Stefano Ghirardelli, MD

Knee & hip

My Specialties

My clinical practice focuses on hip and knee conditions, with a personalized approach that combines international surgical experience, minimally invasive techniques, advanced technologies, and attention to functional recovery.

Every treatment plan is individualized: the goal is not to apply a standard technique, but to choose the best option for each patient's diagnosis, age, activity level, expectations, and lifestyle.

01

Knee Replacement Surgery

I perform knee replacement using a range of surgical techniques and alignment strategies, with or without robotic assistance. The goal is to choose the solution best suited to each patient's anatomy, severity of osteoarthritis, deformity, ligament stability, activity level, and functional expectations.

Robotic surgery can be a useful tool for accurate pre-operative planning, improving the radiographic precision of component positioning and personalizing certain aspects of the implant. However, current evidence suggests that robot-assisted total knee replacement offers greater radiological precision and modest early-recovery benefits, without clearly demonstrating superior long-term clinical outcomes compared with conventional manual surgery.

For this reason, I do not consider robotic surgery to be necessarily better for everyone, but rather a tool to be used when it can offer a real advantage in an individual case. For other patients, a well-performed manual technique can be an equally valid and effective choice.

Alongside the traditional surgical approach, I also use the subvastus approach, a technique that, in selected cases, allows greater preservation of the quadriceps muscle and may promote faster functional recovery in the early post-operative phases.

I also perform knee replacement with both mechanical and kinematic alignment (and its modifications), choosing the most appropriate strategy based on the patient's anatomical and functional characteristics. Again, no single method is universally superior: the quality of the result depends on correct indication, planning, and execution of the procedure.

The choice between manual or robotic surgery, traditional or subvastus approach, mechanical or kinematic alignment is therefore defined in a personalized way, with the aim of achieving a stable, functional knee suited to the patient's specific needs.

02

Minimally Invasive Hip Replacement

In hip replacement I use minimally invasive techniques focused on tissue preservation, reduced surgical trauma, and functional recovery.

In particular, I perform procedures through the direct anterior approach and the STAR approach, techniques that, in selected patients, allow work through favorable anatomical planes, limiting muscle damage and facilitating recovery after surgery.

Minimally invasive surgery does not simply mean a "smaller incision": above all it means careful planning, respect for anatomy, and choice of the safest and most effective surgical route for each individual patient.

03

Revision Joint Replacement

I also perform revision joint replacement of the hip and knee: procedures required when a previously implanted joint replacement must be replaced or corrected due to loosening, wear, instability, infection, stiffness, persistent pain, or other complications.

Revision surgery is one of the most complex areas of orthopedic surgery and requires specific experience, detailed planning, and the ability to manage bone defects, soft-tissue alterations, and complex implants.

My training at the Hospital for Special Surgery in New York, an international referral center for complex orthopedic and joint replacement surgery, allowed me to deepen my expertise specifically in the treatment of revisions and high-complexity cases.

04

Knee Sports Surgery

Alongside joint replacement, I perform knee sports surgery, with particular attention to the treatment of ligament, meniscal, and cartilage injuries.

The goal is to help the patient recover stability, function, and confidence in movement, both in daily life and in returning to sport. Every treatment is built according to the type of injury, age, sporting level, and functional expectations of the patient.

My clinical fellowship in sports surgery in Canada allowed me to deepen modern techniques of reconstruction, repair, and joint preservation, with an approach oriented toward functional recovery and prevention of further joint damage.

05

Regenerative Medicine

Regenerative medicine represents a non-surgical or complementary therapeutic option in some joint, tendon, and muscle conditions.

I use biological and injectable treatments, such as PRP, in selected patients with the aim of reducing pain, improving function, and modulating inflammatory processes. These therapies may be indicated in some forms of early or moderate osteoarthritis, tendinopathies, muscle injuries, and painful joint conditions.

Regenerative medicine does not always replace surgery, but it can be a useful tool within a personalized treatment pathway, especially when the goal is to control symptoms, delay more invasive procedures, or promote biological tissue recovery.

Questions about your case?

A specialist consultation allows us to define the most appropriate plan, including non-surgical options.

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