Orthopaedics and Traumatology: Surgery and Research: 2nd Edition

A special issue of Life (ISSN 2075-1729). This special issue belongs to the section "Medical Research".

Deadline for manuscript submissions: closed (31 July 2024) | Viewed by 3119

Special Issue Editors


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Guest Editor
Department of Orthopaedic Surgery, School of Health Sciences, Faculty of Medicine, University of Ioannina, Ioannina, Greece
Interests: orthopaedic surgery; knee arthroplasty; hip arthroplasty; revision surgery; complex joint reconstruction; hand surgery
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
1. Arthroscopy and Orthopaedic Surgery Department, Metropolitan Hospital, Neo Faliro, Athens, Greece
2. Stavros Niarchos Foundation Complex Joint Reconstruction Center, Hospital for Special Surgery, New York, NY, USA
Interests: arthroscopy; knee arthroplasty; hip arthroplasty; joint reconstruction; revision surgery; complex joint reconstruction
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The first volume of this Special Issue, entitled “Orthopaedics and Traumatology: Surgery and Research”, can be found at: https://www.mdpi.com/journal/life/special_issues/T949QI3IFW. In 2024, we would like to open Volume II of this Special Issue in order to collect high-quality submissions in the Medical Research Section.

The current Special Issue centers on contemporary surgical or conservative treatment options in Orthopaedic Surgery and Traumatology, with a specific emphasis on the lower extremities, including the hip, knee, and ankle joints. Ongoing advancements in healthcare and medicine, coupled with extensive research efforts, have led to the refinement of new treatments in Orthopaedic Surgery and Traumatology. These choices, mainly offering surgical or interventional options, enhance or come after conservative treatments for various conditions.

We seek to compile high-quality studies (original research, reviews, case reports) pertaining to both reconstructive surgery and orthopaedic trauma, with a specific anatomical focus. Our aim is to establish as Special Issue encompassing diverse aspects, ranging from biomedical research to the surgical or conservative treatment of lower-extremity conditions, including potential complications. Ultimately, we aim to contribute valuable insights to the literature and foster the exchange of knowledge within the scientific community on this subject.

Dr. Ioannis Gkiatas
Dr. Dimitrios Flevas
Guest Editors

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Keywords

  • hip
  • knee
  • ankle
  • surgical intervention
  • treatment and complications
  • lower extremity

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Published Papers (3 papers)

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Research

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8 pages, 227 KiB  
Article
Effects of Periarticular Multimodal Drug Injection on Pain Control, Early Mobilization, and Length of Hospital Stay in Patients Undergoing Total Knee Arthroplasty
by Jian-Jiun Chen, Yun-Che Wu, Chuan-Yu Hung, Cheng-Hung Lee and Jun-Sing Wang
Life 2024, 14(8), 1018; https://doi.org/10.3390/life14081018 - 15 Aug 2024
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Abstract
We investigated the effects of periarticular multimodal drug injection (PMDI) on postoperative pain control, patients’ mobilization, and length of hospital stay in patients undergoing total knee arthroplasty (TKA). We retrospectively enrolled patients who underwent unilateral TKA between 2019 and 2020. The formula for [...] Read more.
We investigated the effects of periarticular multimodal drug injection (PMDI) on postoperative pain control, patients’ mobilization, and length of hospital stay in patients undergoing total knee arthroplasty (TKA). We retrospectively enrolled patients who underwent unilateral TKA between 2019 and 2020. The formula for PMDI included 0.5 mL epinephrine (1 mg/mL), 1 mL ketorolac (30 mg/mL), 0.5 mL morphine (10 mg/mL), and 20 mL bupivacaine hydrochloride (5 mg/mL), mixed with 60 mL normal saline. The outcomes of interest included (1) the amount of patient-controlled anesthesia (PCA) consumption in the first 24 h after the surgery, (2) early mobilization within 24 h after the surgery, and (3) the length of hospital stay. A total of 127 patients were analyzed. Compared with patients who did not receive PMDI, those who received PMDI had lower consumption of PCA in the first 24 h (β coefficient −29.9, 95% CI −51.9 to −7.9, p = 0.008), higher odds of early mobilization within 24 h (odds ratio 8.263, 95% CI 3.041 to 22.453, p < 0.001), and shorter length of hospital stay (β coefficient −0.705, 95% CI −1.158 to −0.252, p = 0.003). We suggest that PMDI may be considered for patients undergoing TKA to improve the quality of care and shorten their length of hospital stay. Full article
(This article belongs to the Special Issue Orthopaedics and Traumatology: Surgery and Research: 2nd Edition)
11 pages, 763 KiB  
Article
Exploring the Association between COVID-19 and Femoral Head Necrosis: A Comprehensive Review
by Bogdan Hogea, Madalina-Ianca Suba, Simona-Alina Abu-Awwad, Paul Cuntan, Mihai-Valetin Popa, Ruben David Braescu and Ahmed Abu-Awwad
Life 2024, 14(6), 671; https://doi.org/10.3390/life14060671 - 23 May 2024
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Abstract
This study investigates the correlation between COVID-19 and avascular necrosis of the femoral head, considering the potential contribution of medication-induced effects. This research spans the period from August 2022 to January 2024 and includes 32 patients diagnosed with avascular necrosis. While steroid usage, [...] Read more.
This study investigates the correlation between COVID-19 and avascular necrosis of the femoral head, considering the potential contribution of medication-induced effects. This research spans the period from August 2022 to January 2024 and includes 32 patients diagnosed with avascular necrosis. While steroid usage, particularly in high doses, is known to predispose individuals to this condition, this study aims to discern if COVID-19 itself plays a role beyond the influence of medication. Notably, COVID-19 is associated with disturbances in the coagulation system, potentially leading to thromboembolic complications. Of the patients, six did not have COVID-19, while seven had the virus but did not receive steroid treatment. However, 19 patients with COVID-19 exhibited severe pulmonary involvement and were administered both high-dose steroids and antiviral medication. Among the observed patients, 14 were female and 18 were male. Notably, three patients presented bilateral necrosis, all of whom had COVID-19 and significant pulmonary involvement. Diagnostic assessments included frontal and profile X-rays, as well as MRI scans for all patients. Full article
(This article belongs to the Special Issue Orthopaedics and Traumatology: Surgery and Research: 2nd Edition)
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17 pages, 1123 KiB  
Systematic Review
Examining the Evidence Regarding Smoking and Patient Outcomes for Isolated Meniscus Pathology: A Comprehensive Systematic Review and Meta-Analysis
by Omkar Anaspure, Shiv Patel, Anthony N. Baumann, Albert T. Anastasio, Kempland C. Walley, John D. Kelly and Brian C. Lau
Life 2024, 14(5), 584; https://doi.org/10.3390/life14050584 - 30 Apr 2024
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Abstract
Smoking is a well-known cause of impairment in wound healing and postoperative outcomes; however, its effects on treating meniscus issues remain unclear. This study assesses the relationship between smoking and meniscus treatment outcomes. PubMed, Scopus, Cochrane, and CINAHL were searched from inception to [...] Read more.
Smoking is a well-known cause of impairment in wound healing and postoperative outcomes; however, its effects on treating meniscus issues remain unclear. This study assesses the relationship between smoking and meniscus treatment outcomes. PubMed, Scopus, Cochrane, and CINAHL were searched from inception to 24 December 2023. Inclusion criteria encompassed studies examining smoking’s impact on patient outcomes regarding meniscus pathology. A secondary PubMed search targeted randomized controlled trials (RCTs) in the top ten orthopedic journals focusing on meniscus pathology and smoking as a demographic variable. Meta-analysis of six studies (n = 528) assessed meniscus failure rate based on smoking status. Eighteen observational studies (n = 8353 patients; 53.25% male; mean age: 51.35 ± 11.53 years; follow-up: 184.11 ± 117.34 months) were analyzed, covering meniscus repair, meniscectomy, allograft transplant, conservative care, and arthroscopy. Results showed four studies (36.36%) linked smoking with worse meniscus repair outcomes, while seven studies (63.64%) did not find significant associations. Meta-analysis from six studies showed no significant impact of smoking on repair failure (p = 0.118). Regarding meniscectomy, one study (33.33%) identified a significant association with smoking, but two did not. Only one (3.8%) of the RCTs in leading orthopedic journals included smoking as a factor. The evidence on smoking’s effect on meniscus treatment is mixed, necessitating further investigation. Full article
(This article belongs to the Special Issue Orthopaedics and Traumatology: Surgery and Research: 2nd Edition)
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