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Osteoporotic Fractures of the Pelvis, Hip and Femur: Current Challenges and New Perspectives (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: closed (26 January 2026) | Viewed by 538

Special Issue Editor


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Guest Editor
Department for Orthopaedics, Trauma Surgery and Plastic Surgery, University Hospital of Leipzig, 04103 Leipzig, Germany
Interests: pelvic fracture; geriatric acetabular fracture; osteoporotic fractures of the pelvis; polytrauma; periprosthetic fracture; proximal femoral fracture
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Special Issue Information

Dear Colleagues,

Osteoporotic fractures, particularly pelvic, periprosthetic and proximal femoral fractures, present intricate healthcare burdens globally. This issue delves into the latest advancements and novel approaches in managing these fractures and non-operative supportive therapies, including osteoporosis treatment. We encourage submissions showcasing innovative diagnostic techniques, surgical interventions, rehabilitation strategies and pharmaceutical approaches aimed at enhancing patient outcomes and quality of life. As Guest Editors, we aim to cultivate a deep understanding of the multifaceted aspects surrounding osteoporotic fractures, providing a platform for insightful discussions and evidence-based research. Your invaluable contributions will play a pivotal role in shaping the future landscape of osteoporotic fracture management. We eagerly anticipate your insights.

It is my pleasure to invite you to contribute to the Special Issue entitled “Osteoporotic Fractures of the Pelvis, Hip and Femur: Current Challenges and New Perspectives (2nd Edition)”. This is a new volume; we published 10 papers in the first volume. For more details, please visit: https://www.mdpi.com/journal/jcm/special_issues/YK4ECV8R72.

Dr. Andreas Hoch
Guest Editor

Manuscript Submission Information

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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

  • osteoporosis
  • fracture management
  • pelvic fractures
  • periprosthetic fractures
  • proximal femoral fractures
  • non-operative therapies

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Published Papers (1 paper)

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Research

10 pages, 232 KB  
Article
Association of Charlson Comorbidity Index and ASA Score with Postoperative Mobility in Geriatric Hip Fracture Patients
by Florian Pachmann, Alexander M. Keppler, Jakob Hofmann, Salome Hagelstein, Christopher Lampert, Carl Neuerburg, Wolfgang Böcker and Leon M. Faust
J. Clin. Med. 2026, 15(6), 2296; https://doi.org/10.3390/jcm15062296 - 17 Mar 2026
Viewed by 242
Abstract
Background: Early mobilization with permission for full weight bearing is a cornerstone of postoperative care after proximal femoral fractures (PFFs). However, its biomechanical implementation during gait remains unclear. Clinical scores such as the Charlson Comorbidity Index (CCI) and the American Society of [...] Read more.
Background: Early mobilization with permission for full weight bearing is a cornerstone of postoperative care after proximal femoral fractures (PFFs). However, its biomechanical implementation during gait remains unclear. Clinical scores such as the Charlson Comorbidity Index (CCI) and the American Society of Anesthesiologists (ASA) classification describe comorbidity burden, but their relationship with actual weight bearing and functional outcome regarding activities associated with daily living is insufficiently understood. Methods: In this prospective cohort study, patients aged > 65 years treated surgically for femoral neck fractures (FNFs) or trochanteric femoral fractures (TFFs) were included. Postoperative weight bearing was assessed after 4 to 7 days using sensor-based insoles. Average peak force of the operated limb, normalized to body weight, was the primary outcome. Associations with postoperative weight bearing and functional outcome were analyzed using multivariable linear regression models. Results: Early postoperative weight bearing remained below recommended levels, with lower limb loading in TFFs. Higher CCI values were associated with increased loading in TFF patients, and higher ASA classifications with reduced loading. Higher postoperative Barthel Index (BI) was independently associated with increased limb loading. Postoperative BI was influenced by age, preoperative BI, and fracture type. Conclusions: Despite permission for full weight bearing, early postoperative limb loading after PFF remains below recommended levels, particularly in TFFs. CCI and ASA show fracture type-specific associations with actual weight bearing, whereas BI is independent of ASA and CCI. The BI may serve as a surrogate parameter to identify patients at risk of insufficient limb loading who may benefit from targeted physiotherapeutic interventions. Full article
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