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Applied Sciences
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Orthopedic Trauma and Fractures: From Pathophysiology to Novel Therapeutic Approaches
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Orthopedic Trauma and Fractures: From Pathophysiology to Novel Therapeutic Approaches

A special issue of Applied Sciences (ISSN 2076-3417). This special issue belongs to the section "Applied Biosciences and Bioengineering".

Deadline for manuscript submissions: 30 June 2024 | Viewed by 1494

Special Issue Editors

Dr. Giuseppe Rinonapoli

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Guest Editor
Orthopaedic and Traumatology Unit, Department of Medicine and Surgery, University of Perugia, 06156 Perugia, Italy
Interests: knee; knee surgery; arthroplasty; fracture; trauma surgery; anterior cruciate ligament; knee injuries; sports injuries; cartilage; osteoporosis
Special Issues, Collections and Topics in MDPI journals
Dr. Paolo Ceccarini

E-Mail Website
Guest Editor
Orthopaedic and Traumatology Unit, Department of Medicine and Surgery, University of Perugia, 06156 Perugia, Italy
Interests: flatfoot; ankle arthroscopy; diabetic foot; calcaneus; talus; ankle biomechanics; orthopedic surgery; sports medicine; sports injuries; arthroplasty
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Bone and joint traumatology is a continuously growing sector of orthopedics, evolving both from a diagnostic and treatment point of view. Correctly understanding the traumatic mechanism and diagnosis made in a short time frame is of essential importance to manage these conditions as best as possible. It is also very important to understand the availability and applicability of diagnostic imaging tools, which can be decisive in avoiding diagnostic errors and, consequently, incorrect treatments. Over the years, we have moved from a predominantly conservative treatment of fractures to the tendency to treat the majority of them with surgery, always after a correct evaluation of the indication for such treatment. This has led to improvements in surgical techniques, which should possibly be mini-invasive, thanks to dedicated fixation devices produced by the industry, without neglecting the anatomical reduction in the fracture. The considerable attention paid nowadays to all methods of preventing trauma and its recurrences should not be underestimated. This Special Issue aims to collect original articles that can help understand this complex field of interest.

Dr. Giuseppe Rinonapoli
Dr. Paolo Ceccarini
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. Applied Sciences 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 2400 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

  • fracture
  • osteoporosis
  • osteosynthesis
  • surgery
  • bone
  • diagnosis

Published Papers (2 papers)

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Research

14 pages, 1412 KiB  
Article
An Innovative Clinical Evaluation Protocol after Total Ankle Arthroplasty: A Pilot Study Using Inertial Sensors and Baropodometric Platforms
by Antonio Mazzotti, Alberto Arceri, Pejman Abdi, Elena Artioli, Simone Ottavio Zielli, Laura Langone, Laura Ramponi, Arianna Ridolfi, Cesare Faldini and Lorenzo Brognara
Appl. Sci. 2024, 14(5), 1964; https://doi.org/10.3390/app14051964 - 28 Feb 2024
Viewed by 503
Abstract
Background: Total ankle arthroplasty (TAA) has grown in popularity and indications, with encouraging results over time. Today, preoperative and postoperative evaluations are mainly performed using clinical test and diagnostic imaging, but there is a deficiency in objectively evaluating the biomechanics of the foot [...] Read more.
Background: Total ankle arthroplasty (TAA) has grown in popularity and indications, with encouraging results over time. Today, preoperative and postoperative evaluations are mainly performed using clinical test and diagnostic imaging, but there is a deficiency in objectively evaluating the biomechanics of the foot and ankle, which serve as the functional markers for monitoring the effectiveness and outcomes of surgery. Inertial measurement units associated with plantar pressure measurements may provide an accurate and reliable method of evaluating function through the analysis of gait and ankle joint mobility. The aim of this study was to introduce an innovative technology, to assess its accuracy and feasibility compared to standard clinical assessment methods and to objectify kinematic outcomes in patients with end-stage ankle OA before and after TAA surgery. Methods: A consecutive series of eight patients with symptomatic end-stage osteoarthritis and treated with TAA was prospectively evaluated using clinical scores (AOFAS, MOxFQ, VAS, SF-36, 17-IFFI), physical tests (FPI, ALT), plantar pressure measurements with FLEX EPS/R2 Letsense® baropodometric platform, gait analysis and wearable sensors-based ankle motion and kinematic outcomes using Wiva Science inertial sensors by Letsense®. Data were collected preoperatively and 4 months after surgery. Results: All PROMs exhibited statistical significance in improvement from pre- to postoperative periods, except for one. Physical examinations showed no significant changes of the foot shape and alignment. Plantar pressure analyses revealed no significant changes in static and dynamic evaluations, but a more uniform distribution of plantar pressure was observed between the two periods. Inertial sensor parameters demonstrated no significant differences, except for a significant reduction in stride length and step length for the operated foot after surgery. Conclusions: Gait analysis using inertial sensors and plantar pressure measurements offer ease of handling, cost effectiveness, portability and swift data reading, making them highly appealing for widespread clinical use. Integrating these tools into the routine assessments of patients with TAA holds promise for advancing precision of treating this condition and our depth of its understanding, contributing to more comprehensive and insightful patient care. Full article
(This article belongs to the Special Issue Orthopedic Trauma and Fractures: From Pathophysiology to Novel Therapeutic Approaches)
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12 pages, 4853 KiB  
Article
Fixation of Posterior Malleolus in Trimalleolar Ankle Fractures: Anteroposterior Screw or Posterolateral Plate?
by Paolo Ceccarini, Marco Donantoni, Federico Milazzo, Vito Prezioso, Rosario Petruccelli, Elena Manuela Samaila, Daniele Marcolli, Massimiliano Leigheb, Giuseppe Rinonapoli and Auro Caraffa
Appl. Sci. 2024, 14(2), 802; https://doi.org/10.3390/app14020802 - 17 Jan 2024
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Abstract
Background: The treatment of the third malleolus has evolved in recent years, and surgical treatment can be carried out with traditional percutaneous osteosynthesis using anteroposterior screws or ORIF with a posterolateral plate. Methods: Our study included 54 patients divided into two groups based [...] Read more.
Background: The treatment of the third malleolus has evolved in recent years, and surgical treatment can be carried out with traditional percutaneous osteosynthesis using anteroposterior screws or ORIF with a posterolateral plate. Methods: Our study included 54 patients divided into two groups based on the intervention type (screw or plate). Instrumental assessments comprised pre- and post-operative X-rays and pre-operative CT scans to evaluate joint step-off. The mean follow-up duration was 1 year and 9 months. Results: Radiographic control revealed no loss of reduction or mobilization of the synthesis devices, and all patients achieved fracture healing. Articular step-off > 2 mm was observed in 21 patients (38.9%), including 4 in the plate group and 17 in the screw group, with a statistically significant likelihood of step-off presence in the latter. The mean AOFAS score was 90 points, negatively correlated with age, and lower in patients with joint step-off and a 15° reduction in ROM. Conclusions: The management of posterior malleolus fractures has changed with anatomical studies and an understanding of ankle stability through CT scans. ORIF with a posterior plate is advantageous for anatomical reduction of the tibial plafond but is disadvantageous in terms of surgical invasiveness and technical difficulty. Full article
(This article belongs to the Special Issue Orthopedic Trauma and Fractures: From Pathophysiology to Novel Therapeutic Approaches)
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