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Recent Advances in the Management of Fractures
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Recent Advances in the Management of Fractures

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

Deadline for manuscript submissions: 15 September 2025 | Viewed by 304

Special Issue Editors

Prof. Dr. Giulio Maccauro

E-Mail Website
Guest Editor
Department of Geriatrics and Orthopaedic Sciences, Università Cattolica del Sacro Cuore, Rome, Italy
Interests: pathological fractures; bone tumors; metastases; infection; prosthesis; hip; sarcoma; biomaterial
Special Issues, Collections and Topics in MDPI journals
Dr. Raffaele Vitiello

E-Mail Website
Guest Editor
Orthopaedics and Traumatology Department, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, Italy
Interests: infections; bone and soft tissue tumor; traumatology; foot and ankle surgery
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

This Special Issue aims to provide an in-depth exploration of the latest advancements in fracture management. It will cover innovative surgical techniques, advanced diagnostic imaging methods, and the application of novel biomaterials for bone repair. Our objective is to offer a comprehensive overview of state-of-the-art approaches that are revolutionizing outcomes for orthopedic patients. We invite submissions of manuscripts that present cutting-edge research and clinical trials offering fresh perspectives on fracture treatment and rehabilitation.

Prof. Dr. Giulio Maccauro
Dr. Raffaele Vitiello
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 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

  • trauma
  • fractures
  • prosthesis
  • megaprosthesis
  • modular prosthesis
  • plate
  • nail
  • combo
  • screw
  • rehabilitation
  • radiology

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Published Papers (1 paper)

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Research

15 pages, 4970 KiB  
Article
ARTT Approach to Total Elbow Arthroplasty Devised for Post-Trauma Patients: Preliminary Results
by Biagio Abate, Martina Coppola, Giuseppe Bardellini, Federico Martinelli, Andrea Celli and Luigi Celli
J. Clin. Med. 2025, 14(9), 2901; https://doi.org/10.3390/jcm14092901 - 23 Apr 2025
Viewed by 133
Abstract
Background: An increasing number of total elbow arthroplasty (TEA) procedures are performed in trauma patients every year through a variety of approaches. We have devised the Anconeus-reflected Triceps tongue (ARTT) approach for TEA, which optimizes soft tissue management and implant placement, particularly in [...] Read more.
Background: An increasing number of total elbow arthroplasty (TEA) procedures are performed in trauma patients every year through a variety of approaches. We have devised the Anconeus-reflected Triceps tongue (ARTT) approach for TEA, which optimizes soft tissue management and implant placement, particularly in post-trauma patients, where extensive scar tissue and/or marked bone deformity hamper joint exposure and carry a risk of component malposition. We describe the ARTT surgical technique, discuss its advantages, and report its preliminary results. Methods: Six consecutive patients with malunion of the articular elbow surfaces with severe soft tissue retraction and multiple previous surgeries underwent TEA using the ARTT approach, which spares the triceps tendon insertion on the olecranon and reflects the anconeus and triceps muscles as one. Results: At a mean follow-up of 29 months, the Mayo Elbow Performance Score had increased from 39 to 95 points, whereas the visual analog score for pain had fallen from 7.5 to 1. None of the patients had insufficiency or secondary detachment of the triceps tendon and all achieved grade 4 or 5 on the Medical Research Council scale. Discussion: The ARTT approach provides enhanced joint exposure, resulting in the preservation of the triceps tendon insertion on the olecranon and enabling earlier active rehabilitation. Our preliminary results indicate that it is a viable alternative to traditional techniques, particularly in post-trauma patients with severe elbow dysfunction, who often suffer from extensive scarring, soft tissue damage, and bone deformity. Full article
(This article belongs to the Special Issue Recent Advances in the Management of Fractures)
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