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General Orthopedic Surgery: Trends 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: 30 September 2025 | Viewed by 317

Special Issue Editor


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Guest Editor
Med City UNT/TCU Orthopaedic Surgery Residency Program, 3535 S Interstate 35, Denton, TX 76210, USA
Interests: orthopedic trauma; general orthopedic surgery; arthroplasty

Special Issue Information

Dear Colleagues,

The field of orthopedic surgery is ever-evolving and makes up a diverse clinical specialty dealing with diseases of the bones, muscles, and joints, such as arthritis, trauma, soft tissue disorders, tumors, and much more. Because of the rapid progress in the understanding of diseases and the precipitous expansion of treatments in orthopedic surgery, there has been a trend toward subspecialization, and the “general orthopedic surgeon” is becoming more of a rarity every day. There are many regions of the United States (and indeed the world) where a significant need for the general orthopedic surgeon is still prevalent but goes unfilled. This Special Issue of Journal of Clinical Medicine will be aimed at new trends and treatments for common orthopedic conditions felt to be in the purview of the general orthopedic surgeon.

Dr. John T. Riehl
Guest Editor

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Keywords

  • general orthopedic surgery
  • orthopedic trauma
  • hand
  • tumor
  • foot and ankle
  • spine
  • sports medicine
  • arthroplasty

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Published Papers (1 paper)

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Research

11 pages, 530 KiB  
Article
Comparative Arthroscopic Rotator Cuff Repair Outcomes Associated with Continuous Interscalene Block vs. Bolus Interscalene Block with Intravenous Dexmedetomidine: A Retrospective Cohort Study
by Seong-Meen Yoon, Aeryoung Lee and Sungwook Choi
J. Clin. Med. 2025, 14(11), 3882; https://doi.org/10.3390/jcm14113882 - 30 May 2025
Viewed by 154
Abstract
Background/Objectives:This retrospective cohort study compared the outcomes (postoperative pain, morphine consumption, sleep disturbance, and function) of patients undergoing arthroscopic rotator cuff repair involving either continuous interscalene block (CISB group) or single-injection interscalene block with intravenous dexmedetomidine (SISB group) analgesia. Methods: This [...] Read more.
Background/Objectives:This retrospective cohort study compared the outcomes (postoperative pain, morphine consumption, sleep disturbance, and function) of patients undergoing arthroscopic rotator cuff repair involving either continuous interscalene block (CISB group) or single-injection interscalene block with intravenous dexmedetomidine (SISB group) analgesia. Methods: This study included 61 patients, aged 59–71 years, who underwent elective arthroscopic rotator cuff repair and for whom complete electronic health records were available. Patients in the SISB group received a single-injection nerve block plus intraoperative intravenous dexmedetomidine and postoperative patient-controlled analgesia (PCA; morphine and dexmedetomidine; n = 33). Patients in the CISB group received continuous nerve block and morphine PCA (n = 28). Patient sleep disturbances, pain, total morphine consumption, and functional outcomes were evaluated postoperatively. Results: During the first 36 h postoperatively, there were no significant differences in the measured effects for patients in the two groups. Similarly, there were no significant differences in functional outcomes. However, patients in the SISB group had a significantly lower median morphine consumption total (18 mg) than those in the CISB group (24 mg; p < 0.001). Conclusions: Patients in the SISB group demonstrated significantly lower median morphine consumption than those in the CISB group; however, the postoperative pain, frequency of sleep disturbances, nausea, and functional outcomes did not show statistically significant differences. The reduced morphine consumption associated with the SISB group, compared with the CISB group, suggests that this analgesic protocol may result in fewer opioid-related effects following arthroscopic rotator cuff repair. Full article
(This article belongs to the Special Issue General Orthopedic Surgery: Trends and Prospects)
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