Transforming Orthopedic and Trauma Surgery with Data: From Claims Analysis to AI-Driven Insights

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: 31 March 2026 | Viewed by 329

Special Issue Editor


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Guest Editor
Department of Orthopaedic Surgery, University of Wuerzburg, 97074 Wuerzburg, Germany
Interests: foot and ankle surgery; trauma surgery; muscle injury; muscle regeneration
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Special Issue Information

Dear Colleagues,

The accelerating digital transformation in healthcare is offering unprecedented opportunities to improve clinical outcomes and health services in orthopedic surgery and traumatology. For this Special Issue, we welcome high-quality contributions that explore how data—ranging from national claims databases and electronic health records to machine learning models and big data pipelines—can provide novel insights into orthopedic care, surgical outcomes, patient safety, and system-wide efficiency.

We are particularly interested in interdisciplinary work spanning orthopedic and trauma surgery, medical informatics, epidemiology, and health services research. Topics of interest include, but are not limited to, the following:

  • Analysis of large-scale administrative health datasets (e.g., claims, registries);
  • Predictive modeling of surgical outcomes using AI/ML techniques;
  • Quality measurement and benchmarking in orthopedic and trauma care;
  • Postoperative complication tracking and risk stratification;
  • Real-world data applications for surgical decision-making and patient pathways;
  • The evaluation of health system performance in musculoskeletal interventions;
  • Ethical, legal, and policy challenges in the use of big data in orthopedics.

Prof. Dr. Ioannis Stratos
Guest Editor

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Keywords

  • orthopedic surgery
  • big data analytics
  • artificial intelligence
  • health services research
  • claims databases

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Published Papers (1 paper)

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Research

13 pages, 2054 KB  
Article
Patterns of Perfusion of Free ALT Flaps vs. Propeller Flaps of the Lower Extremity: A Comparative Study with the Use of LDSP
by Silvia Bernuth, Tobias Niederegger, Gabriel Hundeshagen, Konrad Fuchs, Rainer H. Meffert and Rafael G. Jakubietz
Healthcare 2025, 13(19), 2441; https://doi.org/10.3390/healthcare13192441 - 26 Sep 2025
Viewed by 169
Abstract
Introduction: Perforator-based fasciocutaneous flaps are particularly suitable for soft tissue reconstruction of the lower extremities. The most commonly used flap is the microvascular Anterior Lateral Thigh Flap (ALT). Pedicled propeller-type flaps are less frequently utilized due to higher complication rates. The aim of [...] Read more.
Introduction: Perforator-based fasciocutaneous flaps are particularly suitable for soft tissue reconstruction of the lower extremities. The most commonly used flap is the microvascular Anterior Lateral Thigh Flap (ALT). Pedicled propeller-type flaps are less frequently utilized due to higher complication rates. The aim of this study was to compare postoperative perfusion patterns of these fundamentally different flaps to increase their basic understanding. Methods: A retrospective data analysis was performed (2017–2022), including patients who underwent flap reconstruction of the lower extremity either with a perforator-based pedicled Propeller flap or free tissue transfer with an ALT flap. Only patients with documented postoperative perfusion monitoring of the flap using the laser Doppler spectrophotometry system (LDSP) were included. Demographic data, comorbidities and perioperative data as well as perfusion profiles given by the LDSP were analyzed. Results: Seven patients who received a propeller flap and 18 who received a free ALT were identified. Defects were most often due to trauma (Propeller flap n = 5; 71.1%; ALT n = 7; 38.9%) and chronic wounds (Propeller flap n = 1; 14.3%; ALT n = 5; 27.8%). The most common complication was prolonged wound healing (Propeller flap n = 3; 42.9%; ALT n = 8; 44.4%). In cases with postoperative surgical complications, a distinctly delayed recovery in perfusion of propeller flaps was seen during the first 72 h after surgery. Conclusions: Propeller and ALT flaps exhibit distinct perfusion patterns, with Propeller flaps showing a congestion-prone profile (elevated rHB, delayed hyperperfusion) and ALT flaps an inflow-dependent, ischemia-driven profile (lower rHB and SO2). Full article
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