At the Clinica San Francesco the robotics is protagonist not just in operating room, but it is inserted in the rehabilitation course, before and after the knee and hip replacement operation.

The clinic staff, composed by orthopaedic surgeons and physiotherapists, directed by orthopaedic surgeon and director of Orthopaedics and Traumatology Unit, Dr Piergiuseppe Perazzini, developed an intensive rehabilitation protocol that, thanks to the use of robotic platform combined with the robotic prosthetic surgery, ensures the recovery of activities in record time and qualitatively better.

Hunova, this is the name of the robotic platform, is characterized by:

•          A total modulation of operating parameters

•          An easy re-programmability of exercises without changing physically the platform

•          An objective assessment of patient’s state by data acquisition (pre, during and post-intensive rehabilitation).

Thanks to the platform the personnel is able to personalize the rehabilitation treatment.

The protocol realized is called ““H2M2H”, an acronym that means “Hunova to Mako to Hunova” and consists in an initial assessment, before operation, both clinical and robotic, of postoperative intensive rehabilitation under the system of admission (about 10-14 days) during which the patient uses daily the platform together with the traditional rehabilitation, a clinical assessment before discahrge and, finally, a robotic assessment of follow-up 3 months since operation. The protocol “H2M2H” is dedicated to the patients who undergo the robotic total and partial knee and hip replacement by Mako robot.

The protocol “H2M2H” was born by a study that compared the effectiveness of rehabilitation course by platform with a traditional course on patients who underwent the total knee replacement operation. So a database was created where the resulting data from two types of course had been inserted. The data, once compared, revealed that the patients treated with robotic rehabilitation at the moment of follow-up after 3 months achieved better outcomes.

The training carried out with Hunova platform, during the intensive rehabilitation phase after knee replacement, has positive effects on the balance, maintenance of upright position and two functional and fundamental movements in activities of daily life: sitting down and standing (assessed with the robotic) and during the walk.