Department of Minimally Invasive and Robotic Prosthetic Surgery of Hip and Knee @ Ospedale San Raffaele
Minimally Invasive and Robotic Prosthetic Surgery of Hip and Knee Department of Ospedale San Raffaele applies prosthesis to restore joint mobility when this is compromised by degenerative diseases of hip and knee joints, such as primary arthritis or secondary joint degeneration to chronic inflammatory diseases, sepsis, fractures or previous surgeries.
Thanks to the experience of the professionals who compose the Unit, one of the most innovative Fast Track path in Italy has been developed: minimally invasive surgical techniques, equipment dedicated to fast recovery with pain reduction, post-operative assistance and personalized rehabilitation programs, allow patient to get back on his/her feet after the surgery already after 4-6 hours and to be started on an accelerated protocol of functional re-education.
This procedure is applied to all types of prosthetic surgical treatments of hip and knee. There is also a particular expertise in ACL sparing knee prosthetic implants, for a long time and on large number of cases, both in standard minimally invasive and in robotic surgery. Furthermore we have particular experience in simultaneous bilateral hip or knee implants as well as in combined hip and knee implants. Also in this case both in standard minimally invasive and robotic technique. In our department we perform more than 800 impalnts per year, 55% knee and 45% hip procedures, 15% bilateral simultaneous cases, 10% revisions. Around 40% of procedures are performed with Robotic technology.
Whereas, regarding knee prosthetic surgery, in view of the greatest possible minimal invasiveness, an approach aimed at preserving the anterior cruciate ligament is adopted by use of:
- isolated or associated unicompartmental implants (also combined with ACL recostruction): Medial or Lateral or Patello-Femoral isolated Uni, Bi-Unicompartmental ( medial and lateral joined), Bi-compartmental implant ( medial or lateral + Patello -femoral) ;
- ACL-preserving total prostheses.
Our excellence in numbers
Conditions we take care of at this Department
The main pathologies treated by the Minimally Invasive and Robotic Prosthetic Surgery of Hip and Knee Department are those that result in a disruption of the proper functioning of the joints. The most frequent ones include:
1. Primary knee osteoarthritis.
2. Secondary knee osteoarthritis, caused by:
- Iatrogenic osteoarthritis.
- Arthritis.
- Consequences of fractures.
- Ligamentous injuries and/or dislocations.
- Consequences of joint infections.
3. Primary hip osteoarthritis.
4. Secondary hip osteoarthritis, caused by:
- Arthritis.
- Consequences of fractures.
- Consequences of Perthes' disease.
- Consequences of epiphysiolysis.
- Congenital hip dysplasia.
- Consequences of joint infections.
- Femoroacetabular impingement (FAI)
- Consequences of knee and hip arthroplasty.
Notable advanced technological equipment
- 1 MAKO (Ab medica-Stryker) Robot
- 1 Rosa (Zimmer Biomet) Robot
Meet our team
Head physician
Francesco Verde
Featured physicians
The San Raffaele Research Hospital is a highly specialized multi-disciplinary medical center of world importance, which embodies the integrity of the treatment, clinical research and teaching activities. San Raffaele provides treatment in all existing medical fields, which allows this center to take care of the most complex patient cases. The Hospital is recognized as IRCCS (Scientific Institute for Research and Healthcare) for its research in molecular medicine and innovative treatments application, such as the gene therapy.
The hospital is a multi-specialty center with more than 50 clinical specialties available and with over 1600 beds; it is accredited by the Italian National Health System to provide care to both public and private, Italian and international patients. In 2018 the San Raffaele Hospital performed over 51,000 patient admissions, 72,000 emergency room encounters and delivered over 1.5 million outpatient medical services. It is widely regarded as the most celebrated hospital in the country and among the most reputable medical centers in Europe. San Raffaele’s wards and operating theatres are equipped with the most advanced machines, such as PET, PET/CT, Gamma Knife, Cyber Knife, Rapid Arc, Tomotherapy. San Raffaele’s Radiotherapy Unit was the first place in Europe to install Tomotherapy in 2004. Nowadays this Unit confirms to be one of the most experienced worldwide; it has developed numerous protocols for cancer treatment of the prostate, breast, central nervous system, brain, liver, pancreas, gastrointestinal tract, lungs, and others. The Oncological Board of the Hospital consisting of diagnosticians, clinical oncologists, immunologists, surgeons and radiotherapists, hold weekly meetings to discuss oncological patients’ pathways in a multidisciplinary manner.
Beside its Cancer Center, San Raffaele is well-known for its medical know-how in cardiology and cardiac surgery, neurology and neurosurgery, gastroenterology and gastrointestinal tract surgery, liver surgery, pancreas surgery, transplant medicine, gynecology and obstetrics, urology, dermatology, ophthalmology, immunology, rheumatology and pediatrics.
San Raffaele is a pioneer in the field of gene medicine and treatment of rare immunologic and genetic diseases. San Raffaele Scientific Institute is where the first in the world gene therapy with stem cells was created, named Strimvelis, for patients affected by ADA-SCID syndrome.
The Research at the San Raffaele Hospital focuses on integrating basic, translational and clinical research to provide the most advanced care to the patients. It counts on over 1,500 scientists, working in state-of-the-art facilities covering a surface of 130,000 square meters, and have produced over 1,446 scientific publications in 2018. Research at San Raffaele aims at understanding the mechanisms underlying a variety of important human diseases and at identifying new targets and new therapeutic strategies to treat them.
The San Raffaele Hospital hosts the Università Vita-Salute San Raffaele, a fully private university with a complete Medical School (including specialty courses and residencies), Nursing School, a Psychology graduate and post-graduate programs, and Allied Health Professions School. The mission of the Vita-Salute San Raffaele University is to answer the question "Quid est homo?" in the belief that the human being is a biological, psychological and spiritual unicum. Since 2010 the San Raffaele Hospital also hosts the International MD Program, the only graduate program accredited to license Medical Doctors in both Europe and North America.
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