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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10279/269

Autori: Fantini, Flavio; Istituto Ortopedico G. Pini, Milano - Università degli Studi di Milano, Dipartimento di Scienze Chirurgiche Ricostruttive e Diagnostiche
Original title: La patologia dell’anca nel bambino. Una storia dell’Istituto Ortopedico Gaetano Pini di Milano
Titolo: Hip disorders in children. A history of the Gaetano Pini Institute in Milan
Abstract: La storia inizia con una malattia che oggi è quasi completamente scomparsa, ma che nella seconda metà del XIX secolo, era una delle malattie più invalidanti dell’infanzia: il rachitismo. E’ nel testamento di un patrizio milanese, il Marchese Alessandro Visconti d’Aragona, che appare il primo seme, l’idea iniziale di un Istituto per i bambini rachitici poveri. Il generoso benefattore, nel 1850, destinava una somma, notevole per quei tempi, a favore di un “Ospedale ortopedico per la cura di bambini affetti da rachitide”. Questa nobile intenzione poté avere pratica attuazione solo molti anni dopo, quando, vinti i pregiudizi e le diffidenze degli increduli, il sorriso degli scettici, l’indifferenza dei più, il Dott. Gaetano Pini, apostolo fervente di quest’opera, fondava a Milano, coll’aiuto di molte caritatevoli persone, che avevano aderito al suo Manifesto diramato in data 24 febbraio 1874, la prima “Scuola dei Rachitici”.
English abstract: The paper reviews the history of the Gaetano Pini Institute, formerly known at the time of its foundation in 1874 by Gaetano Pini as the “Charitable Institute for Children Suffering from Rickets”, with particular concern on the main hip disorders of children treated at this hospital along the course of its development from an Asylum-School to a modern Orthopedic Rheumatologic Institution. The main events of the history of the Institute were: the inauguration of the Main Old Building in 1881, the nomination of the Institute as the Orthopedic Clinic of the new-born University of Milan in 1924, the inauguration of the New Building dedicated to the Prince of Piedmont in 1931, the air-raid bombing with the almost complete destruction of several old pavilions (1942-1943), the reconstruction of the damaged wards with the construction of a new main building (Block A) inaugurated in 1955, the inauguration of Block B and the beginning of the activity of the Department of Rheumatology in 1967, the enlargement and renovation of all the buildings (1999 – 2011). As the hip disorders in children, if the main concerns at the end of the XIX century were Rickets and Scrofula, during the first decades of the XX century diagnosis and treatment of Developmental Dysplasia of the hip were among the main topics considered at the Institute. After World War II attention was driven to Perthes’ disease, frequently a late consequence of the Paci-Lorentz method of treatment of hip dysplasia. After the beginning of the activity of the Center for Rheumatic Children (1970), juvenile coxarthritis as a manifestation of Juvenile Idiopathic (Rheumatoid) Arthritis became a focal point of investigation with the support of the new imaging techniques (Ultrasound Ecography and Magnetic Resonance Imaging) and new therapies. Meanwhile total hip replacement also in juveniles had become one of the excellence activities of the Institute
English Mesh: History of Medicine
Hip Joint
Data: 2009
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