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Trauma Surgery: Strategies, Challenges and Vision of the Future

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

Deadline for manuscript submissions: 31 January 2026 | Viewed by 224

Special Issue Editors


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Guest Editor
Hand Surgery Unit, Tel Aviv Medical Center, Division of Orthopedic Surgery, Faculty of Medicine, Tel Aviv University, Tel Aviv 6423906, Israel
Interests: hand surgery; orthopaedic surgery; trauma surgery
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Tel Aviv Medical Center, Division of Orthopedic Surgery, Faculty of Medicine, Tel Aviv University, Tel Aviv 6423906, Israel
Interests: orthopaedic surgery; trauma surgery; joint replacement
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

This Special Issue is dedicated to the latest advancements in the surgical management of orthopedic trauma, including upper-limb injuries. As the field of orthopedic surgery continuously evolves, innovative surgical techniques and treatment modalities have been developed to enhance patient outcomes and recovery. This Special Issue aims to gather high-quality studies, including original research and reviews, exploring various surgical approaches to treating orthopedic trauma. We seek to cover a broad spectrum of topics, ranging from fracture fixation methods to soft-tissue repair, and address the potential complications associated with these treatments. Our goal is to provide a comprehensive resource that not only enriches the existing literature but also promotes the dissemination and exchange of knowledge within the scientific community. By doing so, we hope to advance the field of orthopedic trauma and improve clinical practices globally.

You may choose our Joint Special Issue in Journal of Personalized Medicine.

Dr. Shai Factor
Dr. Yaniv S. Warschawski
Guest Editors

Manuscript Submission Information

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Keywords

  • orthopaedic surgery
  • fractures
  • injuries
  • upper limb
  • trauma

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Published Papers (1 paper)

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Research

10 pages, 208 KB  
Article
The Impact of Concomitant Upper Extremity Fractures on Outcomes in Geriatric Patients Following Hip Fracture Surgery
by Nadav Graif, Etay Elbaz, Yaniv Warschawski, Efi Kazum, Lior Shabtai, Nissan Amzallag and Shai Factor
J. Clin. Med. 2025, 14(18), 6380; https://doi.org/10.3390/jcm14186380 - 10 Sep 2025
Viewed by 136
Abstract
Background: Hip fractures in geriatric patients represent a major public health burden, with a clinically important subset presenting with concomitant upper extremity (UE) fractures. The independent impact of these dual injuries on clinical outcomes remains incompletely characterized. Methods: A retrospective study of patients [...] Read more.
Background: Hip fractures in geriatric patients represent a major public health burden, with a clinically important subset presenting with concomitant upper extremity (UE) fractures. The independent impact of these dual injuries on clinical outcomes remains incompletely characterized. Methods: A retrospective study of patients aged ≥65 years who underwent surgical treatment for hip fracture at tertiary medical center, between January 2010 and January 2024. Patients were stratified based on the presence of a UE fracture sustained at the same time as the hip fracture. Multivariable regression models were used to assess outcomes, adjusting for age, sex, hip fracture type, and comorbidity burden. Primary outcomes were hospital length of stay and mortality at 30 days and 1 year. Secondary outcomes included readmission rates, revision surgery, and infection complications. Results: Of 7488 patients, 251 (3.4%) had concomitant upper extremity (UE) fractures. These patients had a longer mean hospital stay compared with isolated hip fractures (20.2 vs. 17.5 days, p = 0.047), with no significant difference in 30-day mortality (p = 0.439) and a trend toward lower 1-year mortality (p = 0.058). In the concomitant UE fracture group, operative treatment was associated with longer hospitalization (26.2 vs. 19.2 days, p = 0.05) and higher revision surgery rates (14.0% vs. 3.1%, p = 0.01). Subgroup analyses by fracture type showed similar trends, with longer hospital stays observed in intracapsular fractures with concomitant injury (p = 0.05). Subgroup analysis by UE fracture location showed significantly longer stays for distal radius fractures compared with isolated hip fractures, whereas no significant differences were observed for proximal humerus or other UE fracture locations. Conclusions: Concomitant UE fractures in geriatric hip fracture patients are associated with prolonged hospitalization. Operative management of UE fractures results in longer hospital stays and an increased risk of revision surgery. These findings highlight the importance of tailored perioperative planning and resource allocation for this vulnerable patient group. Full article
(This article belongs to the Special Issue Trauma Surgery: Strategies, Challenges and Vision of the Future)
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