Francesco Verde

IRCCS Ospedale San Raffaele

Purpose This study aimed to formulate evidence‐based recommendations for optimising wound management in hip and knee arthroplasty by exploring alternative methods such as barbed sutures and skin adhesives. Methods A Delphi panel, comprising seven orthopaedic surgeons, one musculoskeletal infectious disease specialist, and one health economics expe...

Two balancing techniques are available in the less frequent case sce‐ nario of non‐wear of the distal femur. Since the percentage of non‐worn distal femurs in advanced knee OA is <5%, it assumes the risk of overindication. In the rare cases where it is, the wear is not volumetrically significant and therefore does not functionally matter with respe...

Background: To evaluate the clinical and radiological outcomes of aseptic revision of total knee arthroplasty (TKA) using the Vanguard 360 Revision Knee System with the hybrid cementation technique. Methods: Between January 2014 and October 2016, nineteen aseptic revision TKAs were carried out with the Vanguard 360 Revision Knee System (Zimmer-B...

Background The aim of this study is to compare 2 groups of total knee arthroplasties (TKAs): the bicruciate-retaining (BCR—group) and cruciate-retaining total knee arthroplasty (CR—group), evaluating the functional results in the short-term follow-up. Methods 24 BCR were included in the study and were compared with a group of 24 TKAs performed wit...

Background The aim of this study is to compare 2 groups of total knee arthroplasties (TKAs): the bicruciate-retaining (BCR—group) and cruciate-retaining total knee arthroplasty (CR—group), evaluating the functional results in the short-term follow-up. Methods 24 BCR were included in the study and were compared with a group of 24 TKAs performed wit...

Patients eligible for knee and/or hip arthroplasty exhibit osteoarthritis pain, loss of functional mobility and pronounced disability. The wait time for arthroplasty appears critical for the patient with relevant implications on both functional status and surgery outcomes. Pre-operative pain has been identified as a predictive factor of short-and l...

Introduction The purpose of this study was to evaluate the efficacy and safety of adipose-derived stem cell (ADSC) or stromal vascular fraction (SVF) injections for knee osteoarthritis (OA) treatment by analyzing all randomized controlled trials dealing with this topic. Materials and Methods The following search terms were used in PUBMED, EMBASE, S...

Background Bilateral unicompartmental knee arthroplasty (UKA) may be performed as one- or two-stage procedure. Previous reports suggest that UKA provides a more rapid functional recovery than total knee arthroplasty. However, little data exist on whether bilateral UKA can be performed without increasing the perioperative risk compared with unilater...

One of the most evolving fields in orthopedics is knee replacement surgery. The ultimate goal is to let the patients have the same function, activity level, and feedback of a normal knee. To obtain them, research focuses in developing more anatomical components and in a closest reproduction of native biomechanics; surgical techniques develop to obt...

One of the most evolving fields in orthopedics is knee replacement surgery. The ultimate goal is to let the patients have the same function, activity level, and feedback of a normal knee. To obtain them, research focuses in developing more anatomical components and in a closest reproduction of native biomechanics; surgical techniques develop to obt...

Purpose: The advantages of simultaneous bilateral procedures in joint arthroplasty have been widely described for in total joint replacements of both the hip and the knee. In contrast, unicompartmental knee arthroplasties, despite their effectiveness in pain relieving and functional improvement, are underinvestigated in these terms. The purpose of...

Coronal alignment in TKA poses two main questions. First, whether the jointline has to be perpendicular to the tibial axis or it should follow the anatomy and consequently be 2–4° oblique in varus. Second, if the final mechanical axis has to be neutral (0°) or follow the anatomy and have a consequent ipocorrection in varus or in valgus, depending o...

In the last few years, on the basis of the excellent long-term results achieved with unicompartmental knee replacement (UKR), there is growing interest in single or combined compartmental substitutions of the knee while preserving the anterior cruciate ligament (ACL) [1] (Fig. 11.1). This kind of prosthesis is consistent with tissue-sparing surgery...

In the last 10 years, the use of unicompartmental knee replacement (UKR) instead of total knee replacement (TKR) has increased, especially in young patients. This surgical technique can be used if ligament stability is maintained and the femoropatellar joint and medial or lateral femorotibial compartment are intact. UKR is less invasive than total...

Unicompartmental knee replacement (UKR) has well known advantages over total knee replacement (TKR), such as less invasiveness, respect of both cruciate ligaments, better function, and less morbidity. However, the survival rates of UKR are typically inferior to those obtained with TKR. The higher failure rate of the former has been ascribed to the...

About 20 % of patients undergoing a primary total hip arthroplasty could undergo a second contralateral procedure within five years. The possibility to perform simultaneous bilateral hip replacements instead of two-stage surgery could reduce hospitalisation time and patient management costs, but concerns exist because of risks related to massive bl...

Background: Blood loss during total joint arthroplasty strongly influences the time to recover after surgery and the quality of the recovery. Blood conservation strategies such as pre-operative autologous blood donation and post-operative cell salvage are intended to avoid allogeneic blood transfusions and their associated risks. Although widely i...

The bi-unicompartmental knee prosthesis [1–5] is a system that uses two independent components, femoral and tibial, to preserve the tibial eminentia with the anterior cruciate ligament (ACL). Although in the majority of prosthetic knee systems the cruciate ligaments are sacrificed or only the posterior cruciate ligament (PCL) is preserved, a long-t...

In the past few years, with the introduction of minimally invasive surgery (MIS) and based on excellent unicompartmental prosthesis (UKR) long-term results, we are experiencing a renewed interest in single or associate compartmental substitutions of the knee compared with anterior cruciate ligament (ACL). The UKR prosthesis is used in tissue-sparin...

The patellofemoral joint replacement is a surgical treatment which was introduced in the early 50′ but has recently experienced a revival, for indications and results, due to the development of new designs available on the market. The choice of the prosthesic model to employ is nowadays directed towards straight-cut models (onlay). At present resea...

...Technology in Arthroplasty THE PROBLEM OF U.K.R. REVISIONS S. Romagnoli E. Bibbiani...durable prosthetic models. Also the amount of revisions, performed for different...K.R.s, is proposed. Revision procedure strongly depends...

Die Physiologie und Biomechanik des Kniegelenks sind Themen der medizinischen Forschung seit dem frühen 19. Jahrhundert. Heute ermöglichen uns In-vitro- und In-vivo-Methoden mathematische Modelle zur Auswertung der statischen und dynamischen Kniefunktion zu erstellen (Abb. 1) [1–3, 33].