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New Advances in Orthopedic Health Care
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New Advances in Orthopedic Health Care

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Nursing".

Deadline for manuscript submissions: closed (15 November 2023) | Viewed by 3479

Special Issue Editor

Dr. Vincenzo Giordano

E-Mail Website
Guest Editor
Serviço de Ortopedia e Traumatologia Prof. Nova Monteiro, Hospital Municipal Miguel Couto, Rio de Janeiro 22430-060, Brazil
Interests: articular fractures; pelvis and acetabulum fractures; polytrauma; post-traumatic reconstruction

Special Issue Information

Dear Colleagues,

Novel advances in orthopedic health care are emerging daily, both in the surgical field, with biological treatments, bone tissue engineering, intelligent implants, robotic surgery, and navigation systems, and in diagnosis and management, with medical applications (apps), artificial intelligence, digital templating, and augmented reality. We are in a time of learning and mastering new surgical tools and forms of technology, and, in this context, it is essential that orthopedic surgeons keep up to date, providing his/her patients with the best possible care that exists today. For this reason, better knowledge of the new advances in orthopedics is fundamental for the development of improved treatments and future directions.

For this Special Issue, authors are encouraged and welcome to submit their experience in the form of original studies or systematic reviews pertaining to new advances in orthopedic health care, providing all of us with extensive material to update our knowledge and contribute with new experiences. 

Dr. Vincenzo Giordano
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. Healthcare 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 2700 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

  • biological treatments
  • bone tissue engineering
  • intelligent implants
  • robotic surgery
  • navigation systems
  • medical apps
  • artificial intelligence
  • digital templating
  • augmented reality.

Published Papers (2 papers)

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Research

18 pages, 1588 KiB  
Article
An Institutional Standardised Protocol for the Treatment of Acute Displaced Midshaft Clavicle Fractures (ADMCFs): Conservative or Surgical Management for Active Patients?
by Carlo Biz, Assunta Pozzuoli, Elisa Belluzzi, Davide Scucchiari, Nicola Luigi Bragazzi, Alessandro Rossin, Mariachiara Cerchiaro and Pietro Ruggieri
Healthcare 2023, 11(13), 1883; https://doi.org/10.3390/healthcare11131883 - 29 Jun 2023
Cited by 3 | Viewed by 1685
Abstract
Background and Objectives: The treatment of acute displaced midshaft clavicle fractures (ADMCFs) is still under debate. The aim of this study was to verify the effectiveness of our institutional protocol by comparing the clinical and radiographic outcomes of two groups of patients with [...] Read more.
Background and Objectives: The treatment of acute displaced midshaft clavicle fractures (ADMCFs) is still under debate. The aim of this study was to verify the effectiveness of our institutional protocol by comparing the clinical and radiographic outcomes of two groups of patients with ADMCFs treated operatively and non-operatively. Materials and Methods: active patients with a traumatic, isolated non-pathological ADMCF with at least 1-year clinical and radiographic follow up were included. Surgical treatment was performed in the cases where the residual displacement was higher than 140% after the application of a figure-of-eight bandage (F8-B). All other cases were treated conservatively with a F8-B. A total of 134 patients were enrolled and divided into two groups: surgical and conservative groups, with 59 and 75 patients, respectively. Radiological and clinical parameters were evaluated. Results: Good clinical (Constant-Murley Score, the Quick Disability of the Arm, Shoulder and Hand score, and VAS satisfaction) and radiographic outcomes (initial and residual shortening, initial and residual displacement) were obtained for ADMCFs in both groups. Multivariate analysis showed that patients treated conservatively had better clinical outcomes compared to surgically treated patients (p < 0.001). Return to sports was longer in those treated with surgery. Initial shortening was found to impact clinical outcomes as well as initial displacement. None of the patients showed signs of non-union in both groups. Conclusions: Very good mid-term clinical results can be obtained in adult patients with ADMCFs, conservatively or operatively managed, by applying our institutional treatment protocol based on objective radiographic parameters evaluated in the ER. Full article
(This article belongs to the Special Issue New Advances in Orthopedic Health Care)
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11 pages, 3535 KiB  
Article
Morphological Characteristics of Proximal Ulna Fractures: A Proposal for a New Classification and Agreement for Validation
by Pedro José Labronici, William Dias Belangero, Carlos Miguel Zublin, Lucas Braga Jaques Gonçalves, Humberto Fajardo, Robinson Esteves Pires and Vincenzo Giordano
Healthcare 2023, 11(5), 693; https://doi.org/10.3390/healthcare11050693 - 26 Feb 2023
Cited by 1 | Viewed by 1351
Abstract
Historically, proximal ulna fractures have been simplistically diagnosed and treated as simple olecranon fractures, leading to an unacceptable number of complications. Our hypothesis was that the recognition of lateral, intermediate, and medial stabilizers of the proximal ulna and ulnohumeral and proximal radioulnar joints [...] Read more.
Historically, proximal ulna fractures have been simplistically diagnosed and treated as simple olecranon fractures, leading to an unacceptable number of complications. Our hypothesis was that the recognition of lateral, intermediate, and medial stabilizers of the proximal ulna and ulnohumeral and proximal radioulnar joints would facilitate decision-making, including the choice of approach and type of fixation. The primary aim was to propose a new classification for complex fractures of the proximal ulna based on morphological characteristics seen on three-dimensional computed tomography (3D CT). The secondary aim was to validate the proposed classification regarding its intra- and inter-rater agreement. Three raters with different levels of experience analyzed 39 cases of complex fractures of the proximal ulna using radiographs and 3D CT scans. We presented the proposed classification (divided into four types with subtypes) to the raters. In this classification, the medial column of the ulna involves the sublime tubercle and is where the anterior medial collateral ligament is inserted, the lateral column contains the supinator crest and is where the lateral ulnar collateral ligament is inserted, and the intermediate column involves the coronoid process of the ulna, olecranon, and anterior capsule of the elbow. Intra- and inter-rater agreement was analyzed for two different rounds, and the results were evaluated according to Fleiss kappa, Cohen kappa, and Kendall coefficient. Intra- and inter-rater agreement values were very good (0.82 and 0.77, respectively). Good intra- and inter-rater agreement attested to the stability of the proposed classification among the raters, regardless of the level of experience of each one. The new classification proved to be easy to understand and had very good intra- and inter-rater agreement, regardless of the level of experience of each rater. Full article
(This article belongs to the Special Issue New Advances in Orthopedic Health Care)
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