{"id":31901,"date":"2026-03-31T12:28:14","date_gmt":"2026-03-31T10:28:14","guid":{"rendered":"https:\/\/test.nefrocenter.it\/specialita\/complex-orthopedic-surgery\/"},"modified":"2026-11-06T11:19:43","modified_gmt":"2026-11-06T10:19:43","slug":"complex-orthopedic-surgery","status":"publish","type":"specialita","link":"https:\/\/test.nefrocenter.it\/en\/specialita\/complex-orthopedic-surgery\/","title":{"rendered":"Complex Orthopedic Surgery"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"31901\" class=\"elementor elementor-31901 elementor-28499\" data-elementor-post-type=\"specialita\">\n\t\t\t\t<div class=\"elementor-element elementor-element-df1ef83 e-flex e-con-boxed e-con e-parent\" data-id=\"df1ef83\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-0079906 e-con-full e-flex e-con e-child\" data-id=\"0079906\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-255855a elementor-widget elementor-widget-menu-anchor\" data-id=\"255855a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"spalla\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3d4f316f elementor-widget elementor-widget-text-editor\" data-id=\"3d4f316f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Il prof. Raffaele Russo<\/strong>, Professore Straordinario di ortopedia e traumatologia presso la Facolt\u00e0 di Medicina e Chirurgia \u201cVincenzo Tiberio\u201d di Campobasso, vanta nel suo Curriculum <strong>19 anni di Primariato di Ortopedia e Traumatologia dell\u2019Ospedale dei Pellegrini di Napoli<\/strong> con <strong>Direzione del Dipartimento delle Emergenze e di Direzione della Seconda Unit\u00e0 Operativa di Ortopedia.<\/strong> \u00c8 considerato uno dei Padri fondatori della chirurgia della Spalla e del Gomito in Italia con Esperienza certificata di Eccellenza Europea in questo campo. Ha a suo nome quattro brevetti internazionali, oltre 100 pubblicazioni scientifiche h-index Scopus e oltre 20.000 interventi chirurgici.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9483527 elementor-widget elementor-widget-text-editor\" data-id=\"9483527\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2><strong>Chirurgia della Spalla<\/strong><\/h2><p><strong>Ricostruzioni della testa omerale<br \/>Con tecnica del Bone Block, messa a punto dal Prof Russo nel 2006.<\/strong><br \/>Con l\u2019utilizzo di un innesto osseo, artificiale oppure prelevato dal paziente o dalla banca dei tessuti, si compensa la perdita di osso trabecolare della testa omerale, gravemente danneggiata. L\u2019obiettivo \u00e8 il ripristino dell\u2019anatomia originaria della testa omerale. L\u2019innesto viene stabilizzato mediante una placca a stabilit\u00e0 angolare, che consente un\u2019immediata mobilizzazione post-operatoria, favorendo un rapido recupero della funzione articolare.<\/p><p><strong>Instabilit\u00e0 recidivanti con perdita ossea: <\/strong>Interventi combinati per stabilizzare l\u2019articolazione e ricostruire la glenoide e l\u2019omero nei casi di lussazioni ricorrenti vengono effettuati con procedure artroscopiche o a cielo aperto in base alla complessit\u00e0 dei casi.<\/p><p><strong>Artroprotesi complesse: <\/strong>Il Team si interessa di Impianto di protesi inverse o anatomiche in pazienti con artrosi grave, rotture massive della cuffia e di ri-protesizzazione in caso di fallimenti protesici. Malattie degenerative della cuffia dei rotatori vengono trattate in artroscopia anche con transfer tendinei e muscolari<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5a35d30 e-con-full e-flex e-con e-child\" data-id=\"5a35d30\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-74849cf elementor-widget elementor-widget-menu-anchor\" data-id=\"74849cf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"gomito\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f4e00e5 elementor-widget elementor-widget-text-editor\" data-id=\"f4e00e5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2><strong>Chirurgia del Gomito<\/strong><\/h2><p><strong>Artroscopia del gomito: <\/strong>Tecnica mininvasiva utilizzata per diagnosticare e trattare rigidit\u00e0, impingement, rimozione di corpi mobili intrarticolari e pulizia chirurgica.<\/p><p><strong>Trattamento dell&#8217;Epicondilite\/Epitrocleite: <\/strong>Interventi a cielo aperto o artroscopici) per asportare i tendini degenerati.<\/p><p><strong>Sindrome del Tunnel Cubitale: <\/strong>Decompressione o trasposizione del nervo ulnare, spesso necessaria per formicolio e debolezza alla mano.<\/p><p><strong>Protesi di Gomito: <\/strong>Sostituzione protesica totale o del capitello radiale per artrosi grave, artrite reumatoide e fratture o esiti di fratture.<\/p><p><strong>Chirurgia dei Tendini e Legamenti: <\/strong>Riparazione del tendine bicipite o tricipite e ricostruzione del legamento collaterale mediale o laterale del gomito<\/p><p><strong>Trattamento della Rigidit\u00e0 (Artrolisi)<\/strong>: Rilascio delle aderenze interne ed esterne per ripristinare il movimento completo del gomito.<\/p><p><strong>Traumatologia: <\/strong>Riduzione e sintesi di fratture\u00a0o stabilit\u00e0 in caso di lussazioni.<\/p><h2><strong>Chirurgia del Ginocchio<\/strong><\/h2><p><strong>Lesioni cartilaginee complesse: <\/strong>Trattiamo difetti cartilaginei con tecniche come il trapianto osteocondrale, la mosaicoplastica o l\u2019impianto di biomateriali.<\/p><p><strong>Ricostruzioni legamentose multiple: <\/strong>Effettuiamo interventi su pi\u00f9 legamenti (LCA, LCP, collaterali) per pazienti sportivi o politraumatizzati, anche in caso di esiti da fallimenti precedenti.<\/p><p><strong>Instabilit\u00e0 complesse: <\/strong>Gestiamo instabilit\u00e0 croniche con tecniche chirurgiche personalizzate e un programma di fisioterapia integrata post-operatoria.<\/p><p><strong>Chirurgia post-traumatica ricostruttiva: <\/strong>Gestione di fratture, esiti di fratture mal consolidate o infezioni croniche, adottando un approccio multidisciplinare.<\/p><h2><strong>Chirurgia Protesica Complessa<\/strong><\/h2><p><strong>Revisione di protesi d\u2019anca e ginocchio: <\/strong>Trattamento di protesi fallite a causa di mobilizzazione, infezione o usura. Interventi di revisione con impianti speciali e ricostruzione ossea.<\/p><p><strong>Impianti per gravi deformit\u00e0 o perdite ossee: <\/strong>Soluzioni su misura per casi oncologici o post-traumatici complessi, dove la perdita di osso richiede impianti personalizzati.<\/p><p><strong>Protesi personalizzate: <\/strong>Grazie alla stampa 3D e alle ricostruzioni TC, creiamo protesi completamente personalizzate per anatomie complesse.<\/p><h2><strong>Chirurgia Traumatologica Maggiore<\/strong><\/h2><p><strong>Fratture complesse dell\u2019anca: <\/strong>Trattamento chirurgico di fratture articolari, instabili o multiple del femore prossimale, anche in situazioni di emergenza, utilizzando tecniche ricostruttive ad alta precisione.<\/p><p><strong>Pseudoartrosi e infezioni post-traumatiche: <\/strong>Gestione delle non consolidazioni ossee e delle infezioni ossee croniche, con rimozione di impianti, innesti ossei e stabilizzazioni dedicate.<\/p><p><strong>Ricostruzione di difetti ossei: <\/strong>Tecniche di trasporto osseo, impianto di sostituti o biomateriali e utilizzo di cellule staminali per favorire la rigenerazione.<\/p><h2><strong>Artroscopia Avanzata<\/strong><\/h2><p><strong>Chirurgia mininvasiva dell\u2019anca e del ginocchio: <\/strong>Utilizziamo tecniche artroscopiche per affrontare lesioni meniscali, legamentose, sinoviti, impingement dell\u2019anca e problemi alle cartilagini, il tutto con un approccio meno invasivo che favorisce un recupero pi\u00f9 rapido.<\/p><h3><strong>Diagnostica Avanzata<\/strong><\/h3><p><strong>Risonanza Magnetica (RM) ad alto campo: <\/strong>Utilizziamo apparecchiature all\u2019avanguardia con campi magnetici da 1.5T e 3T, che ci permettono di ottenere immagini ad altissima risoluzione di articolazioni, muscoli, tendini, midollo spinale e colonna vertebrale. Questo \u00e8 fondamentale per una diagnosi precoce di lesioni, patologie infiammatorie o degenerative.<\/p><p><strong>Tomografia Computerizzata (TC) multistrato: <\/strong>Grazie alla tecnologia multistrato, possiamo acquisire immagini tridimensionali dettagliate in tempi rapidissimi, il che \u00e8 particolarmente utile per valutazioni ossee complesse, fratture articolari, protesi e pianificazioni pre-operatorie.<\/p><p><strong>Radiografia digitale diretta: <\/strong>Il nostro sistema radiografico di ultima generazione \u00e8 veloce e riduce al minimo l\u2019esposizione ai raggi. Consente esami in tempo reale, con immagini ad alta definizione pronte subito.<\/p><p><strong>Ecografia muscolo-scheletrica ad alta risoluzione: <\/strong>Questa indagine dinamica ci permette di valutare in tempo reale muscoli, tendini, legamenti e articolazioni, ed \u00e8 fondamentale anche per le infiltrazioni ecoguidate.<\/p><p><strong>Studi biomeccanici e di movimento: <\/strong>Analizziamo il passo, il carico e la distribuzione delle forze articolari per una valutazione funzionale completa, particolarmente utile per pazienti con disabilit\u00e0 motorie, post-traumi o protesi.<\/p><p><strong>Elettromiografia (EMG): <\/strong>Questo esame neurofisiologico ci aiuta a valutare la funzionalit\u00e0 dei nervi periferici e dei muscoli, ed \u00e8 essenziale in caso di radicolopatie, neuropatie e compressioni nervose, come nel caso della sindrome del tunnel carpale.<\/p><h3><strong>Laboratorio analisi specializzato<\/strong><\/h3><p>Offriamo esami ematochimici mirati per indagini su patologie reumatiche, infettive e metaboliche dell\u2019osso, come osteoporosi, infezioni periprotesiche e artrite reumatoide.<\/p><h2><strong>Medicina Rigenerativa<\/strong><\/h2><p><strong>Cellule staminali mesenchimali: <\/strong>Offriamo trattamenti biologici mirati a stimolare la rigenerazione di cartilagini, tendini e ossa in pazienti selezionati, attraverso un processo di prelievo e reiniezione autologa.<\/p><p><strong>PRP \u2013 Plasma Ricco di Piastrine: <\/strong>Questa tecnica rigenerativa \u00e8 particolarmente utile per le lesioni tendinee, le patologie articolari iniziali e per il trattamento conservativo di diverse problematiche ortopediche.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-545f9ea e-flex e-con-boxed e-con e-parent\" data-id=\"545f9ea\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7b283f6 elementor-widget elementor-widget-menu-anchor\" data-id=\"7b283f6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"unitaoperative\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2b7d9be elementor-widget elementor-widget-heading\" data-id=\"2b7d9be\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Le Unit\u00e0 Operative<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7c94c7e e-con-full e-flex e-con e-child\" data-id=\"7c94c7e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-d10162f e-con-full e-flex e-con e-child\" data-id=\"d10162f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ef30880 elementor-widget elementor-widget-menu-anchor\" data-id=\"ef30880\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"sez3\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8c250d0 e-con-full e-flex e-con e-child\" data-id=\"8c250d0\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0e1ba90 elementor-widget elementor-widget-menu-anchor\" data-id=\"0e1ba90\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"team\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8df06c2 elementor-widget elementor-widget-text-editor\" data-id=\"8df06c2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4><strong>Equipe Chirurgia della Spalla e del Gomito<\/strong><\/h4>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c5d6e56 e-con-full e-flex e-con e-child\" data-id=\"c5d6e56\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-698b369 elementor-widget elementor-widget-text-editor\" data-id=\"698b369\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #000080;\"><strong>Direttore | Prof. Raffaele Russo<\/strong><\/span><br \/>Specialista in Ortopedia e Traumatologia<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3242a35 e-con-full e-flex e-con e-child\" data-id=\"3242a35\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ec52e8c elementor-widget elementor-widget-text-editor\" data-id=\"ec52e8c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #000080;\"><strong>Dott. Antonio Guastafierro<\/strong><\/span><br \/>Specialista in Ortopedia e Traumatologia<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-528186a elementor-widget elementor-widget-text-editor\" data-id=\"528186a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #000080;\"><strong>Dott. Antonio Tartarone<\/strong><\/span><br \/>Specialista in Ortopedia e Traumatologia<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-193fb81 elementor-widget elementor-widget-text-editor\" data-id=\"193fb81\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #000080;\"><strong>Dott. Alfonso Fedele<\/strong><\/span><br \/>Specialista in Ortopedia e Traumatologia<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-712e162 e-con-full e-flex e-con e-child\" data-id=\"712e162\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-67eb508 elementor-widget elementor-widget-text-editor\" data-id=\"67eb508\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #000080;\"><strong>Dott. Andrea Vittorio Coscione<\/strong><\/span><br \/>Specialista in Ortopedia e Traumatologia<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8df1707 elementor-widget elementor-widget-text-editor\" data-id=\"8df1707\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #000080;\"><strong>Dott. Carlo Corvino<\/strong><\/span><br \/>Specialista in Ortopedia e Traumatologia<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-00e3f05 elementor-widget elementor-widget-text-editor\" data-id=\"00e3f05\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #000080;\"><strong>Dott. Francesco Gargiulo<\/strong><\/span><br \/>Specialista in Ortopedia e Traumatologia<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>The Complex Orthopedic Surgery area handles complex reconstructions and revisions, including after unsuccessful procedures elsewhere.<\/p>\n","protected":false},"featured_media":24360,"template":"","area_medica":[],"prestazione":[],"class_list":["post-31901","specialita","type-specialita","status-publish","has-post-thumbnail","hentry"],"acf":{"accreditato_ssn":false,"box_eccellenza":null,"eccellenza":true,"specialita_madre":null,"lead":"In the NefroCenter Group\u2019s Center for Complex Orthopedic Surgery, active at the Casa di Cura Villa dei Fiori and the Casa di Salute Santa Lucia and directed by Professor Raffaele Russo, latest-generation surgical techniques and instruments are used. The team of specialists performs highly complex operations, devoted to all reconstruction and revision techniques, including cases where operations performed elsewhere have failed. The team also deals with surgical solutions for infections of previously implanted prostheses and takes an active part in scientific research in the field of orthopedics.","occhiello":"","icona":"ortopedia","revisione_clinica":"","aggiornato":"","ambito_titolo":"","ambito_intro":"<h3>Shoulder and elbow surgery<\/h3>\n\n- <a href=\"\/en\/specialita\/shoulder-surgery\/\">Shoulder Surgery<\/a>\n- <a href=\"\/en\/specialita\/elbow-surgery\/\">Elbow Surgery<\/a>\n\n<h3>Hip and knee surgery<\/h3>\n\n- <a href=\"\/en\/specialita\/hip-surgery\/\">Hip Surgery<\/a>\n- <a href=\"\/en\/specialita\/knee-surgery\/\">Knee Surgery<\/a>","ambito_voci":"","ambito_chiusura":"","segnali_titolo":"","segnali_intro":"","segnali_voci":"","segnali_chiusura":"","img1_foto":"","img1_didascalia":"","servizi_titolo":"","servizi_intro":"<h3>Shoulder Surgery<\/h3>\n\nReconstruction of the humeral head<br>With the Bone Block technique, developed by Prof. Russo in 2006.<br>Using a bone graft, artificial or taken from the patient or from the tissue bank, the loss of trabecular bone of the severely damaged humeral head is compensated. The goal is to restore the original anatomy of the humeral head. The graft is stabilized with an angular-stability plate, which allows immediate post-operative mobilization, promoting a rapid recovery of joint function.\n\nRecurrent instability with bone loss: combined operations to stabilize the joint and reconstruct the glenoid and the humerus in cases of recurrent dislocation are performed with arthroscopic or open procedures depending on the complexity of the case.\n\nComplex joint replacement: the team deals with the implantation of reverse or anatomical prostheses in patients with severe osteoarthritis or massive rotator cuff tears, and with revision in cases of failed prostheses. Degenerative diseases of the rotator cuff are treated arthroscopically, including with tendon and muscle transfers.\n\n<h3>Elbow Surgery<\/h3>\n\nElbow arthroscopy: a minimally invasive technique used to diagnose and treat stiffness and impingement, remove intra-articular loose bodies and perform surgical debridement.\n\nTreatment of epicondylitis\/epitrochleitis: open or arthroscopic operations to remove the degenerated tendons.\n\nCubital tunnel syndrome: decompression or transposition of the ulnar nerve, often necessary for tingling and weakness in the hand.\n\nElbow replacement: total prosthetic replacement or radial head replacement for severe osteoarthritis, rheumatoid arthritis and fractures or their outcomes.\n\nTendon and ligament surgery: repair of the biceps or triceps tendon and reconstruction of the medial or lateral collateral ligament of the elbow.\n\nTreatment of stiffness (arthrolysis): release of internal and external adhesions to restore full movement of the elbow.\n\nTrauma: reduction and fixation of fractures or stabilization in cases of dislocation.\n\n<h3>Knee Surgery<\/h3>\n\nComplex cartilage lesions: we treat cartilage defects with techniques such as osteochondral transplantation, mosaicplasty or the implantation of biomaterials.\n\nMultiple ligament reconstructions: we perform operations on several ligaments (ACL, PCL, collaterals) for athletes or polytrauma patients, including cases of previous failed surgery.\n\nComplex instability: we manage chronic instability with personalized surgical techniques and an integrated post-operative physical therapy program.\n\nPost-traumatic reconstructive surgery: management of fractures, malunited fractures or chronic infections, with a multidisciplinary approach.\n\n<h3>Complex Joint Replacement Surgery<\/h3>\n\nRevision of hip and knee prostheses: treatment of prostheses that have failed because of loosening, infection or wear. Revision operations with special implants and bone reconstruction.\n\nImplants for severe deformities or bone loss: tailor-made solutions for complex oncological or post-traumatic cases, where bone loss requires custom implants.\n\nCustom prostheses: thanks to 3D printing and CT reconstructions, we create fully customized prostheses for complex anatomies.\n\n<h3>Major Trauma Surgery<\/h3>\n\nComplex hip fractures: surgical treatment of articular, unstable or multiple fractures of the proximal femur, including in emergency situations, using high-precision reconstructive techniques.\n\nNonunion and post-traumatic infections: management of bone nonunion and chronic bone infections, with removal of implants, bone grafts and dedicated stabilization.\n\nReconstruction of bone defects: bone transport techniques, implantation of substitutes or biomaterials and the use of stem cells to promote regeneration.\n\n<h3>Advanced Arthroscopy<\/h3>\n\nMinimally invasive hip and knee surgery: we use arthroscopic techniques to address meniscal and ligament injuries, synovitis, hip impingement and cartilage problems, all with a less invasive approach that promotes faster recovery.\n\n<h3>Advanced Diagnostics<\/h3>\n\nHigh-field Magnetic Resonance Imaging (MRI): we use state-of-the-art equipment with 1.5T and 3T magnetic fields, which allows us to obtain very high-resolution images of joints, muscles, tendons, spinal cord and spine. This is essential for the early diagnosis of injuries and inflammatory or degenerative conditions.\n\nMultislice Computed Tomography (CT): thanks to multislice technology, we can acquire detailed three-dimensional images in a very short time, which is particularly useful for complex bone assessments, joint fractures, prostheses and pre-operative planning.\n\nDirect digital radiography: our latest-generation X-ray system is fast and minimizes exposure to radiation. It allows real-time examinations, with high-definition images ready immediately.\n\nHigh-resolution musculoskeletal ultrasound: this dynamic investigation allows us to assess muscles, tendons, ligaments and joints in real time, and is also essential for ultrasound-guided injections.\n\nBiomechanical and movement studies: we analyze gait, load and the distribution of joint forces for a complete functional assessment, particularly useful for patients with motor disabilities, after trauma or with prostheses.\n\nElectromyography (EMG): this neurophysiological examination helps us to assess the function of the peripheral nerves and muscles, and is essential in cases of radiculopathy, neuropathy and nerve compression, as in carpal tunnel syndrome.\n\n<h3>Specialized clinical laboratory<\/h3>\n\nWe offer targeted blood tests for the investigation of rheumatic, infectious and metabolic bone diseases, such as osteoporosis, periprosthetic infections and rheumatoid arthritis.\n\n<h3>Regenerative Medicine<\/h3>\n\nMesenchymal stem cells: we offer biological treatments aimed at stimulating the regeneration of cartilage, tendons and bone in selected patients, through a process of harvesting and autologous reinjection.\n\nPRP \u2013 Platelet-Rich Plasma: this regenerative technique is particularly useful for tendon injuries, early joint disease and the conservative treatment of various orthopedic problems.","servizi_voci":"","servizi_chiusura":"","img2_foto":"","img2_didascalia":"","figlie_titolo":"","box_eccellenza_titolo":"","box_eccellenza_testo":"","rimandi_titolo":"","rimandi_voci":"","prevenzione_titolo":"","prevenzione_testo":"","visita_titolo":"","visita_passi":"","gruppo_titolo":"Shoulder and Elbow Surgery Team","gruppo_testo":"Prof. Raffaele Russo, Extraordinary Professor of Orthopedics and Traumatology at the \u201cVincenzo Tiberio\u201d Faculty of Medicine and Surgery in Campobasso, has in his curriculum 19 years as Head of Orthopedics and Traumatology at the Ospedale dei Pellegrini in Napoli, with the direction of the Emergency Department and of the Second Orthopedics Operating Unit. He is considered one of the founding fathers of shoulder and elbow surgery in Italy, with certified experience of European excellence in this field. He holds four international patents, over 100 scientific publications (Scopus h-index) and over 20,000 surgical operations.\n\nDirector | Prof. Raffaele Russo<br>Specialist in Orthopedics and Traumatology\n\nDott. Antonio Guastafierro<br>Specialist in Orthopedics and Traumatology\n\nDott. Antonio Tartarone<br>Specialist in Orthopedics and Traumatology\n\nDott. Alfonso Fedele<br>Specialist in Orthopedics and Traumatology\n\nDott. Andrea Vittorio Coscione<br>Specialist in Orthopedics and Traumatology\n\nDott. Carlo Corvino<br>Specialist in Orthopedics and Traumatology\n\nDott. Francesco Gargiulo<br>Specialist in Orthopedics and Traumatology","unita_titolo":"","extra1_titolo":"","extra1_intro":"","extra1_voci":"","extra1_chiusura":"","extra2_titolo":"","extra2_intro":"","extra2_voci":"","extra2_chiusura":"","faq_titolo":"","faq_voci":"","nc_sinonimi":"joint replacement, hip replacement, knee replacement, revision surgery, orthopedic surgery, bone surgery"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.3.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Complex Orthopedic Surgery - Gruppo NefroCenter<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Complex Orthopedic Surgery - Gruppo NefroCenter\" \/>\n<meta property=\"og:description\" content=\"The Complex Orthopedic Surgery area handles complex reconstructions and revisions, including after unsuccessful procedures elsewhere.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/test.nefrocenter.it\/en\/specialita\/complex-orthopedic-surgery\/\" \/>\n<meta property=\"og:site_name\" content=\"Gruppo NefroCenter\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/NefrocenterNefrocenter\/\" \/>\n<meta property=\"article:modified_time\" content=\"2026-11-06T10:19:43+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.nefrocenter.it\/wp-content\/uploads\/2026\/01\/russo-vdf.webp\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/test.nefrocenter.it\/en\/specialita\/complex-orthopedic-surgery\/\",\"url\":\"https:\/\/test.nefrocenter.it\/en\/specialita\/complex-orthopedic-surgery\/\",\"name\":\"Complex Orthopedic Surgery - 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