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JCM
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Acute Trauma and Trauma Care in Orthopedics: 2nd Edition
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Acute Trauma and Trauma Care in Orthopedics: 2nd Edition

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

Deadline for manuscript submissions: 31 March 2026 | Viewed by 778

Special Issue Editors

Prof. Dr. Pietro Maniscalco

E-Mail Website
Guest Editor
Orthopedics and Traumatology Department, Guglielmo da Saliceto Hospital, 29121 Piacenza, Italy
Interests: orthopedics and traumatology; trauma; fractures; arthroplasty; arthroscopic; knee; hip; elbow
Special Issues, Collections and Topics in MDPI journals
Dr. Gianfilippo Caggiari

E-Mail Website
Guest Editor
Orthopaedic and Traumatology Department, Università degli Studi di Sassari, 07100 Sassari, Italy
Interests: orthopedics and traumatology; trauma; fractures; arthroplasty; knee; hip; elbow
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

We sincerely invite you to contribute to the Special Issue "Acute Trauma and Trauma Care in Orthopedics: 2nd Edition". The first edition is available at https://www.mdpi.com/journal/jcm/special_issues/470IL9R42Q. This Special Issue combines original research and review papers with a focus on the recent advances in orthopedic and trauma surgery.

Orthopaedic and trauma surgery are clinically challenging and mainly deal with injuries and related diseases of the musculoskeletal system, which may be caused by trauma, accidents, sports injuries, degenerative diseases, infections, tumors and congenital diseases. We have witnessed the development of all aspects of orthopaedics, including the use of invasive surgical, non-invasive and non-surgical methods to correct and treat diseases, and trauma care requires rapid implementation through multidisciplinary collaboration. Early emergency treatment, accurate diagnosis (such as imaging examinations), judgment of injury severity (such as AO grading) and targeted treatment (including external fixation, internal fixation or minimally invasive techniques) are crucial. At the same time, attention should be paid to perioperative management, pain control, rehabilitation training and psychological support to maximize the restoration of patient function and reduce disability.

We welcome the submissions of your best research to update the latest progress in the field.

Prof. Dr. Pietro Maniscalco
Dr. Gianfilippo Caggiari
Guest Editors

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

  • orthopedics
  • trauma
  • injury
  • musculoskeletal
  • surgery
  • knee
  • osteoarthritis
  • spinal deformity
  • fracture
  • joint replacement
  • hip fractur
  • fragility fracture
  • minimally invasive surgery
  • post-traumatic care and rehabilitation
  • pain management
  • emergency assessment

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Published Papers (1 paper)

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Research

9 pages, 468 KB  
Article
Early Surgery Reduces Infection Risk and Length of Hospital Stay in Closed Ankle Fractures: A Retrospective Cohort Study
by Roberta Laggner, Cornelia Gärtner, Emily Ghanbari, Florian Bur, Michael Humenberger and Thomas Haider
J. Clin. Med. 2025, 14(17), 6161; https://doi.org/10.3390/jcm14176161 - 31 Aug 2025
Viewed by 654
Abstract
Background: The optimal timing of surgical treatment for ankle fractures remains a topic that is associated with clinical uncertainty. While delayed surgery is often necessary for safe wound closure, prolonged immobilization, impaired functional outcomes, protracted hospitalization, and an increased risk of infection are [...] Read more.
Background: The optimal timing of surgical treatment for ankle fractures remains a topic that is associated with clinical uncertainty. While delayed surgery is often necessary for safe wound closure, prolonged immobilization, impaired functional outcomes, protracted hospitalization, and an increased risk of infection are potential disadvantages. This study was aimed at investigating the interval between trauma, surgical fixation, and postoperative infections among patients with closed ankle fractures. Methods: We conducted a retrospective cohort study involving 224 patients treated surgically for fractures of the upper ankle joint between January 2020 and December 2023. The patients were stratified into two groups based on surgical timing: within 24 h of hospital admission (early surgery) or after 24 h (delayed surgery). The primary outcome was the incidence of postoperative infections. A multivariate logistic regression model was constructed to assess independent risk factors. Results: Of the 224 patients, 30 (13.4%) developed postoperative infections. Infection occurred in 11.1% of patients who underwent early surgery and 13.7% of those subjected to delayed surgery. This difference was not statistically significant in the unadjusted analysis (p = 0.747). However, an additional day of surgical delay was associated with an 11% increase in the odds of postoperative infection (OR = 1.11; 95% CI: 1.01–1.22; p = 0.034). Female patients had over threefold higher odds of infection than males (OR = 3.20; 95% CI: 1.32–8.09; p = 0.011), and diabetes was a significant risk factor, with diabetic individuals showing more than fivefold increased odds (OR = 5.56; 95% CI: 1.30–25.00; p = 0.019). Patients with delayed surgery had significantly longer hospital stays (+2.83 days, p < 0.05). Conclusions: Early surgical intervention appears to lower the risk of postoperative infections, is associated with hospitalization duration, and should be considered when clinically appropriate. Full article
(This article belongs to the Special Issue Acute Trauma and Trauma Care in Orthopedics: 2nd Edition)
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