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Clinical Updates in Fractures: Orthopedics, Trauma Surgery, and Rehabilitation

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

Deadline for manuscript submissions: 20 July 2026 | Viewed by 543

Special Issue Editor


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Guest Editor
Detroit Medical Center, Wayne State University, 4D-4 University Health Center, Detroit Receiving Hospital, 4201 St Antoine Boulevard, Detroit, MI 48201, USA
Interests: orthopaedic trauma; spine surgery; biomechanics; anatomy; clinical outcomes; deformity correction
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Orthopedic Surgery is changing quickly with new Techniques, Robotics, and Artificial Intelligence. Disease entities remain as traumatic and degenerative conditions that require repair or reconstruction. Economically challenged societies are increasingly adopting modern implants and diagnostic tools, while also developing low-cost and low-tech solutions to address their own complex problems. The battle between individual technical expertise and modern technology to solve problems rages on. Meta-analyses and systematic reviews are obsolete due to Artificial Intelligence and platforms like Chat GPT, Open Evidence, and other sources that can provide reliable up-to-date information in seconds without reading journal articles. This special edition will focus on new strategies and techniques, low and high-cost, reliable and relevant outcome measures, "outreach" to underserved communities and countries, and "inreach" to our own local underprivileged or underserved populations for orthopedic care.

Dr. Rahul Vaidya
Guest Editor

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Keywords

  • orthopedic surgery
  • global orthopedic health
  • surgical techniques
  • outreach
  • inreach
  • artificial intelligence
  • robotics
  • outcome measures

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Published Papers (1 paper)

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Research

12 pages, 754 KB  
Article
Time to Death and Nursing Home Admission in Older Adults with Hip Fracture: A Retrospective Cohort Study
by Yoichi Ito, Norio Yamamoto, Yosuke Tomita, Kotaro Adachi, Masaaki Konishi and Kunihiko Miyazawa
J. Clin. Med. 2025, 14(23), 8603; https://doi.org/10.3390/jcm14238603 - 4 Dec 2025
Viewed by 422
Abstract
Background: Hip fractures in older adults are sentinel events linked to high mortality and functional decline. Few studies have quantified long-term survival probabilities, standardized mortality ratios (SMRs), and risks of new nursing home admission alongside patient-related predictors. Methods: We retrospectively analyzed [...] Read more.
Background: Hip fractures in older adults are sentinel events linked to high mortality and functional decline. Few studies have quantified long-term survival probabilities, standardized mortality ratios (SMRs), and risks of new nursing home admission alongside patient-related predictors. Methods: We retrospectively analyzed 355 patients aged ≥ 60 years who underwent hip fracture surgery at a general hospital in Japan (2020–2024). Primary outcomes were mortality and new nursing home admission. Survival probabilities and remaining life expectancy were estimated, and SMRs were calculated using age- and sex-matched national data. Cox regression identified independent predictors. Results: Mean age was 84 years; 76% were female. Mortality probabilities at 1, 2, and 3 years were 23%, 41%, and 60%, respectively; SMRs consistently exceeded 9. Median remaining life expectancy was 260 days. New nursing home admissions occurred in 42%, with cumulative probabilities of 16%, 27%, and 35% at 1, 2, and 3 years, respectively, showing a rapid rise within 9 months. Independent predictors of mortality were delayed surgery, higher Charlson Comorbidity Index, and low Geriatric Nutritional Risk Index. Older age and failure to regain ambulatory ability at 3 months predicted institutionalization. Conclusions: Older adults with hip fractures face persistently high mortality and institutionalization risks, comparable to advanced malignancies or neurodegenerative diseases. Surgical timing, comorbidities, nutrition, and functional recovery critically influence prognosis and should guide perioperative care and discharge planning. Full article
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