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Trauma Surgery: Strategies, Challenges and Vision of the Future
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Trauma Surgery: Strategies, Challenges and Vision of the Future

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

Deadline for manuscript submissions: 31 January 2026 | Viewed by 1171

Special Issue Editors

Dr. Shai Factor

E-Mail Website
Guest Editor
Hand Surgery Unit, Tel Aviv Medical Center, Division of Orthopedic Surgery, Faculty of Medicine, Tel Aviv University, Tel Aviv 6423906, Israel
Interests: hand surgery; orthopaedic surgery; trauma surgery
Special Issues, Collections and Topics in MDPI journals
Dr. Yaniv S. Warschawski

E-Mail Website
Guest Editor
Tel Aviv Medical Center, Division of Orthopedic Surgery, Faculty of Medicine, Tel Aviv University, Tel Aviv 6423906, Israel
Interests: orthopaedic surgery; trauma surgery; joint replacement
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

This Special Issue is dedicated to the latest advancements in the surgical management of orthopedic trauma, including upper-limb injuries. As the field of orthopedic surgery continuously evolves, innovative surgical techniques and treatment modalities have been developed to enhance patient outcomes and recovery. This Special Issue aims to gather high-quality studies, including original research and reviews, exploring various surgical approaches to treating orthopedic trauma. We seek to cover a broad spectrum of topics, ranging from fracture fixation methods to soft-tissue repair, and address the potential complications associated with these treatments. Our goal is to provide a comprehensive resource that not only enriches the existing literature but also promotes the dissemination and exchange of knowledge within the scientific community. By doing so, we hope to advance the field of orthopedic trauma and improve clinical practices globally.

You may choose our Joint Special Issue in Journal of Personalized Medicine.

Dr. Shai Factor
Dr. Yaniv S. Warschawski
Guest Editors

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 250 words) can be sent to the Editorial Office for assessment.

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. Journal of Clinical Medicine 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 2600 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

  • orthopaedic surgery
  • fractures
  • injuries
  • upper limb
  • trauma

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (2 papers)

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Research

13 pages, 1591 KB  
Article
Comparative Outcomes of Single- Versus Dual-Incision Approaches for Open Reduction and Internal Fixation of Complex Tibial Plateau Fractures
by Efstratios D. Athanaselis, Theodoros Mylonas, Alexandros Koskiniotis, Alexandros A. Saridis, George Komnos, Nikolaos Stefanou, Michael Hantes, Theofilos Karachalios and Sokratis Varitimidis
J. Clin. Med. 2025, 14(23), 8281; https://doi.org/10.3390/jcm14238281 - 21 Nov 2025
Viewed by 333
Abstract
Background/Objectives: Open reduction and internal fixation with plates and screws is the treatment of choice for bicondylar tibial plateau fractures. The use of a surgical approach remains a topic of debate regarding the site and number of incisions that ensure best access [...] Read more.
Background/Objectives: Open reduction and internal fixation with plates and screws is the treatment of choice for bicondylar tibial plateau fractures. The use of a surgical approach remains a topic of debate regarding the site and number of incisions that ensure best access for reduction with minimum additional soft tissue damage. This retrospective cohort study compared clinical, radiological, and functional outcomes of single- (anterior) versus dual-incision (anterolateral and medial) approaches that are widely used in the operative treatment of Schatzker V–VI tibial plateau fractures. Methods: Eighty-two patients treated between 2005 and 2020 were retrospectively analyzed. Fifty-two underwent a single-incision (SI) approach and 30 a dual-incision (DI) approach. Operative parameters, complications, reduction quality, Knee Society Score (KSS), Oxford Knee Score (OKS), and post-traumatic arthritis incidence were assessed. Results: Mean patient age was 50.6 years, with a mean follow-up of 8.5 years. Operative time was shorter in the SI group, though fluoroscopy time was longer. No significant difference was observed in reduction quality or wound complications. Post-traumatic arthritis occurred in 57.6% of SI and 53.3% of DI patients, with severe arthritis more frequent in SI (30% vs. 12.5%, p < 0.05). Seven patients required conversion to total knee arthroplasty (five SI, two DI). Functional recovery was similar: mean KSS 68.6% (SI) vs. 70.5% (DI) and OKS 36.1 vs. 40.8 (p > 0.05) at 5 years. Conclusions: Both single- and dual-incision approaches for complex tibial plateau fractures provide satisfactory long-term outcomes. While differences in complications and arthritis rates were minor, surgical choice should be guided by the fracture morphology, patient characteristics, and surgeon’s experience to balance reduction quality with soft tissue preservation. Full article
(This article belongs to the Special Issue Trauma Surgery: Strategies, Challenges and Vision of the Future)
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10 pages, 208 KB  
Article
The Impact of Concomitant Upper Extremity Fractures on Outcomes in Geriatric Patients Following Hip Fracture Surgery
by Nadav Graif, Etay Elbaz, Yaniv Warschawski, Efi Kazum, Lior Shabtai, Nissan Amzallag and Shai Factor
J. Clin. Med. 2025, 14(18), 6380; https://doi.org/10.3390/jcm14186380 - 10 Sep 2025
Viewed by 669
Abstract
Background: Hip fractures in geriatric patients represent a major public health burden, with a clinically important subset presenting with concomitant upper extremity (UE) fractures. The independent impact of these dual injuries on clinical outcomes remains incompletely characterized. Methods: A retrospective study of patients [...] Read more.
Background: Hip fractures in geriatric patients represent a major public health burden, with a clinically important subset presenting with concomitant upper extremity (UE) fractures. The independent impact of these dual injuries on clinical outcomes remains incompletely characterized. Methods: A retrospective study of patients aged ≥65 years who underwent surgical treatment for hip fracture at tertiary medical center, between January 2010 and January 2024. Patients were stratified based on the presence of a UE fracture sustained at the same time as the hip fracture. Multivariable regression models were used to assess outcomes, adjusting for age, sex, hip fracture type, and comorbidity burden. Primary outcomes were hospital length of stay and mortality at 30 days and 1 year. Secondary outcomes included readmission rates, revision surgery, and infection complications. Results: Of 7488 patients, 251 (3.4%) had concomitant upper extremity (UE) fractures. These patients had a longer mean hospital stay compared with isolated hip fractures (20.2 vs. 17.5 days, p = 0.047), with no significant difference in 30-day mortality (p = 0.439) and a trend toward lower 1-year mortality (p = 0.058). In the concomitant UE fracture group, operative treatment was associated with longer hospitalization (26.2 vs. 19.2 days, p = 0.05) and higher revision surgery rates (14.0% vs. 3.1%, p = 0.01). Subgroup analyses by fracture type showed similar trends, with longer hospital stays observed in intracapsular fractures with concomitant injury (p = 0.05). Subgroup analysis by UE fracture location showed significantly longer stays for distal radius fractures compared with isolated hip fractures, whereas no significant differences were observed for proximal humerus or other UE fracture locations. Conclusions: Concomitant UE fractures in geriatric hip fracture patients are associated with prolonged hospitalization. Operative management of UE fractures results in longer hospital stays and an increased risk of revision surgery. These findings highlight the importance of tailored perioperative planning and resource allocation for this vulnerable patient group. Full article
(This article belongs to the Special Issue Trauma Surgery: Strategies, Challenges and Vision of the Future)
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