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Advances in Trauma and Orthopedic Surgery: 3rd Edition
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Advances in Trauma and Orthopedic Surgery: 3rd Edition

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

Deadline for manuscript submissions: 20 August 2026 | Viewed by 1287

Editor

Prof. Dr. Christian von Rüden

E-Mail Website
Guest Editor
Department of Trauma Surgery, Orthopaedics and Hand Surgery, Weiden Medical Center, 92637 Weiden, Germany
Interests: major trauma; long bone fractures; complex joint fractures; pelvic trauma; nonunion treatment; pediatric trauma
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

We are pleased to announce the launch of the third edition of this Special Issue, dedicated to showcasing innovations in the treatment of traumatized patients. These include new approaches and the application of the latest intraoperative technology. Many of these innovations are based on the findings of translational clinical research, for example, in the field of biomechanics.

The first volume of this series published 17 impactful papers (available at https://www.mdpi.com/journal/jcm/special_issues/EF6ECZ130F). The second volume is now complete with 12 accepted articles, with additional papers still in the final stages of processing (see https://www.mdpi.com/journal/jcm/special_issues/PF24BL4V92).

In recent decades, significant progress has been made in the field of orthopedics and traumatology as a result of scientific research findings, although the context has continued to change. Road safety has led to a decrease in high-energy trauma following major trauma, while the number of elderly patients with low-energy trauma continues to increase. It is the task of the surgeon to treat this broad spectrum of complex patients in the best possible way using all appropriate resources.

Therefore, this Special Issue of the Journal of Clinical Medicine targets multifactorial improvements in trauma and orthopedic surgery with the goal of improving daily clinical practice through scientific recommendations for the benefit of our patients.

Prof. Dr. Christian von Rüden
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 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-anonymized 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

  • trauma
  • fracture
  • fracture fixation
  • osteosynthesis
  • biomechanics
  • bone
  • approach
  • nonunion
  • joint replacement
  • outcome

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Published Papers (2 papers)

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Research

13 pages, 19900 KB  
Article
The Pelvic INFIX Technique for Unstable Anterior Pelvic Ring Fractures: Clinical Outcomes, Radiographic Results, and Complications
by Vasileios Athanasiou, Michail Kroustalakis, Fotios Panagopoulos, Panagiotis Antzoulas, Vasileios Papathanidis and Vasileios Giannatos
J. Clin. Med. 2026, 15(12), 4594; https://doi.org/10.3390/jcm15124594 (registering DOI) - 13 Jun 2026
Viewed by 173
Abstract
Background: Unstable pelvic ring injuries often require surgical stabilization to restore pelvic ring integrity. The anterior subcutaneous internal fixator, or pelvic INFIX, has emerged as an alternative to external fixation and open anterior fixation. This study evaluated the functional, radiographic, and complication-related outcomes [...] Read more.
Background: Unstable pelvic ring injuries often require surgical stabilization to restore pelvic ring integrity. The anterior subcutaneous internal fixator, or pelvic INFIX, has emerged as an alternative to external fixation and open anterior fixation. This study evaluated the functional, radiographic, and complication-related outcomes of INFIX fixation for unstable anterior pelvic ring injuries. Methods: We retrospectively reviewed 21 adult patients treated with anterior pelvic INFIX for unstable anterior pelvic ring fractures, with or without posterior fixation, at a Level 1 Trauma Center between 2017 and 2024. Fractures were classified according to the AO/OTA system. Functional outcomes were assessed using the Iowa Pelvic Score and Short Form-12 questionnaire. Radiographic outcomes were evaluated according to Tornetta and Matta criteria. Complications were recorded throughout follow-up. The INFIX device was routinely removed 6 months postoperatively. Results: The cohort included 15 males and six females, with a mean age of 42.5 ± 11.1 years. Mean Injury Severity Score was 25.3 ± 9.6, and mean follow-up after implant removal was 31 (IQR 28–34) months. The mean Iowa Pelvic Score was 80.2 ± 7.4, indicating an overall good functional outcome. Mean SF-12 physical and mental scores were 49.2 ± 3.5 and 48.3 ± 7.9, respectively. Radiographic outcomes were excellent in eight patients, good in 11, and fair in two. Complications included postoperative hemorrhage, implant loosening, heterotopic ossification, and three cases of lateral femoral cutaneous nerve (LFCN) injury. Conclusions: INFIX fixation appears to be a reliable minimally invasive option for unstable anterior pelvic ring injuries, providing satisfactory mid-term functional and radiographic outcomes with an acceptable complication profile. Full article
(This article belongs to the Special Issue Advances in Trauma and Orthopedic Surgery: 3rd Edition)
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10 pages, 1501 KB  
Article
Total Hip Arthroplasty with the Conservative Cementless MINIMA Size 1 Stem in Patients with a Small Femoral Canal: 3–6 Years of Follow-Up
by Maros Hrubina, Marian Melisik, Zoltan Cibula, Peter Lisy, Juraj Cabala, Milan Cipkala, Lubica Kasakova and Jana Hrubinova
J. Clin. Med. 2026, 15(2), 861; https://doi.org/10.3390/jcm15020861 - 21 Jan 2026
Viewed by 722
Abstract
Background: The objective of this study was to evaluate the short-term clinical and radiological outcomes of a conservative cementless stem (Minima) in total hip arthroplasty (THA) for patients presenting with a narrow femoral canal. Methods: We retrospectively analyzed 18 patients (18 THAs) who [...] Read more.
Background: The objective of this study was to evaluate the short-term clinical and radiological outcomes of a conservative cementless stem (Minima) in total hip arthroplasty (THA) for patients presenting with a narrow femoral canal. Methods: We retrospectively analyzed 18 patients (18 THAs) who received a size 1 Minima stem between 2018 and 2022. Clinical assessment was performed using the Harris Hip Score (HHS). Radiological evaluation focused on stem migration, trabecular bone development, cortical hypertrophy, and the presence of radiolucent or reactive lines. Implant survival was determined using Kaplan–Meier analysis. Results: The mean patient age was 51.6 years, with an average follow-up of 57 months. The mean HHS improved significantly from 38.3 preoperatively to 96.4 at the final evaluation (p < 0.001). Initial stem migration occurred in two hips (11.1%) within the first 6 postoperative months, with no further progression or loosening observed thereafter. Bony trabecular development was identified in Gruen zones 3 (27.8%), 4 (5.5%), and 5 (16.7%). Reactive lines were present around four stems (zones 3–5). One intraoperative complication (5.5%) occurred (acetabular component migration during trial reduction), which required screw fixation. No revisions were performed. Both clinical and radiological implant survival at the final follow-up was 100.0%. Conclusions: At a mean follow-up of 57 months, the use of the size 1 Minima stem in patients with a narrow femoral canal demonstrated excellent clinical and radiological outcomes. These findings suggest that this conservative stem is a reliable option for this specific patient population. Full article
(This article belongs to the Special Issue Advances in Trauma and Orthopedic Surgery: 3rd Edition)
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