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Clinical Updates in Fractures: Orthopedics, Trauma Surgery, and Rehabilitation
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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 1941

Special Issue Editor

Dr. Rahul Vaidya

E-Mail Website
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

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

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Published Papers (2 papers)

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Research

8 pages, 205 KB  
Article
Can Patients Self-Identify Gait Disturbances After Lower Extremity Trauma? Enhancing Patient Engagement in Their Care
by Tyler Forbes, Joseph Cavataio, Andrew Robinson, Abdel Kareem Hilo, Alyxandra Camello, Anagha Purushotham and Rahul Vaidya
J. Clin. Med. 2026, 15(3), 1175; https://doi.org/10.3390/jcm15031175 - 3 Feb 2026
Viewed by 431
Abstract
Background and Objectives: Orthopedic patients recovering from lower extremity trauma frequently experience gait disturbances that affect mobility, independence, and quality of life. Engaging patients in recognizing their own gait abnormalities may enhance participation in rehabilitation and improve functional outcomes. The purpose of this [...] Read more.
Background and Objectives: Orthopedic patients recovering from lower extremity trauma frequently experience gait disturbances that affect mobility, independence, and quality of life. Engaging patients in recognizing their own gait abnormalities may enhance participation in rehabilitation and improve functional outcomes. The purpose of this study to assess if patients recovering from lower extremity trauma can self-recognize the presence or absence of a gait abnormality, and if the PROMIS physical function scores correlate with gait abnormality. Materials and Methods: An IRB-approved prospective cross-sectional study was conducted at a Level One U.S. trauma center, assessing gait disturbance in patients recovering from lower limb surgery. Participants completed the PROMIS physical function survey along with self-assessing the presence or absence of a limp, then received a clinical gait assessment by a clinician. Of 243 patients screened, only those with an isolated lower limb injury, status post-operative trauma care, and able to ambulate unassisted were included. This yielded a final study cohort of 66 patients. Results: Post-lower extremity trauma patients were able to self-identify the presence (95.92% p < 0.00001) or absence 89.47% (p < 0.00001) of a gait abnormality. There was a statistically significant difference in PROMIS physical function t-scores between patients with and without a limp, 37.2 and 44.4 (p-value 0.00012), respectively. Conclusions: Patients recovering from lower extremity trauma can effectively identify the presence or absence of gait disturbances. Limp recognition was associated with lower PROMIS Physical Function scores. Promoting patient awareness and involvement in tracking their recovery may enhance engagement, guide clinical decision-making, and support better rehabilitation outcomes. Full article
(This article belongs to the Special Issue Clinical Updates in Fractures: Orthopedics, Trauma Surgery, and Rehabilitation)
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
Cited by 1 | Viewed by 1212
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
(This article belongs to the Special Issue Clinical Updates in Fractures: Orthopedics, Trauma Surgery, and Rehabilitation)
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