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Modern Approaches to the Management of Orthopedic Injuries
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Modern Approaches to the Management of Orthopedic Injuries

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 286

Special Issue Editor

Prof. Dr. Moshe Salai

E-Mail Website
Guest Editor
Adelson School of Medicine, Ariel University, Ariel 4070000, Israel
Interests: hip fractures; femoral fractures; arthroplasty; orthopedic surgery
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

This Special Issue focuses on the updated management of orthopedic injuries. These injuries represent a significant portion of trauma cases, often resulting from high-impact incidents such as road accidents. The prevalence of these injuries highlights the need for effective evacuation, stabilization, and treatment strategies aimed at rehabilitation.

Over the past decade, paradigms in trauma treatment have evolved significantly. Key advancements include restricted fluid resuscitation, the administration of whole blood and blood products at the injury scene, and improved evacuation methods, often via air transport. These changes have influenced orthopedic care practices, promoting early intervention and complex repairs of traumatic injuries.

Recent literature indicates that these strategies can save lives and preserve limbs. The aim of this Special Issue is to compile and present international findings on modern practices in managing traumatic orthopedic injuries to enhance patient outcomes across various settings.

Prof. Dr. Moshe Salai
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

  • orthopedic trauma
  • surgical integration
  • trauma management
  • modern approaches
  • rehabilitation advances

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Published Papers (1 paper)

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Research

10 pages, 724 KiB  
Article
Timing of Debridement in Low-Grade Open Forearm Fractures Does Not Affect Infection Risk: A Retrospective Study
by Dani Rotman, Franck Atlan, Katherine Shehadeh, Itay Ashkenazi, Ron Gurel, Yishai Rosenblatt, Tamir Pritsch and Shai Factor
J. Clin. Med. 2025, 14(9), 2878; https://doi.org/10.3390/jcm14092878 - 22 Apr 2025
Viewed by 145
Abstract
Background: The timing of operative debridement for open upper extremity fractures has not been consistently shown to impact infection rates. Nevertheless, current treatment protocols continue to advocate for prompt surgical debridement in the operating room. We hypothesized that delaying the surgical treatment [...] Read more.
Background: The timing of operative debridement for open upper extremity fractures has not been consistently shown to impact infection rates. Nevertheless, current treatment protocols continue to advocate for prompt surgical debridement in the operating room. We hypothesized that delaying the surgical treatment of low-grade open forearm fractures beyond 24 h from presentation does not increase the likelihood of infection. Methods: The medical charts of patients who presented to a level one trauma center with Gustilo type 1 or 2 open forearm fractures between 2017 and 2020 were retrospectively reviewed. Treatment protocols for these low-grade open fractures included prompt wound irrigation in the emergency department and intravenous antibiotic treatment for 72 h, without emphasizing the timing of surgical intervention. Outcome measures included time to surgery, infection rate, and union rate. Results: The mean ± standard deviation age of the 62-patient cohort was 57 ± 20 years, and 30 (48%) were males. There were 9 proximal third, 16 midshaft, and 37 distal third fractures, of which 41 involved both bones. Forty-eight fractures were classified as Gustilo type 1 and fourteen as Gustilo type 2. Surgery was performed at a median interval of 47 h following presentation, with 43 (69%) patients undergoing surgery later than 24 h following presentation. There was one case (1.6%) of infection and three cases (4.8%) of non-union. Conclusions: Subject to small numbers, our findings suggest that in patients without risk factors, surgical treatment for low-grade open forearm fractures can be safely deferred without an apparent increase in infection rates. Accordingly, treatment protocols for these fractures may prioritize prompt and adequate antibiotic administration over the urgency of surgical intervention. Full article
(This article belongs to the Special Issue Modern Approaches to the Management of Orthopedic Injuries)
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