Advances in Trauma and Orthopedic Surgery: 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: 30 November 2024 | Viewed by 1098

Special Issue Editor


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Guest Editor
Department of Trauma Surgery, Orthopaedics and Hand Surgery, Weiden Medical Center, 92637 Weiden, Germany
Interests: major trauma; long bone fractures; complex joint fractures; pelvic trauma; nonunion treatment; pediatric trauma
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Special Issue Information

Dear Colleagues,

This Special Issue is dedicated to showcasing innovations in the treatment of traumatized patients. These include modern developments in implants and osteosynthesis materials, new approaches and the application of the latest intraoperative technology. Many of these innovations are based on the findings of translational research, for example, in the field of biomechanics. This is a new volume, which follows the publication of 16 papers in the first volume. You can find more details by following the link below:
https://www.mdpi.com/journal/jcm/special_issues/EF6ECZ130F

In recent decades, significant progress has been made in the field of orthopedics and traumatology as a result of scientific research findings, although the context has continued to change. Road safety has led to a decrease in high-energy trauma following major trauma, while the number of elderly patients with low-energy trauma continues to increase. It is the task of the surgeon to treat this broad spectrum of complex patients in the best possible way using all appropriate resources.

Therefore, this Special Issue of the Journal of Clinical Medicine targets multifactorial improvements in trauma and orthopedic surgery with the goal of improving daily clinical practice through scientific recommendations for the benefit of our patients. In addition to the latest clinical care approaches, translational topics will also be considered.

Prof. Dr. Christian von Rüden
Guest Editor

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Keywords

  • trauma
  • fracture
  • fracture fixation
  • osteosynthesis
  • biomechanics
  • bone
  • approach
  • nonunion
  • joint replacement
  • outcome

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Published Papers (1 paper)

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Research

14 pages, 3729 KiB  
Article
Functional and Radiological Results Following Revision Blade Plating and Cephalomedullary Nailing in Aseptic Trochanteric and Subtrochanteric Nonunion
by Julia Rehme-Röhrl, Andreas Brand, Annika Dolt, Dag Grünewald, Reinhard Hoffmann, Fabian Stuby, Uwe Schweigkofler and Christian von Rüden
J. Clin. Med. 2024, 13(12), 3591; https://doi.org/10.3390/jcm13123591 - 19 Jun 2024
Viewed by 741
Abstract
Background: Trochanteric and subtrochanteric fractures result in nonunion in more than 20% of cases. The aim of this study was to assess the functional and radiological results following revision cephalomedullary nailing and 95-degree angled blade plating in aseptic trochanteric and subtrochanteric nonunion. Methods: [...] Read more.
Background: Trochanteric and subtrochanteric fractures result in nonunion in more than 20% of cases. The aim of this study was to assess the functional and radiological results following revision cephalomedullary nailing and 95-degree angled blade plating in aseptic trochanteric and subtrochanteric nonunion. Methods: In a retrospective multi-center study between January 2010 and December 2020, a total of 68 consecutive patients (21 women and 47 men) from two European level I trauma centers with the diagnosis of aseptic nonunion were recruited. Follow-up assessment and the patients’ convenience were assessed using the Harris Hip Score, Visual Analog Scale for pain at rest and on stress/exertion and Short Form-12. Results: The patients’ mean age was 57 (range 26–85) years. After a follow-up period of 12 months, one case of persistent nonunion in the cephalomedullary nail group and 10 cases in the blade plate group were identified. The mean duration of surgery was 137 ± 47 min in the cephalomedullary nail group and 202 ± 59 min in the blade plate group (<0.0001). Short-term postoperative complications included wound dehiscence, bleeding, mismatched screw and hematoma. The mid-term results 12 months after surgical revision demonstrated significantly different osseous union rates (p = 0.018). The long-term functional outcome according to the Harris Hip Score 6 years (range 2–10) after revision surgery demonstrated 81 ± 21 points in the cephalomedullary nail group and 64 ± 23 points in the plate group (p = 0.026). Conclusions: This study demonstrated that the revision treatment of trochanteric and subtrochanteric nonunion using a 95-degree blade plate or cephalomedullary nail resulted in a high percentage of osseous union, with a low incidence of complications and good functional results for both methods. Full article
(This article belongs to the Special Issue Advances in Trauma and Orthopedic Surgery: 2nd Edition)
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