Orthopedic Surgery: Recent Advances and Prospects

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

Deadline for manuscript submissions: 28 August 2025 | Viewed by 1239

Special Issue Editor


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Guest Editor
Maimonides Medical Center, Brooklyn, NY, USA
Interests: orthopedic surgery; clinical updates; reconstruction; spine surgery

Special Issue Information

Dear Colleagues,

The practice of orthopedics is constantly evolving. In the U.S., over a million total joint arthroplasties are performed annually, with 540,000+ total hip arthroplasties and 790,000 total knee arthroplasties. In addition, over 400,000 spinal fusion surgeries are performed annually, with over 340,000 interbody fusions. A host of advances and prospects are constantly underway, which, in the field of spinal surgery, include the use of motion-preserving procedures (cervical disc arthroplasty, lumbar disc arthroplasty, laminoplasty), biologics to increase spinal fusion rates and delay/prevent degenerative disc disease, novel methods to prevent proximal junctional kyphosis/failure, and robotics/computer navigation. Within joint arthroplasty, new trends are growing in the United States, including continued growth in the anterior approach for total hip arthroplasty, robotic navigation, cementless total knee arthroplasty, and decreased rates of patellar resurfacing. In this Special Issue, we welcome authors to submit papers on the latest advances and prospects in all fields of orthopedic surgery.

Dr. Mitchell K. Ng
Guest Editor

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Keywords

  • orthopedic surgery
  • clinical updates
  • joint reconstruction
  • spine surgery
  • trauma
  • elective surgery
  • peri-operative management

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Published Papers (2 papers)

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Research

12 pages, 1456 KiB  
Article
Assessing Orthopedic Patients’ Perspectives on and Adherence to Perioperative Digital Experience Sampling
by Jasmijn E. Willemen, Sjors C. F. van de Weijer, Richel Lousberg, Thérèse A. M. J. van Amelsvoort and Andrea J. R. Balthasar
J. Clin. Med. 2025, 14(9), 3044; https://doi.org/10.3390/jcm14093044 - 28 Apr 2025
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Abstract
Background/Objectives: The experience sampling method (ESM) is a structured data collection method in which participants respond to randomly timed acoustic alerts while engaging in their daily activities. It allows patients to assess their mood, context and pain levels. This study aimed to evaluate [...] Read more.
Background/Objectives: The experience sampling method (ESM) is a structured data collection method in which participants respond to randomly timed acoustic alerts while engaging in their daily activities. It allows patients to assess their mood, context and pain levels. This study aimed to evaluate the opinions of patients who underwent surgery on the perioperative use of a digital ESM tool. Methods: The Psymate app version 1.6.15 (ESM device) generated 10 short reports (acoustic alerts) at semi-random times each day for patients who underwent total knee arthroplasty (TKA). The short report, consisting of 23 items, contained questions about mood, context and pain. At the end of the study, patients’ opinions about the app were collected through a standardized questionnaire covering multiple subtopics. Feedback was analyzed using descriptive statistics. Results: Of the 40 patients scheduled for TKA, 31 participated in the evaluation. The app received an average user-friendliness rating of 8.3 out of 10. Some patients express dissatisfaction with the frequency (n = 10) and noise (n = 14) of the notifications. Additional analyses suggest that higher pain levels may reduce the likelihood of completing the short report. Conclusions: This is the first study to evaluate postoperative patients’ opinions on the use of a digital ESM app. The PsyMate app received satisfactory ratings across all subtopics, although patients identified areas for improvement. Full article
(This article belongs to the Special Issue Orthopedic Surgery: Recent Advances and Prospects)
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14 pages, 520 KiB  
Article
Comparison of Anterior and Posterior Surgical Approaches in Total Hip Arthroplasty: Effect on Self-Reported and Functional Outcomes
by Clayton Foster, Songyuan Gu, Chase Dean, Craig Hogan and Michael Dayton
J. Clin. Med. 2025, 14(6), 1935; https://doi.org/10.3390/jcm14061935 - 13 Mar 2025
Viewed by 715
Abstract
Background/Objectives: Reported patient results after total hip arthroplasty (THA) have been described as a function of surgical approach. Such results have commonly been subjective. Though self-reported outcomes are of value and often utilized, inclusion of functional performance measures represents an objective measure to [...] Read more.
Background/Objectives: Reported patient results after total hip arthroplasty (THA) have been described as a function of surgical approach. Such results have commonly been subjective. Though self-reported outcomes are of value and often utilized, inclusion of functional performance measures represents an objective measure to compare THA techniques. Methods: Patients that underwent primary THA surgery at our institution were grouped by surgical approach (Direct Anterior vs Posterior). Patient data were collected pre-operatively, as well as post-operatively at three and twelve months. Hip Dysfunction and Osteoarthritis Outcome Score (HOOS JR) was utilized, and function was assessed with the timed up and go test (TUGT), 4-m walk test (4MWT), and 30 s sit-to-stand (30STS) test. Unpaired T tests were used to compare mean results and differences between the groups. Results: Functional outcome scores were improved to a similar degree for both surgical approach groups at all the time points post-operatively. At 3 months, the TUGT was improved by 2.33 s for the posterior group, the 30STS was increased by 2.71 repetitions, and the 4MWT was increased by 1.23 s; the anterior group had 2.66 s, 2.49 repetition, and 1.18 s improvements in the three functional tests, respectively. At 12 months, the posterior group had improvements of 2.86 s, 3.99 repetition, and 1.19 s, while the anterior group had improvements of 3.15 s, 3.83 repetition, and 1.23 s, respectively. No clinical and statistical significant differences in surgical approach were noted in these measures. In contrast, the anterior group showed a statistically significant but not clinically significant improvement in self-reported HOOS JR scores compared to the posterior group at the 3-month post-operative mark (p = 0.045). Conclusions: This study suggests both anterior and posterior surgical approaches to total hip arthroplasty yield equivalent functional results at 3 months and one year post-operatively, while the anterior approach demonstrates more improved patient satisfaction than the posterior approach at the 3-month post-operative assessment. Full article
(This article belongs to the Special Issue Orthopedic Surgery: Recent Advances and Prospects)
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