Orthopedics


Curriculum vitae

 

Guido Nasta

  • Orthopedics and traumatology
  • Knee pathologies
  • Hip disorders
  • Vertebral pathologies
  • Shoulder disorders
  • Foot pathologies
  • Sports traumatology

Currently performs:
  • Hospital activity at the Accredited Private Hospital Villa Erbosa in Bologna
  • Hospital activity at the Domus Nova Accredited Private Hospital in Ravenna
  • Outpatient activity at various studies in Emilia Romagna and Liguria.

Insights

Arthrosis

Osteoarthritis is the progressive wear of the cartilage, an elastic tissue that acts as a shock absorber between one bone and another, decreasing friction. If it is worn it causes a decrease in joint movement, stiffness, pain and finally deformity. 

Among the risk factors there are: 

  • age (over 80 affects 44% of the population) 
  • obesity (which causes joint fatigue)
  • genetic factors (familiarity for arthritic diseases) 
  • functional overload (due to particular work or sports activities) 

Furthermore, it can be favored by previous traumatic injuries of the joint or by joint instability especially if associated with meniscectomy and muscle hypotonia. Intra-articular administration of low molecular weight hyaluronic acid is useful, both to decrease joint pain and swelling and to encourage reparative processes in modest grade lesions. The beneficial effects tend to last for several months. Infiltrations with autologous conditioned plasma (ACP) represent a new procedure for the treatment of the initial forms of arthrosis (grade I-III). Growth factors present in the blood can stimulate healing processes in damaged cartilage of the joints, with significant improvements in the course of pain and motility. The procedure involves taking a small amount of blood from the patient, acquiring the serum by centrifugation and subsequently injection into the joint. In cases of focal (ie limited) wear of a cartilage, autologous transplantation is indicated. The wear of the cartilage exceeds a certain threshold, the only possible treatment for the resolution of the symptoms is the replacement of the articular heads with a prosthesis (shoulder, hip and knee arthroplasty).

Arthroplasty

Joint diseases have surgery as their only therapeutic resource, especially in cases of traumatic or arthritic etiology. The progress of medicine is in continuous and constant evolution, surgical techniques become more and more refined with considerable savings of anatomical structures and the materials used are increasingly sophisticated.It is important, however, that scientific progress is combined with the constant and continuous updating of the Orthopedic Specialist, both in knowledge and in practical familiarization with these procedures, to guarantee patients a high therapeutic standard and cutting-edge materials. 

  • The advantages of ceramics at a glance: 
  • Excellent biological behavior 
  • No known risk of allergy 
  • Absence of concern about the release of Co, Cr ions and Ni
  • Reduced risk of revision due to periprosthetic joint infections (PJI) 
  • No known pathogenic reaction to ceramic particles 
  • Resistant to third body wear 
  • Cone corrosion significantly reduced Excellent wettability 

For years I have been carrying out shoulder, hip and knee arthroplasty operations or, using the latest generation and cutting-edge materials according to international indications: 

  • Ceramic / ceramic coupling Biolox Delta or Polyethylene added to Vitam. 
  • And in metal prostheses with low allergen effect and cross-linked polyethylene or with vitam. And in knee and shoulder prostheses.

Arthroscopy

Knee arthroscopy finds application in the treatment of meniscal, ligamentous, cartilaginous lesions, in the removal of mobile bodies, in fractures of the tibial spines, in cartilage transplants, in biopsies, in inflammatory pathologies of the synovial membrane. 

Shoulder arthroscopy allows suturing of injured tendons due to pain and motor deficit. 

Getting informed about your disease and participating in your treatment are winning attitudes to face any health problem. It is good to remember, however, that only an orthopedic specialist doctor can make an exact diagnosis and therefore prescribe and perform the appropriate treatment.

For appointment and info request send an e-mail to Dr. Nasta