The improvement of surgical techniques (minimally invasive “tissue sparing” approaches, that is, to save bone and muscle) and the use of the latest generation biomaterials (trabecular metal, osteoinductive materials, highly cross-linked polyethylene with vitamin E, delta ceramic) has allowed us to obtain excellent results, with increasingly broader indications for each pathology and applicable to an increasingly wider population, even juveniles (<55 years). The success of the intervention is the result of a team work of dedicated specialists – surgeons, doctors, nurses, physiotherapists – which guarantees the optimization of all phases of the entire process: evaluation, preparation, surgery, anesthesia, course, rehabilitation. The multiple operational opportunities currently available to the orthopedist make it possible to apply personalized surgery. Personalized prosthetic surgery evaluates various aspects concerning: the possibility of a correct anatomical and functional reconstruction, the quality and damage to the bone, the preservation of all healthy tissues, the state of health and functional requirements of the subject, the realistic possibility of optimal recovery. Based on these assessments, the type of surgical access, the model and material of the implant and joint coupling, the pre- and post-operative path, the type and duration of rehabilitation are chosen.

Our standard in the choice of the hip implant foresees the use of titanium alloy prostheses, monobloc or modular, as small as possible, with articular surface in delta ceramic or polyethylene added with vitamin E with antioxidant activity. The prostheses used in revision surgeries are more voluminous and invasive, often in tantalum and including adaptable modular parts that allow the reconstruction of missing bone areas.