New Insights into Orthopaedic Trauma

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

Deadline for manuscript submissions: 31 May 2024 | Viewed by 1207

Special Issue Editor


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Guest Editor
Department of Trauma Surgery, Klinikum Rechts der Isar, Technical University of Munich, Ismaninger Str. 22, 81675 Munich, Germany
Interests: trauma; orthopedics; joint surgery; shoulder; elbow; cartilage; arthroplasty

Special Issue Information

Dear Colleagues,

This Special Issue of the Journal of Clinical Medicine will focus on new insights in orthopedic trauma. The main spotlight of this issue will be on new and innovative operative techniques. Orthopedic trauma concerns the total population beginning at infancy to children over midager to the  elderly population addressing a wide range of injuries caused by accidents which are not only related to the skeletal apparatus but also soft tissue, nerves and vessels in various anatomical areas of the human body. The affected areas include the skeletal system itself, but also the large (e.g. hip joint) and small joints (ac-joint), as well as ligaments and tendons as stabilizers of the joints enabling for movement and locomotion.

In the past years, orthopedic trauma was majorly committed to the treatment of fractures, tendon and ligamentous injuries. Despite the kind of the employed treatment in terms of immobilization in a plaster cast, intramedullary nailing or performing modern locking plates osteosynthesis, the principial objectives of sufficient treatment of posttraumatic after effects has not changed in the last decades. However, there are several aspects of the various available treatment options which have significantly changed. In this context to be primarily named is the alteration of the invasiveness and anatomic approaches of the surgical techniques. Distinct progress was recorded regarding quality and application of materials and implants used for treating results of orthopedic trauma but also regarding additive materials such as inductive bone replacement materials. Also the last years entailed an improvement of the imaging equipment used pre-, intra- as well as postoperatively. Focus was also set on progressive aftercare.

Also the orthopedic trauma experts have expanded their focus, broadening their horizons in the field of customised treatment, but also in skeletal health status (such as presence of osteoporosis), pain management, use of smart implants and also regenerative medicine.

Advances in these and other areas will be presented in this Special Issue to bring the reader up to date on the newest trends and developments in orthopedic trauma. The reader is encouraged to get to know additional advances in the care of their patients, using safe new treatment methods, and also great long-term outcomes patients.

Prof. Dr. Chlodwig M. Kirchhoff
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

  • trauma
  • orthopedics
  • joint surgery
  • shoulder
  • elbow
  • cartilage
  • arthroplasty

Published Papers (1 paper)

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Research

11 pages, 2029 KiB  
Article
Use of Distal Tibial Cortical Bone Thickness and FRAX Score for Further Treatment Planning in Patients with Trimalleolar Ankle Fractures
by Patrick Pflüger, Felix N. Harder, Karoline Müller, Lukas Willinger, Peter Biberthaler and Moritz Crönlein
J. Clin. Med. 2023, 12(11), 3666; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm12113666 - 25 May 2023
Viewed by 881
Abstract
Trimalleolar ankle fractures show a bimodal age distribution, affecting younger men and older women. Postmenopausal women often exhibit low bone mineral density, which contributes to a higher prevalence of osteoporotic-related fractures. The primary goal of this study was to analyse the association of [...] Read more.
Trimalleolar ankle fractures show a bimodal age distribution, affecting younger men and older women. Postmenopausal women often exhibit low bone mineral density, which contributes to a higher prevalence of osteoporotic-related fractures. The primary goal of this study was to analyse the association of patient characteristics with the cortical bone thickness of the distal tibia (CBTT) in trimalleolar ankle fractures. Methods: A total of 193 patients with a trimalleolar ankle fracture treated between 2011 and 2020 were included. Patient registries were reviewed regarding demographics, mechanism, and type of injury. The CBTT was assessed in radiographs and CT images. The FRAX score was calculated to estimate the probability for an osteoporotic fracture. A multivariable regression model was calculated to identify independent variables affecting the cortical bone thickness of the distal tibia. Results: Patients older than 55 years were 4.22 (95% CI: 2.12; 8.38) times more likely to be female. In the multivariable regression analysis, female sex (β −0.508, 95% CI: −0.739; −0.278, p < 0.001) and a higher age (β −0.009, 95% CI: −0.149; −0.003, p = 0.002) were independent variables associated with a lower CBTT. Patients with a CBTT < 3.5 mm had a higher 10-year probability for a major osteoporotic fracture (12% vs. 7.75%; p = 0.001). Conclusions: The assessment of the peripheral bone quality in routine computed tomography demonstrated that higher age and female sex are significantly associated with reduced cortical bone thickness of the distal tibia. Patients with a lower CBTT showed a higher probability for a subsequent osteoporotic fracture. In female patients with reduced distal tibial bone quality and associated risk factors, an osteoporosis assessment should be evaluated. Full article
(This article belongs to the Special Issue New Insights into Orthopaedic Trauma)
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