidays; on holidays, the ward is visited in the morning. The Unit shares the plaster room and the medication room with other units. The divisional outpatient clinic is open on Tuesday, Wednesday and Thursday. The afferent outpatient clinic for Regenerative Medicine is open on Wednesday afternoons; again on Wednesday afternoons the Unit offers a Diagnostic-Therapeutic-Assistential pathway for persons suffering from Congenital Hemorrhagic Diseases and Arthropathies, in collaboration with the Angiology and Coagulation Diseases Service of the S.Orsola-Malpighi General Hospital. 

Clinical Practice

The Unit focuses mainly on reconstructive and conservative surgery and lower limb prosthetic disorders, in particular of the hip and knee.

Osteo-cartilaginous hip, knee and ankle lesions are treated especially in young patients, with a focus on the use and development of conservative surgical techniques, using osteochondral scaffolds, growth factors and stem cells.

Prosthetic hip surgery, performed on both primary and secondary arthrosis (for dysplastic, rheumatic, post-traumatic disorders) is mainly focused on the use of conservative implants allowing to better preserve the bone availability, utilizing, when possible, access routes that respect muscular insertions (anterior route to the hip), with the aim to reduce as much as possible the recovery needed to resume normal activities, and to optimize post-surgical functionalities. Particular attention is also dedicated to the diagnosis and surgical treatment of painful hip arthroprosthesis (echo-guided test with local anaesthetics, arthrolysis and arthroscopic tenotomy).

Hip prostheses replantations are performed for both septic and aseptic mobilizations. In particular, we use the most modern revisional prosthetic solutions, with the utilization of biocompatible and low-wear materials. Special attention is paid to the restoration of severe bone loss, with the utilization of customized bone from the Bank.  

In the field of degenerative knee pathologies, we perform prosthetic surgery interventions with the application, in specific cases, of computer-assisted methodologies. We also perform knee prosthesis revisions, for both septic and aseptic mobilizations.

The Unit also treats osteomyelitis.

Day Surgery activities are prevalently dedicated to knee and ankle arthroscopy.

The Regenerative Medicine outpatient clinic treats, in particular, patients with osteonecrosis of the femoral head and other areas (humerus, knee, ankle), together with hip pathologies without prosthetic indications (hip arthroscopy, osteotomy, joint reconstruction) and pseudarthroses of the long bones.

Research Activity

Research activity is primarily dedicated to the development and utilization of conservative prosthetic implants, together with the use of mini-invasive access routes (anterior route to the hip). We also implement personalizing methodologies for clinical-assistential pathways in case of hip and knee prostheses, through the utilization of computer-assisted techniques, appropriate use of blood and the optimization of rehabilitative pathways (fast-track pathway).

Our research field include bone and cartilage reconstruction techniques and customized grafts, together with the use of growth factors and stem cells and the study of biomaterials. 

The Musculoskeletal Tissue Bank

The Complex Structure Reconstructive Orthopaedic Surgery and Innovative Techniques - Musculoskeletal Tissue Bank also includes, in addition to the regular hospital structure, the Musculoskeletal Tissue Bank (BTM) of the Rizzoli Orthopaedic Instutute. The main synergy developed together with the clinical activity of the Ward regards the preparation of bone grafts suitable for the skeletal reconstruction of substance loss in cases of revisional prosthetic surgery and pseudarthrosis of the long bones.

The Bank is provided with a dedicated website: www.btm.ior.it (in Italian).

Content updated 30/05/2019 - 15:16
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