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JCM
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Hip Fracture and Surgery: Clinical Updates and Challenges
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Hip Fracture and Surgery: Clinical Updates and Challenges

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

Deadline for manuscript submissions: 31 July 2025 | Viewed by 381

Special Issue Editor

Dr. Norio Imai

E-Mail Website
Guest Editor
Division of Comprehensive Musculoskeletal Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata 951-8510, Japan
Interests: epidemiology of hip fracture; rate of antiosteoporosis medication; fracture liaison service; osteosynthesis; total hip arthroplasty; hemiarthroplasty

Special Issue Information

Dear Colleagues,

Hip fractures, especially in the elderly, are a cause of decreased mortality and poor morbidity, and they are still increasing all over the world. A total of 14.2 million hip fractures occur all over the world per year, and a strong, positive correlation was observed between the incidence rate and the latitude of each country. Moreover, 1-year all-cause mortality rates are considered to be around 20% within a year of the injury. Therefore, high-quality clinical research and developing evidence-based management algorithms and guidelines aiming to decrease morbidity and mortality in this patient group are required to improve the outcome of severely injured patients. Studies on epidemiological findings, on diagnostic modalities, and on treatment options for different injury patterns are likewise essential to further improving the care of patients with hip fractures.

The present Special Issue aims to highlight the importance of clinical research of further advancing the standard of care in patients with hip fractures. All clinicians and researchers involved in the care of injured patients are invited to submit their original papers or review articles, focusing on any aspect of the entire field of fragility hip fractures.

Dr. Norio Imai
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. 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

  • antiosteoporosis medication
  • fracture liaison service
  • osteosynthesis
  • total hip arthroplasty
  • hemiarthroplasty

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Published Papers (1 paper)

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Research

13 pages, 515 KiB  
Article
The Impact of Total Hip Arthroplasty on the Incidence of Hip Fractures in Romania
by Flaviu Moldovan and Liviu Moldovan
J. Clin. Med. 2025, 14(13), 4636; https://doi.org/10.3390/jcm14134636 - 30 Jun 2025
Abstract
Background/Objectives: The increase in life expectancy and the share of the elderly population has the effect of increasing the number of osteoporotic hip fractures. At the same time, the number of total hip arthroplasty (THA) interventions is continuously increasing. The objective of [...] Read more.
Background/Objectives: The increase in life expectancy and the share of the elderly population has the effect of increasing the number of osteoporotic hip fractures. At the same time, the number of total hip arthroplasty (THA) interventions is continuously increasing. The objective of this study is to investigate the incidence rates of hip fractures during the period 2008–2019, in Romania, among people who are at least 40 years old, as well as to determine the extent to which the increase in the prevalence of people who have undergone THA has affected the incidence of hip fractures, given that the operated hip no longer presents a risk of fracture. Methods: We extracted the information, between 2008 and 2019, from nationwide retrospective studies about the incidence and time trend of hip fractures in Romania. Information on primary THA interventions during the period 2001–2019 was obtained from the Romanian Arthroplasty Register (RAR). We obtained the population size, by gender and age groups, from the reports of the National Institute of Statistics. For the period 2008–2019, we calculated the standardized annual hip fracture incidence rates by sex and by age. Given that each person has two hips at risk of fracture, we calculated hip fracture rates in a scenario without THA interventions. For this, we subtracted 0.5 people from the at-risk population for each prevalent hip prosthesis. Thus, we revealed the effects of decreasing fracture rates due to having hip prostheses. Results: From 2008 to 2019, age-standardized incidence rates of hip fractures increased by 10.8% in women, and by 2.8% in men. By excluding hips being replaced with prostheses in the at-risk population, we obtained higher hip fracture incidence rates. These recorded values were considerably higher for the elderly population. The variation in hip fracture rates during the observed period was 10.16% (9.76% in women and 11.68% in men) lower due to the increased prevalence of hip prostheses. Conclusions: Although the incidence of hip fractures has continued to rise, the growing number of people who have undergone THA and are living with hip prostheses has helped to blunt this increase. Full article
(This article belongs to the Special Issue Hip Fracture and Surgery: Clinical Updates and Challenges)
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