Knee replacement surgery
Anallergic prostheses and solutions for patients with prosthetic failure history
At the Clinica San Francesco are carried out operations of knee partial or total replacement surgery, using anallergic arthroprostheses for metal allergic patients (as, in spite of hip prostheses, the knee ones, in femoral component, are realized with a metal alloy containing nickel, chrome and cobalt that are metals to which more frequently the contact develop allergies. The prosthetic designs are various and similarly the type of fixation (strengthened, not strengthened, hybrid).
The prosthetic application procedures are various: the traditional (using precomposed incision masks on the basis of a postoperative radiologic study), the experienced (turning to a intraoperative system that can provide detailed information on the components positioning) and the robotic (partial or unicompartimental and total implants applied with Mako Rio Robot system). The choice of implant type and application procedure is done on the basis of shared criteria and guidelines, trying to give patient the best solution for his/her specific problem.
The revision surgery of prosthetic failures represents an ample area of work, extremely difficult, technically complicated, using prosthetic models and different procedures depending on cases, and turning to also to donor transplantations in failures with important destruction of bone tissue.
Both infections (with the support of infectious disease specialists) and mobilizations are treated with very satisfactory results. This is a sector in progressive expansion owing to the growing number of implants and length of average life.
Finally the traumatologic field uses procedures and instruments allowing the reconstruction of damaged structures and the functional recovery as quickly as possible.
Postoperative antalgic treatment
In postsurgical phase the patient is followed by an anesthetist who takes care of prevention and treatment of prosthetic painful symptomatology, turning to the most innovative procedures (selective block of nervous branch, peridural tubes, continuous administration of analgesic minidoses, et cetera) and the use of state of the art drugs.