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Advances in the Surgery, Clinical and Rehabilitation Management of Orthopedic...
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Advances in the Surgery, Clinical and Rehabilitation Management of Orthopedic and Trauma Patients

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

Deadline for manuscript submissions: closed (8 February 2024) | Viewed by 5603

Special Issue Editors

Prof. Dr. Giuseppe Maccagnano

E-Mail Website
Guest Editor
Orthopaedic and Trauma Unit, Department of Clinical and Experimental Medicine, Faculty of Medicine and Surgery, University of Foggia, General Hospital, 76545 Foggia, Italy
Interests: pelvis trauma; orthopedic prosthesis; biomaterials and innovations
Special Issues, Collections and Topics in MDPI journals
Prof. Dr. Vito Pesce

E-Mail Website
Guest Editor
Orthopaedic and Trauma Unit, Department of Clinical and Experimental Medicine, Faculty of Medicine and Surgery, University of Foggia, General Hospital, 76545 Foggia, Italy
Interests: joint replacement orthopedic surgery
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Orthopedic and trauma disorders are widely reported in the adult and elderly population. In the orthopedic field, diseases of bone and soft tissue are frequently encountered in common clinical practice. From a trauma perspective, fractures and dislocations are also frequent, as are capsuloligamentous injuries. Some of these have evidence-based treatments in the literature. In other cases, off-label procedures are performed with the absence of physical therapy protocols in the effort to generate innovations. The aim of this Special Issue is to share the knowledge and experience of groups and authors currently working on orthopedic and trauma disorders solutions, their impressions regarding new therapeutic strategies, the results obtained, and the problems that have arisen. The topic of this Special Issue is treatment 2.0; all this can be achieved through valid research articles that prove to be of high impact and interest to the orthopedic community. Note that case reports and short reviews will not be accepted.

Prof. Dr. Giuseppe Maccagnano
Prof. Dr. Vito Pesce
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

  • orthopedic disease
  • soft tissue pathology
  • innovation therapy
  • trauma surgery
  • orthopedic surgery
  • rehabilitation management

Published Papers (4 papers)

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Research

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15 pages, 1409 KiB  
Article
Surgical Treatment for Simple Isolated and Displaced Olecranon Fractures: Comparison between Plate and Tension Band Wire Fixation
by Serena Maria Chiara Giardina, Gianluca Testa, Enrica Rosalia Cuffaro, Mirko Domenico Castiglione, Marco Sapienza, Alessia Caldaci, Pierluigi Cosentino, Angelo Raffa and Vito Pavone
J. Clin. Med. 2024, 13(6), 1815; https://doi.org/10.3390/jcm13061815 - 21 Mar 2024
Viewed by 440
Abstract
Background: Olecranon fractures are common injuries of the upper limb in adults. Simple displaced trasverse fractures are generally surgically treated with tension-band wiring (TBW) or plate fixation (PF). The purpose of this retrospective study is to compare the clinical-functional outcome, complications and [...] Read more.
Background: Olecranon fractures are common injuries of the upper limb in adults. Simple displaced trasverse fractures are generally surgically treated with tension-band wiring (TBW) or plate fixation (PF). The purpose of this retrospective study is to compare the clinical-functional outcome, complications and reoperation rates between TBW and PF for Mayo IIA fractures. Methods: 72 patients treated with PF or TBW at our institution, completed our survey and clinical evaluation and their demographic and clinical data were recorded and analysed. The clinical-functional outcomes were evaluated assessing ROMs and three validated scoring systems: the Disabilities of the Arm, Shoulder, and Hand (DASH), the Mayo Elbow Performance Score (MEPS) and the Patient American Shoulder and Elbow Surgeons Standardized Elbow Assessment score (pASES-e). Results: 38 patients (53%) underwent TBW and 34 (47%) PF. The mean DASH, MEPS and pASES-e scores were respectively 14.5 ± 17.2, 80.5 ± 14.7 and 83.6 ± 12.4 in the TBW group and 21 ± 21.7, 75.6 ± 15.3 and 75.1 ± 19.2 in the PF group (p = 0.16, p = 0.17 and p = 0.03). The mean duration of surgery and hospitalisation period were longer in the PF group (p = 0.002, p = 0.37) whereas the complication and reoperation rates were higher after TBW (p = 0.15, p = 0.24). Conclusions: According to the literature, both TBW and PF resulted comparable valid surgical options for the treatment of simple isolated displaced olecranon fractures. Our results corroborate previous findings, showing good/excellent outcomes without significant differences. Full article
(This article belongs to the Special Issue Advances in the Surgery, Clinical and Rehabilitation Management of Orthopedic and Trauma Patients)
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12 pages, 2796 KiB  
Article
Minimal Clinically Important Differences in Gait and Balance Ability in Patients Who Underwent Corrective Long Spinal Fusion for Adult Spinal Deformity
by Tomoyoshi Sakaguchi, Umesh Meena, Masato Tanaka, Hongfei Xiang, Yoshihiro Fujiwara, Shinya Arataki, Takuya Taoka, Kazuhiko Takamatsu, Yosuke Yasuda, Masami Nakagawa and Kayo Utsunomiya
J. Clin. Med. 2023, 12(20), 6500; https://doi.org/10.3390/jcm12206500 - 12 Oct 2023
Cited by 1 | Viewed by 1151
Abstract
Study Design: Retrospective observational study. Background: The risk of a femoral neck fracture due to a fall after adult spinal deformity surgery has been reported. One of the most significant factors among walking and balance tests in post-operative ASD patients was the timed [...] Read more.
Study Design: Retrospective observational study. Background: The risk of a femoral neck fracture due to a fall after adult spinal deformity surgery has been reported. One of the most significant factors among walking and balance tests in post-operative ASD patients was the timed up-and-go test (TUG). This study aims to calculate the minimal clinically important difference (MCID) in balance tests after ASD surgery. Methods: Forty-eight patients, 4 males and 44 females, were included by exclusion criteria in 66 consecutive patients who underwent corrective surgery as a treatment for ASD at our institution from June 2017 to February 2022. The inclusion criteria for this study were age ≥50 years; and no history of high-energy trauma. The exclusion criteria were dementia, severe deformity of the lower extremities, severe knee or hip osteoarthritis, history of central nervous system disorders, cancer, and motor severe paralysis leading to gait disorders. The surgeries were performed in two stages, first, the oblique lumber interbody fusion (OLIF) L1 to L5 (or S1), and second, the posterior corrective fusion basically from T10 to pelvis. For outcome assessment, 10 m walk velocity, TUG, ODI, and spinopelvic parameters were used. Results: Ten meter walk velocity of pre-operation and post-operation were 1.0 ± 0.3 m/s and 1.2 ± 0.2 m/s, respectively (p < 0.01). The TUG of pre-operation and post-operation were 12.1 ± 3.7 s and 9.7 ± 2.2 s, respectively (p < 0.01). The ODI improved from 38.6 ± 12.8% to 24.2 ± 15.9% after surgery (p < 0.01). All post-operative parameters except PI obtained statistically significant improvement after surgery. Conclusions: This is the first report of MCID of the 10 m walk velocity and TUG after ASD surgery. Ten meter walk velocity and the TUG improved after surgery; their improvement values were correlated with the ODI. MCID using the anchor-based approach for 10 m walk velocity and the TUG were 0.10 m/s and 2.0 s, respectively. These MCID values may be useful for rehabilitation after ASD surgery. Full article
(This article belongs to the Special Issue Advances in the Surgery, Clinical and Rehabilitation Management of Orthopedic and Trauma Patients)
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7 pages, 966 KiB  
Article
Spring Plates as a Valid Additional Fixation in Comminuted Posterior Wall Acetabular Fractures: A Retrospective Multicenter Study
by Domenico De Mauro, Giuseppe Rovere, Lorenzo Are, Amarildo Smakaj, Alessandro Aprato, Umberto Mezzadri, Federico Bove, Alessandro Casiraghi, Silvia Marino, Gianluca Ciolli, Simone Cerciello, Giuseppe Maccagnano, Giovanni Noia, Alessandro Massè, Giulio Maccauro and Francesco Liuzza
J. Clin. Med. 2023, 12(2), 576; https://doi.org/10.3390/jcm12020576 - 11 Jan 2023
Cited by 7 | Viewed by 2109
Abstract
Background: The posterior wall fracture is the most frequent pattern of acetabular fractures. Many techniques of fixation have been described in the literature and involve plates, screws, or a combination of both. This study aims to investigate the clinical and radiological outcomes of [...] Read more.
Background: The posterior wall fracture is the most frequent pattern of acetabular fractures. Many techniques of fixation have been described in the literature and involve plates, screws, or a combination of both. This study aims to investigate the clinical and radiological outcomes of spring plates in the treatment of comminuted posterior wall acetabular fractures. (2) Methods: A retrospective multicenter (four level I trauma centers) observational study was performed. Patients with a comminuted posterior wall acetabular fracture treated with a spring plate (DePuy Synthes, West Chester, PA) were included. Diagnosis was made according to the Judet and Letournel classification. Diagnosis was confirmed with plain radiographs in an antero-posterior view and Judet views, iliac and obturator oblique views, and thin-slice CT with multiplanar reconstructions. (3) Results: Forty-six patients (34 males and 12 females) with a mean age of 51.7 years (range 19–73) were included. The most common mechanism of injury was motor vehicle accident (34 cases). In all cases, spring plates were placed under an overlapping reconstruction plate. The mean follow-up was 33.4 months (range 24–48). The mean period without weight-bearing was 4.9 weeks (range 4–7), and full weight-bearing was allowed at an average of 8.2 weeks (range 7–11) after surgery. (4) Conclusions: According to the present data, spring plates can be considered a viable additional fixation of the posterior wall acetabular fractures. Full article
(This article belongs to the Special Issue Advances in the Surgery, Clinical and Rehabilitation Management of Orthopedic and Trauma Patients)
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7 pages, 230 KiB  
Brief Report
The Efficacy of Temperature-Controlled High-Energy Polymodal Laser Therapy in Tendinopathy of the Shoulder
by Angela Notarnicola, Ilaria Covelli, Dario Macchiarola, Francesco Paolo Bianchi, Giuseppe Danilo Cassano and Biagio Moretti
J. Clin. Med. 2023, 12(7), 2583; https://doi.org/10.3390/jcm12072583 - 29 Mar 2023
Cited by 3 | Viewed by 1379
Abstract
Background: Rotator cuff tendinopathy is a common diagnosis among patients with shoulder pain and dysfunction. Laser therapy is recommended for the treatment of this tendon disease due to the possibility of increasing tissue biostimulation. The aim of this study was to investigate the [...] Read more.
Background: Rotator cuff tendinopathy is a common diagnosis among patients with shoulder pain and dysfunction. Laser therapy is recommended for the treatment of this tendon disease due to the possibility of increasing tissue biostimulation. The aim of this study was to investigate the effects of HELT (high-energy laser therapy) in relation to the wavelengths of 650 nm, 810 nm, 980 nm, and 1064 nm administered. Methods: The study design was prospective and observational. Thirty patients with shoulder tendinopathy were recruited and treated in one of two high-energy laser therapy groups (5 Watt/cm2, 450 Joule, super-pulsed mode). Group A received a high-energy laser therapy protocol with a single wavelength (1064 nm); group B received a high-energy laser therapy program with four wavelengths (650 nm, 810 nm, 980 nm, and 1064 nm). Pain (VAS), function (ASES), and disability (DASH) were monitored at the time of recruitment (T0), 1 month later (T1), and 6 months later (T2). Roles and Maudsley scores were also evaluated at T1 and T2. Results: Both protocols resulted in improvement of pain and in functional and disability recovery at the two times of assessment, without statistically significant differences. In group B, treated with the four wavelengths, a trend emerged, bordering on statistical significance, for a greater reduction in pain. Conclusions: The high-energy laser proved to be an effective therapy for the treatment of rotator cuff tendinopathy. The possibility of modulating the choice of wavelengths could allow the customization of the protocol in relation to the patient’s clinical condition. Full article
(This article belongs to the Special Issue Advances in the Surgery, Clinical and Rehabilitation Management of Orthopedic and Trauma Patients)
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