G Pilato

Università degli Studi dell'Insubria, Varese, Lombardy, Italy

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Publications (11)6.73 Total impact

  • A Bini, M F Surace, G Pilato
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    ABSTRACT: Twenty-two patients underwent surgery for 23 complex articular fractures of the distal radius of C.3 type, according to the AO classification. The surgical treatment consisted, in all cases, of a closed, or limited-open, reduction and external fixation. The functional and radiographic results were analysed at a mean follow-up of 40 months. This retrospective study confirms that satisfactory functional results where obtained in 12 out of the 15 wrists where all the intra and extra-articular parameters of the Fernandez' criteria where respected. For those wrists where keeping with Fernandez' criteria for intra-articular parameters and ulnar variance was not possible, four of eight had satisfactory results. As far as the acceptability criteria for radial inclination and dorsal tilt are concerned, the functional results seem to suggest that a little wider tolerance than proposed in the literature could be accepted.
    Journal of Hand Surgery (European Volume) 07/2008; 33(3):305-10. · 1.22 Impact Factor
  • Journal of Hand Surgery-european Volume - J HAND SURG-EUR VOL. 01/2007; 32:34-34.
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    ABSTRACT: An original technique for the arthroscopic diagnosis and treatment of the fractures of the radial head is proposed and described. The elbow arthroscopy is started with a 4.5-mm 30 degrees arthroscope from the proximal anteromedial portal and the anterior elbow is examined; then a proximal anterolateral portal is created and a full-radius blade inserted to take out the hematoma and to allow visualization of the radial head that is explored through the whole range of motion to visualize the fracture fragment. The fragment is manipulated by means of arthroscopic tools to reduce the anteromedial surface of the radial head. The arthroscope is now switched to the posterolateral portal and the posterior aspect of the humeral radial joint is visualized. The soft spot portal is used to insert a periosteal elevator to complete the reduction and firmly hold the fragment in the reduced position. An anterolateral portal is now created to allow the safe insertion of a guidewire, angled 45 degrees to the longitudinal axis of the radius, to pierce the fragment with. A 14-mm long cannulated screw is inserted along the guide after specific drilling. Finally, the reduction and the stability of the fixation are checked with during full rotation of the elbow. The described procedure has been performed in 6 patients. Short-term preliminary results show a satisfactory functional outcome. Among the advantages of the technique are the minimally invasive approach, the direct visualization of the fracture, and the benefits derived from the radiation-free procedure.
    Arthroscopy The Journal of Arthroscopic and Related Surgery 03/2006; 22(2):233.e1-233.e6. · 3.10 Impact Factor
  • Journal of Hand Surgery-british and European Volume - J HAND SURG-BRIT EUR VOL. 01/2006; 31:33-34.
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    ABSTRACT: The aim of this study was to describe microcirculation in the human digit, focusing on the vascular patterns of its cutaneous and subcutaneous areas. We injected a functional supranumerary human thumb (Wassel type IV) with a low-viscosity acrylic resin through its digital artery. The tissues around the vessels were then digested in hot alkali and the resulting casts treated for scanning electron microscopy. We concentrated on six different areas: the palmar and dorsal side of the skin, the eponychium, the perionychium, the nail bed and the nail root. On the palmar side, many vascular villi were evident: these capillaries followed the arrangement of the fingerprint lines, whereas on the dorsal side they were scattered irregularly inside the dermal papillae. In the hypodermal layer of the palmar area, vascular supports of sweat glands and many arteriovenous anastomoses were visible, along with glomerular-shaped vessels involved in thermic regulation and tactile function. In the eponychium and perionychium, the vascular villi followed the direction of nail growth. In the face of the eponychium in contact with the nail, a wide-mesh net of capillaries was evident. In the nail bed, the vessels were arranged in many longitudinal trabeculae parallel to the major axis of the digit. In the root of the nail, we found many columnar vessels characterized by multiple angiogenic buttons on their surface.
    Journal of Anatomy 03/2004; 204(2):123-31. · 2.36 Impact Factor
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    ABSTRACT: Until the mid-eighties, capitellectomy was the treatment of choice for displaced fractures of the radial capitellum. The observation of complications such as instability of the elbow, proximal migration of the radius, valgus and humerus-ulna arthrosis, led us to safeguard the capitellum until the biomechanics of the elbow had been restored. A total of 20 patients treated surgically for Mason type II and III displaced fracture of the radial capitellum were studied retrospectively. The patients were divided into two homogeneous groups, of which group 1 was made up of patients treated by capitellectomy, and group 2 by those treated by osteosynthesis. The patients were seen again at mean follow-up of 44.6 months and submitted to clinical and radiographic evaluation. The clinical results were satisfactory in 80% of cases in group 1 and in 100% of cases in group 2. Radiographic signs of arthrosis were present in 90% of patients who had undergone capitellectomy, and in 20% of those who had undergone osteosynthesis.
    La Chirurgia degli Organi di Movimento 01/2004; 89(3):213-22.
  • Giorgio Pilato, A. Bini, F. Baldo, L. Murena
    Journal of Hand Surgery-american Volume - J HAND SURG-AM. 01/2003; 28:57-57.
  • G. Pilato, F. Baldo, P. Cherubino
    Journal of Hand Surgery-british and European Volume - J HAND SURG-BRIT EUR VOL. 01/1997; 22(1):26-27.
  • P Cherubino, G Pilato
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    ABSTRACT: A case of intratendinous chondroma of a finger flexor tendon is described. To our knowledge, such a location has never been reported before.
    The Journal of Hand Surgery British & European Volume 12/1991; 16(4):462-3. · 0.04 Impact Factor
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    ABSTRACT: An original modification in the Burton-Pellegrini technique was used to treat 20 cases of trapeziometacarpal arthritis between 1992 and 2001. A retrospective evaluation concerned 13 cases and was based on functional and radiographic criteria measuring the height of the column of the thumb at rest and under stress. Mean follow-up was 54.2 months (range 24-144). The height of the column of the thumb was decreased in relation to that of healthy hands and shortening under stress was significantly correlated with an increase in pain under stress (R2 = 44.7; p = 0.012). The observation of hyperextension of the MP (> 20 degrees) at follow-up was correlated with worse functional results. The method proposed has proven to be reliable, safe, capable of guaranteeing greater force as compared to other surgical methods described in the literature. The study emphasizes the need for a careful preoperative evaluation and possible treatment of MP joint hyperextension.
    La Chirurgia degli Organi di Movimento 90(3):241-52.
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    ABSTRACT: SUMMARY Purpose: The aim of the study has been to assess the results of percutaneous fixation of scaphoid fractures by Twin- Fix® cannulated screw. Methods: From 2002 to 2005 we have treated 16 scaphoid fractures by this method: six distal oblique (B1), eight tranverse (B2) and two proximal third fractures (B3). Results: All fractures have healed. Only one patient complained of occasional pain after exertion. Flexion-extension arc attained 94% of contralateral wrist. Grip strength was comparable to the unaffected wrist. Conclusions: Percutaneous fixation by Twin-Fix screw has proved safe and effective in scaphoid fractures, allowing rapid healing with return to sports and work ac- tivities. Riv Chir Mano 2006; 3: 350-354