Daniele Scipio’s research while affiliated with University of Siena and other places

Introduction The cortical wire cercaclage have been saw like the devil by the orthopedics however which have been an easy practice in bone cylinder discontinuity reduction. Our experience in hip arthroplasty femoral revision surgery convinced us to introduce the wire cerclage in femoral fractures associating it with intramedullary nailing alternatively to traditionally more invasive and less biomechanically natively to traditionally more invasive and less biomechanically advantageous plate and screw osteosinthesis. Materials and methods We have started to use this technique in temoral fractures in 2008. We had treated 13 patients in whom the wire cerclage was needed in fractures reduction with intramedullary nailing. Results We had very good results in fractures healing and patient function recovery without complications.

Total hip arthroplasty (THA) has been indicated as the surgical intervention with greatest improvement in pain and physical function. However some patients continue to experience hip pain after elective surgery. We investigate prognostic factors that negatively affect treatment effectiveness and the patient outcome. The "hip region" constitutes the groin, buttock, upper lateral thigh, greater trochanteric area, and the iliac crest. Pain originating from various sources and not directly linked to prosthesis may be perceived here and includes the lumbosacral spine, referred pain from abdominal organs and soft tissue sources such as trochanteric bursitis, tendinitis, hip abductor dysfunction, and inguinal hernia. An accurate assessment of the pain cause is extremely difficult to construct and a complete differential diagnosis is fundamental. We assess all the possible causes of hip pain after THA and we divide them depending on the presence or absence of radiographic signs.

Background: The increasing desire to protect the periarticular structures has led to the need for Tissue Sparing Surgery. The accesses most widely used are the direct-lateral approach and the postero-lateral one, both with patient in lateral decubitus. Aim: However, these accesses require an incision of tendons and muscles even in their minimally invasive technique, so we looked for an approach that would wholly protect the periarticular structures and allow us not to revise our experience in patient positioning, preparation of the operating field and surgeon’s position during surgery. Our intent was to leave the acquired knowledge unchanged and to preserve unaltered the anatomical landmarks that we had previously identified and consolidated for the correct positioning of the components.