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Clinical Advances in Trauma and Orthopaedic Surgery

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

Deadline for manuscript submissions: 30 June 2025 | Viewed by 916

Special Issue Editors


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Guest Editor
1. Trauma & Orthopaedics Department, Santa Maria della Misericordia Hospital, University of Perugia, 06024 Perugia, Italy
2. Azienda Ospedaliera Santa Maria Terni, 05100 Terni, Italy
Interests: trauma and orthopaedics surgery; hand and wrist surgery; peripheral nerve disorders; chronic back pain management

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Guest Editor
Head of Trauma and Orthopaedic Surgery Department, Azienda Ospedaliera Santa Maria Terni, 05100 Terni, Italy
Interests: knee surgery; hip surgery; joint replacement; knee arthroscopy; hip arthroscopy; osteoarthritis; ligament injury

Special Issue Information

Dear Colleagues, 

The recent progress in orthopaedic surgery and its subspecialty areas is remarkable. Various common orthopaedic diseases have been under great scrutiny in recent years. Moreover, several innovative diagnostic and therapeutic algorithms have been studied, especially those related to hand/wrist surgery, tendon/ligament injuries, nerve injury and joint disorders. Additionally, significant advances and innovations related to robotic surgery, artificial intelligence (AI) and orthopaedic injections have been proposed. New indications and surgical techniques are also available, with debated and controversial results. Modern trends and directions are focused on minimally invasive surgery, AI-assisted surgery and the utilization of new therapeutic agents. In this Special Issue, we welcome authors to submit papers based on clinical advances and innovations of orthopaedic diseases in terms of both diagnosis and treatment.

Dr. Valerio Pace
Dr. Pierluigi Antinolfi
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

  • orthopaedic surgery
  • hand/wrist surgery
  • tendon injury
  • ligament injury
  • artificial intelligence (AI)
  • robotic surgery
  • orthopaedic injections
  • nerve injury

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Published Papers (1 paper)

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Research

10 pages, 2516 KiB  
Article
Free Flap Reconstruction of Traumatic Skin Defects of the Entire Hand Dorsum
by Soyeon Jung, Seungjun Lee and Seokchan Eun
J. Clin. Med. 2025, 14(4), 1308; https://doi.org/10.3390/jcm14041308 - 16 Feb 2025
Viewed by 583
Abstract
Background/Objectives: The reconstruction of hand defects, especially involving the dorsal region of the hand, has remained a challenge for surgeons because of its anatomical features and complex functions. The goal of reconstruction should include functional restoration as well as being esthetically pleasing. [...] Read more.
Background/Objectives: The reconstruction of hand defects, especially involving the dorsal region of the hand, has remained a challenge for surgeons because of its anatomical features and complex functions. The goal of reconstruction should include functional restoration as well as being esthetically pleasing. The flap transfer reconstruction strategy is essential for satisfying these requirements. Methods: Free flaps were used to cover traumatic defects of the hand dorsum in eleven patients from 2016 to 2022. Eight males and three females with a mean age of 41 years were enrolled. The size of the flaps ranged from 6 × 5 cm to 20 × 9 cm, and the selected flaps included five anterolateral thigh flaps, three lateral arm flaps, and three superficial circumflex iliac artery flaps. Results: All flaps survived, with one case of partial necrosis. One patient experienced joint stiffness during recovery. The donor sites were closed primarily, and there was no need for skin grafting. Secondary debulking or thinning was also not required. The majority of cases recovered excellent function of the hand (mean Q_DASH: 2.5) with satisfactory esthetic outcomes. The postoperative observations were followed by more than six months. Conclusions: Small defects can be treated using local, pedicled, and island-type flaps. However, larger defects involving the exposure of tendons, nerves, and other critical structures commonly require free tissue transfers. The flap reconstruction for hand dorsum in the study is feasible to produce acceptable outcomes in large sized defects. Full article
(This article belongs to the Special Issue Clinical Advances in Trauma and Orthopaedic Surgery)
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