Reconstructive Surgery

The main clinical activities are dedicated to patients affected with tumors of the musculoskeletal system (bone and soft tissue tumors).
In most cases, these are primary tumors that affect adults and children.
The main specialization is related to spinal tumors.
The rachis tumor causes complex reconstructive problems. The reconstruction of entire column segments after the removal of 2 or 3 vertebral bodies requires the use of surgical techniques that are very challenging for the surgeon and the patient.
Other complex procedures include those for the treatment of the pelvis tumor and of tumor of 'long bones' in the limbs.
The surgical activity includes the treatment of patients with degenerative pathology of the column, including the arthritic primitive pathology
and due to scoliosis, rheumatoid arthritis, the diseases that originate after surgery, all degenerative disease of hip and knee.

In addition, we perform surgical activities for the diagnosis of oncological diseases.
The clinical interest focuses on bone and joint infections that affect tens of thousands of Italians every year and are one of the most difficult problems to treat in orthopaedics and traumatology.
Infections can cause pain, redness, wound secretions, fever.Sometimes, however, the signs of bone infection are minimal and only blood tests and other specific tests can allow an accurate diagnosis. Infections may affect bone and joints because of traumas, surgical interventions, or bacteria that they localize in bones and joints, usually starting from another infectious outbreak.
Infections can affect all bones, but in general affect the tibia, the femur, the humerus, the hand, the foot, the spine.

Surgical treatment of vertebral neoplastic primary and secondary lesions, both benign and malignant.

This includes:

  • Single or multiple monoblock vertebrectomy
  • Monoblock vertebrectomy extended to surrounding organs (chest wall, great vessels, pulmonary parenchyma)
  • Anterior vertebral stabilization-arthrodesis
  • Posterior vertebral stabilization-arthrodesis
  • Associated stabilization-arthrodesis with anterior and posterior approach
  • Percutaneous vertebroplasty and kyphoplasty
  • Bone biopsy
  • Surgical treatment of primary and secondary neoplastic lesions, both benign and malignant, of the musculoskeletal system
  • Resection-reconstruction-stabilization of any bone segment affected by neoplastic musculoskeletal diseases
  • Resection and reconstruction of any osteo-articular segment affected by neoplastic musculoskeletal disease with special prosthesis for great resections
  • Customized resection-reconstruction for the most complex cases with custom-made prosthesis built thankst to CT images
  • Surgical treatment of common diseases of the rachis. This surgery includes:
  • Correction and stabilization of deformities (scoliosis, kyphosis)
  • Correction and stabilization of spondylolysis-spondylolisthesis (congenital and degenerative)
  • Treatment of rachis traumas (fractures) and its invalidating outcomes
  • Surgery of disk herniation (cervical, thoracic and lumbar)
  • Surgery of vertebral infections (bacterial spondylodiskitis and tuberculosis).

Admissions in 2014: 441

Bone infections often require complex and long treatment, that should be performed in specialized centers.
The first step is the diagnosis, then a specific therapy is started - the quicker this process is, the higher the recovery possibilities are.
If the infectious process is long, it is difficult to control it and get a recovery.

  • Prosthetic surgery and revision of septic joint prosthesis
  • Arthroscopic surgery
  • Osteomyelitis surgery
  • Surgery of post-surgical and post-traumatic bone and joint infections 
  • Septic arthritis
  • Septic pseudarthrosis .

Admissions in 2014: 318

 

The revision of hip prosthesis are carried out with revision materials or with antibiotic cement spacers, if results of septic phenomena are present.

As far as knee prosthesis are concerned, we carry out total prosthesis with median peripatellar incision, minimally invasive incision for unicompartmentmental knee prosthesis (locked and unlocked plate), femoral-patellar prosthesis.

For the prosthesis of shoulder we perform interventions with anatomic or reverse prosthesis depending on the type of osteoarthritis.

For prosthesis interventions we have a Recovery Room where patients can be observed after the intervention.

 

Research on new oncological markers in the blood:

  • Cooperation with the research activities of the Istituto Mario Negri in Milan, for the study of biological and biomolecular mechanisms related to cancer cells aggression on bone tissue
  • Collaboration with the surgical activities of the Istituto Nazionale dei Tumori di Milano addressed to the research and treatment of sarcomas and rare cancers
  • Study on the evolution of reconstructive implants of the rachis after vertebrectomy, biomechanical behavior and evaluation of bone integration
  • Study on special implants for joint reconstruction and reconstruction of limb skeletal segments
  • Use of bone substitutes and homologous tissues from the Banca Regionale lombarda of musculoskeletal tissues and related studies.

Evaluation of postoperative blood loss after total knee prosthesis surgery using Aquamantys tool for intraoperative coagulation.

Compared evaluation of gonathrosis treatment analyzing two groups of patients treated with  infiltrative therapy with hyaluronic acide and infiltrative biological therapy (PRP).

Evaluation study on a group of patients undergoing total hip implantation with biological treatment of stem cells of bone-acetabular interface.

 

The main clinical activities are dedicated to patients affected with tumors of the musculoskeletal system (bone and soft tissue tumors).
In most cases, these are primary tumors that affect adults and children.
The main specialization is related to spinal tumors.
The rachis tumor causes complex reconstructive problems. The reconstruction of entire column segments after the removal of 2 or 3 vertebral bodies requires the use of surgical techniques that are very challenging for the surgeon and the patient.
Other complex procedures include those for the treatment of the pelvis tumor and of tumor of 'long bones' in the limbs.
The surgical activity includes the treatment of patients with degenerative pathology of the column, including the arthritic primitive pathology
and due to scoliosis, rheumatoid arthritis, the diseases that originate after surgery, all degenerative disease of hip and knee.

In addition, we perform surgical activities for the diagnosis of oncological diseases.
The clinical interest focuses on bone and joint infections that affect tens of thousands of Italians every year and are one of the most difficult problems to treat in orthopaedics and traumatology.
Infections can cause pain, redness, wound secretions, fever.Sometimes, however, the signs of bone infection are minimal and only blood tests and other specific tests can allow an accurate diagnosis. Infections may affect bone and joints because of traumas, surgical interventions, or bacteria that they localize in bones and joints, usually starting from another infectious outbreak.
Infections can affect all bones, but in general affect the tibia, the femur, the humerus, the hand, the foot, the spine.

Surgical treatment of vertebral neoplastic primary and secondary lesions, both benign and malignant.

This includes:

  • Single or multiple monoblock vertebrectomy
  • Monoblock vertebrectomy extended to surrounding organs (chest wall, great vessels, pulmonary parenchyma)
  • Anterior vertebral stabilization-arthrodesis
  • Posterior vertebral stabilization-arthrodesis
  • Associated stabilization-arthrodesis with anterior and posterior approach
  • Percutaneous vertebroplasty and kyphoplasty
  • Bone biopsy
  • Surgical treatment of primary and secondary neoplastic lesions, both benign and malignant, of the musculoskeletal system
  • Resection-reconstruction-stabilization of any bone segment affected by neoplastic musculoskeletal diseases
  • Resection and reconstruction of any osteo-articular segment affected by neoplastic musculoskeletal disease with special prosthesis for great resections
  • Customized resection-reconstruction for the most complex cases with custom-made prosthesis built thankst to CT images
  • Surgical treatment of common diseases of the rachis. This surgery includes:
  • Correction and stabilization of deformities (scoliosis, kyphosis)
  • Correction and stabilization of spondylolysis-spondylolisthesis (congenital and degenerative)
  • Treatment of rachis traumas (fractures) and its invalidating outcomes
  • Surgery of disk herniation (cervical, thoracic and lumbar)
  • Surgery of vertebral infections (bacterial spondylodiskitis and tuberculosis).

Admissions in 2014: 441

Bone infections often require complex and long treatment, that should be performed in specialized centers.
The first step is the diagnosis, then a specific therapy is started - the quicker this process is, the higher the recovery possibilities are.
If the infectious process is long, it is difficult to control it and get a recovery.

  • Prosthetic surgery and revision of septic joint prosthesis
  • Arthroscopic surgery
  • Osteomyelitis surgery
  • Surgery of post-surgical and post-traumatic bone and joint infections 
  • Septic arthritis
  • Septic pseudarthrosis .

Admissions in 2014: 318

 

The revision of hip prosthesis are carried out with revision materials or with antibiotic cement spacers, if results of septic phenomena are present.

As far as knee prosthesis are concerned, we carry out total prosthesis with median peripatellar incision, minimally invasive incision for unicompartmentmental knee prosthesis (locked and unlocked plate), femoral-patellar prosthesis.

For the prosthesis of shoulder we perform interventions with anatomic or reverse prosthesis depending on the type of osteoarthritis.

For prosthesis interventions we have a Recovery Room where patients can be observed after the intervention.

 

Research on new oncological markers in the blood:

  • Cooperation with the research activities of the Istituto Mario Negri in Milan, for the study of biological and biomolecular mechanisms related to cancer cells aggression on bone tissue
  • Collaboration with the surgical activities of the Istituto Nazionale dei Tumori di Milano addressed to the research and treatment of sarcomas and rare cancers
  • Study on the evolution of reconstructive implants of the rachis after vertebrectomy, biomechanical behavior and evaluation of bone integration
  • Study on special implants for joint reconstruction and reconstruction of limb skeletal segments
  • Use of bone substitutes and homologous tissues from the Banca Regionale lombarda of musculoskeletal tissues and related studies.

Evaluation of postoperative blood loss after total knee prosthesis surgery using Aquamantys tool for intraoperative coagulation.

Compared evaluation of gonathrosis treatment analyzing two groups of patients treated with  infiltrative therapy with hyaluronic acide and infiltrative biological therapy (PRP).

Evaluation study on a group of patients undergoing total hip implantation with biological treatment of stem cells of bone-acetabular interface.

 

Alessandro Luzzardi

Years of experience: 25

Head of the Centre of Reconstructive Orthopaedic Surgery of the rachis (Oncological Orthopaedic Surgery) - IRCCS Istituto Ortopedico Galeazzi

Carlo Romanò

Years of experience: 25

Head of the Center of Reconstructive Surgery and Osteoarticular Infections - IRCCS Istituto Ortopedico Galeazzi

He focuses on the physiology of muscles and of the peripheral nervous system. He cooperated with the Department of Human Physiology, Università di Milano.

He coperates with the University of South California in Los Angeles, USA, in order to develop new technologies for muscular enhancing.
Pathophysiology of the hip and knee therapies and surgical correction of deformities and joint replacement.