Orthopaedic Diseases and Innovative Intervention Strategies, 2nd Volume

Topic Information

Dear Colleagues,

Innovations in technology and bioengineering are crucial in modern surgery. In particular, the continuous evolution of surgical techniques and assisted navigation systems has profoundly changed approaches to orthopaedic surgery. In addition, minimally invasive surgery, computer-assisted systems, virtual reality, and augmented and mixed reality now represent valuable and effective options for surgeons. The development of bioengineering has led to new coating materials for prostheses, ensuring more long enduring implants. All of these technological innovations are improving operating times as well as patient outcomes. In addition, the development of minimally invasive surgical techniques has resulted in continuous improvements in patient outcomes, including decreasing operating times, hospitalisations, rehabilitation, and post-surgical pain. These advantages have led to an increase in the number of operations, thus reducing hospital waiting lists. The development of new techniques and instruments for minimally invasive surgery is necessary to improve the quality of orthopaedic surgery, significantly in influencing healthcare costs. Therefore, scientific and technological progress in orthopaedics is essential for ensuring the best possible patient care. This topic aims to provide the latest scientific evidence regarding the most innovative intervention strategies currently available in all fields of orthopaedic surgery.

Prof. Dr. Umile Giuseppe Longo
Prof. Vincenzo Denaro
Topic Editors

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Participating Journals

Journal Name	Impact Factor	CiteScore	Launched Year	First Decision (median)	APC
Journal of Clinical Medicine jcm	3.9	5.4	2012	17.9 Days	CHF 2600	Submit
Journal of Personalized Medicine jpm	3.4	2.6	2011	17.8 Days	CHF 2600	Submit
Medicina medicina	2.6	3.6	1920	19.6 Days	CHF 1800	Submit
Osteology osteology	-	-	2021	24 Days	CHF 1000	Submit
Surgeries surgeries	-	-	2020	24.9 Days	CHF 1200	Submit

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All JCM JPM Medicina Osteology Surgeries

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9 pages, 205 KiB  

Open AccessArticle

Comparison of Closed and Open Surgical Technique for Second to Fifth Metacarpal Shaft Fractures: A Multicenter, Retrospective Study in a Dutch City Population

by Marcel Libertus Johannes Quax, Maarten Kielman, Sven Albert Meylaerts and Alexander Pieter Antony Greeven

Surgeries 2024, 5(2), 264-272; https://doi.org/10.3390/surgeries5020024 - 18 Apr 2024

Viewed by 281

Abstract

The aim of this study was to assess surgical treatment in metacarpal shaft fractures of the second to fifth ray to determine the functional outcomes and complications in open reduction and internal fixation (ORIF) versus closed reduction and internal fixation (CRIF). This was [...] Read more.

The aim of this study was to assess surgical treatment in metacarpal shaft fractures of the second to fifth ray to determine the functional outcomes and complications in open reduction and internal fixation (ORIF) versus closed reduction and internal fixation (CRIF). This was a retrospective study that included patients with metacarpal shaft fractures of the second to fifth rays who were treated surgically between 1 January 2007 and 31 December 2019. Functional outcomes were scored using the QuickDASH and Eq5D score. A total of 231 treated patients were included. Single fractures were seen in 180 patients, and multiple fractures in 51 patients. ORIF was applied in 141 patients and CRIF in 90 patients. The functional outcomes were not significantly different between the groups. Complications were found in 41 (29%) of the ORIF patients and 15 (17%) of the CRIF patients. The functional outcomes after single or multiple metacarpal shaft fractures were similar in the ORIF and CRIF patients. ORIF showed significantly more complications, such as functional impairment and infections and a higher reoperation rate. In conclusion, CRIF is as safe as ORIF for the surgical treatment of metacarpal shaft fractures in terms of its functional outcome and slightly preferable due to its lower complication rate. Full article

(This article belongs to the Topic Orthopaedic Diseases and Innovative Intervention Strategies, 2nd Volume)

10 pages, 514 KiB  

Open AccessReview

Dual-Mobility Cups in Patients Undergoing Primary Total Hip Arthroplasty with Prior Lumbar Spine Fusion: A Systematic Review

by Tariq Ziad Issa, Adam Pearl, Emelia Moore, Hannan Ahmad Maqsood and Khaled J. Saleh

Surgeries 2024, 5(2), 125-134; https://doi.org/10.3390/surgeries5020014 - 25 Mar 2024

Viewed by 383

Abstract

Spine and hip abnormalities frequently occur together in most of the orthopedic population; therefore, both of these abnormalities impact the outcomes of the modalities that are being used. Few studies have reported reduced dislocation and revision rates with the use of dual-mobility cups [...] Read more.

Spine and hip abnormalities frequently occur together in most of the orthopedic population; therefore, both of these abnormalities impact the outcomes of the modalities that are being used. Few studies have reported reduced dislocation and revision rates with the use of dual-mobility cups (DMCs) in high-risk lumbar spine fusion (LSF) patients undergoing primary total hip arthroplasty (THA). This study aims to clarify the relationship between pre-existing lumbar spinal fusion and the outcomes of THA with dual-mobility constructs. We systematically reviewed the current literature through several online databases following PRISMA protocol and the Cochrane Handbook for Systematic Reviews of Interventions. We used the methodological index for non-randomized studies (MINORS) to evaluate the methodological quality of the included trials. Four studies examined the feasibility and effectiveness of dual-mobility cups in patients undergoing primary THA with prior LSF. Two studies were conducted in the United States, while the other two originated in Finland and France, respectively. The included studies enrolled 284 patients. Most of these patients had instrumented fusions. Seventy-eight percent of patients received one- or two-level fusions. The average age across the studies was 68.22 and the mean body mass index was 28. No cases of postoperative DMC implant dislocations were identified. The incidence of postoperative complications was 6% (10/173), including deep venous thrombosis, periprosthetic loosening, infection, and fracture, greater trochanteric fracture, and superficial wound infections. Most included studies had some methodological limitations, with an average MINORS score of 10.5 ± 5.8. The use of dual-mobility cups in these high-risk patients undergoing total hip arthroplasty may lead to reduced dislocation rates and postoperative complications. Further long-term follow-up studies are warranted to support these findings. Full article

(This article belongs to the Topic Orthopaedic Diseases and Innovative Intervention Strategies, 2nd Volume)

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