Trauma and Orthopedic Surgery: Recent Developments and Future Challenges

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

Deadline for manuscript submissions: 31 January 2025 | Viewed by 834

Special Issue Editors


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Guest Editor
Orthopaedics and Trauma Surgery Unit, Department of Ageing, Neurosciences, Head-Neck and Orthopaedics Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, Italy
Interests: trauma surgery; foot and ankle surgery; fracture; arthroplasty; knee surgery; osteoporosis
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Orthopedics and Trauma Surgery Unit, Department of Aging, Orthopedic and Rheumatologic Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy
Interests: trauma surgery; orthopedic; hip fracture; arthroplasty; osteoporosis; bone tumors
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Orthopaedic and Traumatology Unit, Department of Public Health, University "Federico II" of Naples, Naples, Italy
Interests: trauma surgery; ankle sprain; fracture; foot and ankle surgery

Special Issue Information

Dear Colleagues,

In recent years, there has been a notable increase in the rates of orthopedic and trauma surgeries. Advances in increasingly accurate and thorough imaging, minimally invasive surgical procedures, such as arthroscopy or percutaneous fracture fixation, and in rehabilitation protocols have revolutionized treatment approaches by offering reduced postoperative pain, faster recovery times, and improved functional outcomes. However, this field also faces certain challenges. Continued innovation and research efforts are crucial for further enhancing the field of trauma and orthopedic surgery.

This Special Issue aims to provide an opportunity to explore recent advancements in trauma and orthopedic surgery while highlighting the challenges encountered in clinical research. Therefore, we cordially invite authors and specialists in the field to share their experiences and submit their reviews or original research articles that fit within the scope of this Special Issue.

Dr. Tommaso Greco
Dr. Carlo Perisano
Dr. Alessio Bernasconi
Guest Editors

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Keywords

  • orthopedic surgery
  • trauma surgery
  • orthopedic trauma
  • fracture
  • arthroplasty
  • post-operative pain
  • musculoskeletal imaging

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Published Papers (1 paper)

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Research

8 pages, 218 KiB  
Article
Incidence of Subclinical Deep Vein Thrombosis after Total Hip and Knee Arthroplasty Is Not Correlated with Number of Tranexamic Acid Doses
by Bogdan-Axente Bocea, Bianca-Iulia Catrina, Mihai-Dan Roman, Nicolas Catalin Ionut Ion, Sorin Radu Fleaca, Cosmin-Ioan Mohor, Antonescu Oana Raluca, Sergiu-Ioan Moga and Romeo Gabriel Mihaila
J. Clin. Med. 2024, 13(13), 3834; https://doi.org/10.3390/jcm13133834 - 29 Jun 2024
Cited by 1 | Viewed by 480
Abstract
Background: Recent studies increasingly highlight the efficacy of tranexamic acid administration in total hip arthroplasty (THA) and total knee arthroplasty (TKA). However, the optimal dosage of tranexamic acid is still controversial. Methods: The current study analyzes the efficiency of tranexamic acid dosage and [...] Read more.
Background: Recent studies increasingly highlight the efficacy of tranexamic acid administration in total hip arthroplasty (THA) and total knee arthroplasty (TKA). However, the optimal dosage of tranexamic acid is still controversial. Methods: The current study analyzes the efficiency of tranexamic acid dosage and the number of administrations in THA and TKA. The objective of this study is to compare the incidence of deep vein thrombosis (DVT) based on the number of dosages. We divided the patients into two groups; one group received a single dosage, and the other group received two dosages. Doppler ultrasound examinations were conducted on the lower limbs of all patients at both six and thirty days postoperatively. The second objective is to compare the decrease in hemoglobin (Hb) in the two groups. Results: The results show that there is no difference in DVT incidence between the patients with different TXA numbers of dosages. There is no statistically significant decrease in Hb between the two groups at day one and day five postoperatively. Day one shows a statistically higher average in the two-dose group, approximately 0.06 g/dL, and day five shows a slightly elevated average in the single-dose group, approximately 0.06 g/dL. Blood transfusion requirements show no significant differences in the groups; one patient in the single-dose tranexamic acid group needed transfusion at day five postoperatively, while two patients in each group required immediate postoperative transfusion. Conclusion: There was no increase in the incidence of deep vein thrombosis among patients receiving two dosages of tranexamic acid. Full article
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