General Orthopedics

The General Orthopedics Complex Structure of the Rizzoli-Sicily Department comprises an Orthopedic hospitalization ward, a medical day hospital, a day surgery service for surgical interventions not requiring hospitalization, and an outpatient clinic for specialist visits.

The Complex Structure is provided with a ward composed of 34 beds, divided in two sections with 17 beds each. Rooms have 2 beds, each room being provided with a bathroom, and they host regular hospitalizations, day hospital and day surgery patients and sub-intensive therapy hospitalizations.

The presence of the orthopedist MD at the ward is guaranteed each working day from 8am to 8pm. At nighttime and on holidays, an anesthetist-resuscitator MD is on duty, while two orthopedists are available on call.

Prof. Zaffagnini and his équipe in the operating room of the Rizzoli-Sicilia Department

Clinical activity

Clinical activity focuses on the traditional fields of clinical interest and research of the Rizzoli Orthopaedic Institute in Bologna. In particular, the Complex Structure of General Orthopedics treats the following clinical issues:

  • prosthetic pathologies of the lower limb (hip, knee and tibiotarsal prosthesis) and of the upper limb (shoulder prosthesis): special attention is dedicated to mini-invasive prosthetic implants, like coated prostheses sparing the bone tissue, innovative materials like ceramic-on-ceramic, titanium alloys and bioactive coating such as hydroxyapatite;
  • knee pathologies. In particular, lesions of the meniscus and of the knee cruciate ligaments; ankle capsular-ligament lesions; lesions of the tendons and of the joint cartilage. In addition, the Structure treats osteochondral lesions with techniques of cartilage tissue regenerative medicine, utilizing stem cells;
  • shoulder pathologies. The Structure treats pathologies such as the lesions of the rotator cuff, impingement syndromes of the subacromial space, calcific tendinopathies and chronic instabilities like the habitual shoulder dislocation;
  • pathologies of the ankle and foot. The Structure treats finger deformities such as the valgus hallux, mallet fingers and hammer fingers; deformities of the hind foot such as flat foot and claw-foot; outcomes of congenital deformities, like the clubfoot;
  • adult pathologies of the vertebral column such as lumbago caused by adult degenerative pathologies, disc herniation and/or vertebral stenosis. Lumbago is treated by a multidisciplinary team (orthopedist, physiatrist, pain therapist and interventional radiologist) and specific therapeutic paths are identified, encompassing rehabilitative and pharmacological care, closed surgery and habitual surgical interventions;
  • trauma outcomes. Due to their complexity, sometimes severe fractures do not heal and result in pseudarthrosis or delayed consolidation; or they can heal with an axis deviation or a shortening  and may require further corrective interventions to improve the functional result;
  • tumoral pathologies of the bones or muscles. When a tumoral disease is suspected, all check-up radiologic tests are performed (nuclear magnetic resonance, CT scan, bone scintigraphy), while bioptic samples allow the Department of Anatomy and Pathological Histology of the Rizzoli Institute in Bologna to reach a histological diagnosis and to define the best treatment.

Research Activity

Research in clinical activity focuses on the study of prosthetic implants, of the shape of the implant and on bone mini-invasiveness, utilizing the latest methodologies for computer-assisted surgery.
A second topic of the research activity consists in the evaluation and development of innovative procedures for ligaments reconstruction and for the reparation and substitution of meniscal structures.
The validation of innovative techniques for the treatment of pre-arthrosic pathologies, through the use of the most advanced techniques of cellular therapy, constitutes another important line of research of the Department.

Content updated 17/05/2016 - 16:43
Content edited by: Prof. Stefano Zaffagnini