Costruzione di uno scaffold vascolarizzato per la chirurgia ortopedica

Specific aims The aim is to improve the treatment of the bone losses at the metacarpal bones level (both diaphysis and epiphysis) combining microsurgery, tissue engineering and biomaterials, so to minimize the donor side morbidity and optimize healing and outcomes. Methods Pre-operative controlateral X-ray or 3-D CT to allow custom-made HA scaffolds. Cement as temporary spacer in acute lesion and monitoring of infective risks. Treatment of the bone loss recurring to pre-fabricated or custom-made HA scaffolds, adding platelet gel or growth factor OP1. Stable synthesis. Control group with auto/omografts. Outcome indices: % of bone-union; finger TAM, Kapandji, DASH score; NMR and Scintigraphy at 180 days for revascularisation and bio-substitution of the scaffold. Preliminary results The authors just treated 6 patients, 4 males and 2 females, with an average age of 38.5 yrs, affected by segmental bone losses at the hand and wrist, recurring to pre-fabricated not vascularised scaffolds. In all cases the synthesis was performed with angular stability plates and a stable synthesis achieved. All patients have been controlled at a mean follow-up of 10.5 months (from 2 to 16 ). In all case but one the bone-scaffold osteo-integration was achieved at an average of 38 days at the hand, and 46 days at the wrist. The outcome studies, according to the DASH score, finger TAM, and Kapandji, were good and excellent in 5 cases, poor in one.

Appartenenze, identità e ruoli di genere negli adolescenti di origine immigrata. Uno studio qualitativo nel territorio di Monza e della Brianza

Starting from the contexts on which the researches about migrant minors and adolescents have been concentrated so far, school, free time, friends, family, society integration, this work puts attention on gender dimension, supporting the ideas that socialization is a life-long process, that gender and gender roles are a cultural construction and the subject has multiple identities. The research aim to understand if being male or female, related with ethnic and cultural origin, influences the identity construction, the gender belonging and roles, the behaviours, in a different way, in interaction with the different everyday contexts. The research points out how being male or female affects: - daily choices, expectations and behaviours inside peer group, family and school; - future expectations as adult inside family, work and society; - idea about the adolescence and the self-decription as adolescent, female, male and immigrant. The analysis highlights that the gender belonging, as the ethnic and cultural belonging, doesn’t drive behaviours, attitudes, expectations totally to tradition or totally to “western way”, in the different everyday contexts. There is rather a combination of these ways, choosing the one or the other way in the different contexts according to be in a position in which there are more or less contacts with the society they live in. Differently, the self perception as adolescent and as individual is relatively independent from gender and ethniccultural belonging, over which prevail the idea of “ peer normality”. Above all, it is important to put in evidence that they are experiencing a very high level of complexity and change as adolescent and migrant or migrant’ son. Personal, cultural and social transitions can explain a large part of variability and our difficulty to construct high defined classifications.