Orthopedics pertains to patients of all ages and does not only concern the correction of deformities; in a broader sense, it is also aimed at treating musculoskeletal disorders so as to allow patients to perform daily life activities efficiently, whether it is about work, sport, recreation, or simply at home.

What is generally referred to as ORTHOPEDICS deals with musculoskeletal-articular problems due to tissue degeneration, in turn generated by aging, inflammatory pathologies, genetic predisposition, in addition to many other causes. The second major branch of Orthopedics is TRAUMATOLOGY, that is, the study and treatment of traumatic diseases affecting bones, but also joints, muscles and tendons: even in this case, older patients are particularly at risk, due to the propensity to falls and to the increased fragility of the bone as a consequence of osteoporosis.

The continuous aging of the population makes orthopedic-traumatological pathologies increasingly frequent: it is therefore necessary to rely on professionals who understand the role played by advanced age in the genesis and course of these diseases. Over time, the increase in life expectancy has resulted in a population of patients with specific care needs. This faces health professionals with previously unthinkable challenges.

These challenges, both diagnostic and therapeutic, have led the scientific community towards the creation of a new branch of medicine: ORTHOGERIATRICS.

Up to now, given a diagnosis of degenerative or traumatic orthopedic condition, any therapeutic indication (and in particular surgery) has been guided by purely technical reasons; however, elderly patients shall be considered within a global – therefore multidisciplinary – framework, aimed at guiding the entire subsequent therapeutic process.

As a result, the traditional approach aimed solely at surgery extends to a new integrated approach, under the coordination of an Orthogeriatrics specialist, in a strictly multidisciplinary perspective: the goal is to create a care project, which does not only involve surgery but rather focuses entirely on the patient, so as to personalize treatments and make the individual central to the care being provided.

The ultimate goal is to treat fragility before the fracture occurs: in fact, it is estimated that the mortality rate from femoral fractures equals that of breast cancer. Hence, avoiding fractures means reducing both the disability and the mortality resulting from them. Extremely innovative methods are currently emerging in the field of Orthogeriatrics (femoroplasty – BIOS method), which allow to treat the damaged bone (now empty) by means of a mechanical implant in titanium and local injection of substances which restore the original resistance, also stimulating the growth of healthy bone cells (osteoinduction and osteoconduction).

Columbus Clinic Center hosts an Orthogeriatric Center offering the following diagnostic & therapeutic services.

  • Orthogeriatric multidisciplinary framework
  • Orthopedic examination
  • Geriatric examination
  • Physiatric examination
  • Specialized consultations


  • Identification and classification of the fragile patient (geriatric assessment scales)
  • Identification and classification of bone fragility
  • Orthopedic examination (osteoporosis)
  • DXA
  • Assessment of bone metabolism
  • X-ray and vertebral morphometry


  • Creation of a personalized care project:
  • Antiosteoporotic therapy
  • Support for global fragility (both pharmacological and nutritional)


      Indication for surgical treatment:

  • Rehabilitation protocol (Residential and home-based)
  • Surgical treatment
  • Osteosynthesis of proximal femur fractures,
  • Osteosynthesis of wrist fractures,
  • Osteosynthesis of humerus fractures
  • Osteosynthesis of fragility fractures
  • Hip replacement surgery
  • Knee replacement surgery
  • Knee arthroscopy
  • BIOS method for treating edema and bone necrosis (hip and knee).
  • BIOS method for biological osteosynthesis of fractures
  • Femoroplasty (BIOS) for the reinforcement of bones at risk of fracture


Head of the Center

Prof. Rinaldo Giancola – Past-president – Italian Society of Orthopedics and Geriatric Traumatology (SIOT)