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Advances in Orthopedic Trauma Surgery in Geriatrics
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Advances in Orthopedic Trauma Surgery in Geriatrics

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: closed (22 April 2024) | Viewed by 1848

Special Issue Editor

Prof. Dr. Ulrich Christoph Liener

E-Mail Website
Guest Editor
Department of Orthopedics and Trauma Surgery, Marienhospital, 70199 Stuttgart, Germany
Interests: orthopedics; geriatric trauma; fracture; hip fracture; upper extremity surgery

Special Issue Information

Dear Colleagues,

Despite recent advances in implant designs and surgical techniques, the management of geriatric fracture patients is still challenging because of their high prevalence of comorbidities and frailty. Although the standardized geriatric comanagement of trauma patients has resulted in a significant reduction in postoperative morbidity and mortality, much of our current care is still not optimal.

This Special Issue focuses on novel approaches to peri-operative care, fracture surgery, medical care, rehabilitation and secondary fracture prevention. Because the modern treatment of geriatric trauma patients is multi-professional, we invite authors from all professions involved in the treatment of geriatric patients to submit appropriate manuscripts.

Prof. Dr. Ulrich Christoph Liener
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • geriatric fractures
  • orthogeriatric care
  • osteoporosis
  • frailty
  • fragillity fractures
  • multidisciplinary care

Published Papers (2 papers)

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Research

10 pages, 904 KiB  
Article
Fracture Severity and Triangular Fibrocartilage Complex Injury in Distal Radius Fractures with or without Osteoporosis
by Ho-Won Lee, Ki-Tae Kim, Sanghyeon Lee, Joon-Hyeok Yoon and Jung-Youn Kim
J. Clin. Med. 2024, 13(4), 992; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm13040992 - 08 Feb 2024
Viewed by 583
Abstract
The purpose of this study was to investigate the fracture morphology of distal radius fractures (DRFs) with the status of triangular fibrocartilage complex (TFCC) foveal insertion in patients with or without osteoporosis and to identify the relationship between osteoporosis and foveal tear. Seventy-five [...] Read more.
The purpose of this study was to investigate the fracture morphology of distal radius fractures (DRFs) with the status of triangular fibrocartilage complex (TFCC) foveal insertion in patients with or without osteoporosis and to identify the relationship between osteoporosis and foveal tear. Seventy-five patients who underwent surgery for DRF from January 2021 to September 2023 were included. All patients were evaluated by standard radiography and dual-energy X-ray absorptiometry and underwent a 3.0 T magnetic-resonance imaging examination of the involved wrist to identify TFCC foveal tear. Patients were allocated into two groups according to the presence of osteoporosis: patients with osteoporosis (group I) and those without osteoporosis (group II). Group I showed a significantly larger displacement of fractures compared to group II (radial inclination; 13.7 ± 5.4 vs. 17.9 ± 4.2; p < 0.001, dorsal angulation; 22.2 ± 12.1 vs. 16.5 ± 9.4; p = 0.024, ulnar variance; 4.15 ± 2.1 vs. 2.2 ± 1.9; p < 0.001). Dorsal angulation and ulnar variance were found to be independent prognostic factors for TFCC foveal tear in logistic regression analysis. Displacement of fractures was related to osteoporosis, and dorsal angulation and ulnar variance were independent prognostic factors for TFCC foveal tear. However, osteoporosis was not identified as a factor associated with TFCC foveal tears. Full article
(This article belongs to the Special Issue Advances in Orthopedic Trauma Surgery in Geriatrics)
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12 pages, 271 KiB  
Article
Associated Factors of Functional Ability in Older Persons Undergoing Hip Surgery Immediately Post-Hospital Discharge: A Prospective Study
by Kanokwan Monkuntod, Suparb Aree-Ue and Inthira Roopsawang
J. Clin. Med. 2023, 12(19), 6258; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm12196258 - 28 Sep 2023
Viewed by 1006
Abstract
Background: hip fractures commonly have an impact on older adults’ health. Surgical treatment aims to reduce pain and promote functional ability. However, developing adverse health outcomes or complications post-hip surgery may impede older patients’ recovery to return to functional ability as pre-fracture. We [...] Read more.
Background: hip fractures commonly have an impact on older adults’ health. Surgical treatment aims to reduce pain and promote functional ability. However, developing adverse health outcomes or complications post-hip surgery may impede older patients’ recovery to return to functional ability as pre-fracture. We aimed to examine the association of personal factors and adverse health outcomes during hospitalization and post-hospital discharge on the functional ability of older people undergoing hip surgery. Methods: a total of 120 older people with hip fractures who were scheduled for surgery at three tertiary hospitals and met the inclusion criteria were recruited for this study. Data were obtained at admission, before discharge, and during the two-week postoperative follow-up using the Demographic, Hip Dysfunction and Osteoarthritis Outcome Score, Joint Replacement, the Confusion Assessment Method (CAM) Thai version, and Health Outcome Questionnaires. Descriptive statistics and multiple logistic regression analyses were performed to analyze the data. Results: most participants were female, with a mean age of 78.10 years (range = 60–93; SD = 8.37). The most common adverse health outcome during hospitalization was urinary tract infection, followed by delirium, pneumonia, deep vein thrombosis, and surgical site infection. At two weeks immediately post-hospital discharge, 16 participants experienced unpleasant events, including delirium, urinary tract infection, surgical site infection, and pneumonia. The significant predictors of poor functional ability at two weeks immediately post-hospital discharge were old age (OR = 1.114, p = 0.001), subtrochanteric fracture (OR = 13.48, p = 0.008), and type of surgery (OR = 4.105, p = 0.049). Full article
(This article belongs to the Special Issue Advances in Orthopedic Trauma Surgery in Geriatrics)
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