Complex Orthopedic Trauma: Diagnosis, Treatment, Managing Complications and Rehabilitation

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

Deadline for manuscript submissions: 20 November 2024 | Viewed by 568

Special Issue Editors


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Guest Editor
Department for Trauma and Orthopaedic Surgery, BG Klinik Ludwigshafen, Ludwig-Guttmann-Strasse 13, 67071 Ludwigshafen, Germany
Interests: orthopedic surgery; trauma; shoulder; elbow; upper extremity

E-Mail Website
Guest Editor
Department for Trauma and Orthopaedic Surgery, BG Klinik Ludwigshafen, Ludwig-Guttmann-Strasse 13, 67071 Ludwigshafen, Germany
Interests: orthopedic trauma; fracture; complications; infection; bone; rehabilitation

Special Issue Information

Dear Colleagues,

Challenges in orthopedic trauma encompass complex fracture patterns, infection, soft tissue injuries, delayed healing, and rehabilitation. Addressing intricate fractures, treating infections, managing soft tissue injuries, preventing delayed healing, and optimizing rehabilitation are critical in this field. This Special Issue, entitled “Complex Orthopedic Trauma: Diagnosis, Treatment, Managing Complications and Rehabilitation”, endeavors to shed light on cutting-edge diagnostic techniques, innovative treatment modalities, and effective rehabilitation strategies by providing a comprehensive overview of the current research in the field of orthopedic trauma. By confronting these challenges, this Special Issue aims to contribute to the progression of orthopedic trauma care, fostering a deeper comprehension of musculoskeletal trauma management with the ultimate goal of enhancing outcomes for our patients.

Dr. Philip-Christian Nolte
Dr. Benedict Swartman
Guest Editors

Manuscript Submission Information

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Keywords

  • orthopedic trauma
  • fracture
  • complications
  • infection
  • bone
  • rehabilitation

Published Papers (1 paper)

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Research

12 pages, 1092 KiB  
Article
Odontoid Fracture with Accompanying Severe Atlantoaxial Instability in Elderly Patients—Analysis of Treatment, Adverse Events, and Outcome
by Michael Kreinest, Philipp Raisch, Lukas Hörnig, Sven Y. Vetter, Paul A. Grützner and Matthias K. Jung
J. Clin. Med. 2024, 13(5), 1326; https://doi.org/10.3390/jcm13051326 - 26 Feb 2024
Viewed by 430
Abstract
(1) Background: In elderly patients with type II odontoid fractures, accompanying severe atlantoaxial instability (AAI) is discussed as a marker possibly warranting more aggressive surgical therapy. This study aimed to characterize adverse events as well as the radiological and functional outcomes of surgical [...] Read more.
(1) Background: In elderly patients with type II odontoid fractures, accompanying severe atlantoaxial instability (AAI) is discussed as a marker possibly warranting more aggressive surgical therapy. This study aimed to characterize adverse events as well as the radiological and functional outcomes of surgical vs. conservative therapy in patients with odontoid fracture and AAI. (2) Methods: Patients aged 65 years and older with type II odontoid fracture and AAI treated were included. AAI was assumed if the mean subluxation across both atlantoaxial facet joints in the sagittal plane was greater than 50%. Data on demographics, comorbidities, treatment, adverse events, radiological, and functional outcomes were analyzed. (3) Results: Thirty-nine patients were included. Hospitalization time was significantly shorter in conservatively treated patients compared to patients with ventral or dorsal surgery. Adverse events occurred in 11 patients (28.2%), affecting 10 surgically treated patients (35.7%), and 1 conservatively treated patient (9.1%). Moreover, 25 patients were followed-up (64.1%). One secondary dislocation occurred in the conservative group (11.1%) and three in the surgical group (18.8%). (4) Conclusions: Despite the potential for instability in this injury, conservative treatment does not seem to lead to unfavorable short-term results, less adverse events, and a shorter hospital stay and should thus be considered and discussed with patients as a treatment option, even in the presence of severe AAI. Full article
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