ʻIke ʻia i 1963, The Galeazzi Orthopedic Institute, I.R.C.C.S. (ʻEpekema Institute for Research, Hospitalization and Health Care), ma Milan ʻo ia, ʻoiai, ʻo 2001, ka hale kula mua no ka hoʻopiʻi orthopedic ma ka Lombardy Region, me 3300 prosthetic surgeries a me 1000 spinal arthrodesis interventions i kēlā me kēia makahiki, ʻo ia ke kikowaena kumumea no ka ʻaha lokomotor pilikia ʻōnaehana.