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Orthopaedics and Joint Reconstruction: Latest Advances and Prospects

A special issue of Applied Sciences (ISSN 2076-3417). This special issue belongs to the section "Biomedical Engineering".

Deadline for manuscript submissions: 10 July 2025 | Viewed by 759

Special Issue Editor


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Guest Editor
Departiment of Orthopaedic and Trauma Surgery, Azienda Ospedaliero Universitaria “Renato Dulbecco”, 88100 Catanzaro, Italy
Interests: pediatric fractures; orthopedics; fractures

Special Issue Information

Dear Colleagues,

The fields of orthopedic surgery and joint reconstruction have seen remarkable progress in recent years, with groundbreaking advancements in materials, surgical techniques, and postoperative rehabilitation protocols. As the prevalence of musculoskeletal diseases, including osteoarthritis and traumatic joint injuries, continues to rise globally, there is a growing need for innovative approaches to improving patient outcomes. This Special Issue of Applied Sciences will focus on the latest developments in orthopedics and joint reconstruction, highlighting both the current state of the field and emerging trends, while addressing key challenges and ongoing debates. 

Scope and Focus Areas 

The aim of this Special Issue is to provide a comprehensive overview of the most pressing issues in orthopedic care, including the following areas:

  1. Epidemiology of orthopedic and joint diseases.
  2. Innovative materials for joint reconstruction.
  3. Surgical techniques and timing.
  4. Personalized approaches in joint reconstruction: the integration of personalized medicine and precision surgery.
  5. Rehabilitation and postoperative care.
  6. Complications and long-term outcomes.

Types of Contributions

We invite high-quality, original scientific contributions, including but not limited to original research articles, systematic reviews and meta-analyses, and comprehensive literature reviews.

Dr. Andrea Vescio
Guest Editor

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

  • orthopedic biomaterials and implants
  • minimally invasive surgery in orthopedics
  • personalized orthopedic medicine.

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Published Papers (2 papers)

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Research

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14 pages, 557 KiB  
Article
Home-Based vs. Clinic-Based Rehabilitation After Joint Arthroplasty: A Prospective Matched Cohort Study
by Erminia Cofano, Filippo Familiari, Tommaso Mori, Michele Mercurio, Andrea Vescio, Alessandro Giorgio, Giorgio Gasparini and Giuseppe Calafiore
Appl. Sci. 2025, 15(9), 4937; https://doi.org/10.3390/app15094937 - 29 Apr 2025
Abstract
Background: Post-operative rehabilitation after total hip arthroplasty (THA) and total knee arthroplasty (TKA) is a crucial phase in the recovery process. The choice between clinic-based rehabilitation (CBR) and home-based rehabilitation (HBR) depends on the patient’s specific needs, available resources, and individual preferences. This [...] Read more.
Background: Post-operative rehabilitation after total hip arthroplasty (THA) and total knee arthroplasty (TKA) is a crucial phase in the recovery process. The choice between clinic-based rehabilitation (CBR) and home-based rehabilitation (HBR) depends on the patient’s specific needs, available resources, and individual preferences. This study aimed to compare CBR and HBR in terms of short-term post-operative functionality in patients who underwent THA and TKA. Methods: A prospective matched cohort study was performed on 120 patients who underwent primary THA and TKA; 60 patients underwent HBR, and 60 underwent CBR. Data gathered included instrumental activities of daily living (IADLs), as well as visual analogue scale (VAS), Vail Hip Score (VHS), and Western Ontario and McMaster Universities (WOMAC) questionnaire results. Results: Statistically significant recovery was found in terms of VAS, VHS, and WOMAC in the HBR and CBR groups (all p < 0.001) after THA and TKA. Multivariate regression analysis demonstrated that higher values of VHS and WOMAC at 1 month were associated with better values of VAS, VHS, and WOMAC preoperatively (r = 0.095, p = 0.021). Conclusion: HBR showed similar short-term postoperative outcomes when compared with CBR for patients who underwent total joint arthroplasty. Greater preoperative joint functionality, a lower level of pain, and a female gender predicted better functional outcomes at 1 month after surgery in both groups. Full article
(This article belongs to the Special Issue Orthopaedics and Joint Reconstruction: Latest Advances and Prospects)
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15 pages, 937 KiB  
Systematic Review
The Role of Motion Capture Analysis in Evaluating Postoperative Functional Outcomes in Adolescent Idiopathic Scoliosis: A Systematic Review
by Sergio De Salvatore, Paolo Brigato, Davide Palombi, Leonardo Oggiano, Sergio Sessa, Umile Giuseppe Longo and Pier Francesco Costici
Appl. Sci. 2025, 15(4), 1829; https://doi.org/10.3390/app15041829 - 11 Feb 2025
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Abstract
Introduction: This systematic review evaluates the application of motion capture analysis (MCA) in assessing postoperative functional outcomes in adolescent idiopathic scoliosis (AIS) patients treated with spinal fusion. Material and Methods: A comprehensive search of PubMed, Scopus, Embase, and Cochrane Library was [...] Read more.
Introduction: This systematic review evaluates the application of motion capture analysis (MCA) in assessing postoperative functional outcomes in adolescent idiopathic scoliosis (AIS) patients treated with spinal fusion. Material and Methods: A comprehensive search of PubMed, Scopus, Embase, and Cochrane Library was conducted for studies published between January 2013 and September 2024. Eligible studies included original research examining AIS patients’ post-spinal fusion, specifically assessing kinematic outcomes via MCA. Key outcomes included gait parameters, range of motion (ROM), and trunk–pelvic kinematics. Results: Nine studies comprising 216 participants (81.5% female), predominantly with Lenke 1 and 3 curve types. MCA revealed significant improvements in gait symmetry, stride length, and trunk–pelvic kinematics within one year of surgery. Enhanced mediolateral stability and normalized transverse plane motion were commonly observed. However, persistent reductions in thoracic–pelvic ROM and flexibility highlight postoperative limitations. Redistributing mechanical loads to adjacent unfused segments raises concerns about long-term compensatory mechanisms and risks for adjacent segment degeneration. Conclusions: While spinal fusion effectively restores coronal and sagittal alignment and improves functional mobility, limitations in ROM and dynamic adaptability necessitate targeted rehabilitation. Future research should standardize MCA methodologies and explore motion-preserving surgical techniques to address residual functional deficits. Full article
(This article belongs to the Special Issue Orthopaedics and Joint Reconstruction: Latest Advances and Prospects)
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