New Challenges in Fracture Management

A special issue of Life (ISSN 2075-1729). This special issue belongs to the section "Medical Research".

Deadline for manuscript submissions: 30 September 2026 | Viewed by 532

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Division of Traumatology, Department of Orthopaedic Surgery, Kaohsiung Veterans General Hospital, 386 Ta-Chung 1st Road, Kaohsiung 813, Taiwan
Interests: pelvic and acetabular trauma; complex lower extremity trauma; periarticular fracture
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Special Issue Information

Dear Colleagues,

Fracture management is a critical aspect of orthopedic care and the "New Challenges in Fracture Management" Special Issue aims to bring together cutting-edge research and innovative approaches to address contemporary challenges in this field. This Special Issue provides a platform for researchers, clinicians and experts to share insights into novel treatment modalities, technological advancements and evidence-based practices that can enhance patient outcomes.

The rationale behind this Special Issue lies in the evolving landscape of fracture treatments, where new strategies are continuously emerging to optimize patient care. We invite contributions that explore a wide range of topics, including biomechanics, surgical techniques, implant developments and advanced treatment protocols. Authors are encouraged to delve into the complexities of fracture classifications, individualized treatment plans and the role of emerging technologies in improving diagnostic accuracy and therapeutic interventions.
Our goal is to assemble a collection of articles that not only reflect the current state of the art in fracture treatments but also anticipate future directions in the field. By fostering collaboration and sharing expertise, this Special Issue aims to provide a comprehensive resource for practitioners and researchers seeking to advance the science and practice of fracture management.

Prospective authors are invited to contribute original research articles, reviews and clinical studies that contribute to the advancement of fracture treatments. We believe that this Special Issue will serve as a valuable reference for professionals seeking to stay at the forefront of innovative approaches to fracture care.

We have successfully published the first volume, and you can read the related publications through the following link: https://www.mdpi.com/journal/life/special_issues/6WH7724TQ3.

Dr. Kai-Cheng Lin
Guest Editor

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Keywords

  • fracture
  • extremity trauma
  • orthopedic trauma
  • orthopedics

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Published Papers (1 paper)

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Research

13 pages, 2814 KB  
Article
Plating of a Single Bone Is Promising for the Treatment of Both-Bone Forearm Fractures in Children
by Shou En Cheng, Kai Xuan Lim, Shang-Ming Lin, Ching-Ting Liang and Tsung-Yu Lan
Life 2026, 16(6), 978; https://doi.org/10.3390/life16060978 - 10 Jun 2026
Viewed by 214
Abstract
Background: Forearm fractures involving both bones are common orthopedic injuries. Children have a higher tolerance for greater displacement and angulation owing to the remodeling potential. The optimal fixation method for managing pediatric forearm fractures has not been definitively established. This study evaluated the [...] Read more.
Background: Forearm fractures involving both bones are common orthopedic injuries. Children have a higher tolerance for greater displacement and angulation owing to the remodeling potential. The optimal fixation method for managing pediatric forearm fractures has not been definitively established. This study evaluated the safety and efficacy of a stepwise surgical algorithm, wherein single-bone plating was attempted first, and both-bone fixation was strictly reserved for cases demonstrating persistent intraoperative instability. Methods: In this retrospective analysis, we evaluated 48 skeletally immature children with both-bone forearm fractures managed via our stepwise protocol. Initially, single-bone plating was performed. Dynamic manual stress testing was then applied under fluoroscopy. If the unplated bone exhibited rotational instability, residual angulation >15°, or translation >50%, the procedure was converted to both-bone plating (Group B, n = 16). Patients who achieved stable alignment without requiring a second plate formed Group A (n = 32). Results: Both groups achieved 100% union. Postoperative angulations of the radius on the anteroposterior view were 1.91 ± 2.73° in Group A and 0.88 ± 1.96° in Group B; meanwhile, the lateral angulation of the radius in Groups A and B was 1.88 ± 3.56° and 0.00 ± 0.00°, respectively. The anteroposterior angulation of the ulna was 2.31 ± 3.60° in Group A and 2.19 ± 4.00° in Group B, whereas the lateral angulation of the ulna was 2.81 ± 3.74° in Group A and 1.75 ± 3.47° in Group B. Only the lateral angulation of the radius showed a significant difference (p = 0.0418). In the subgroup analysis, minor differences in ulna angulation on the anteroposterior view reached statistical significance in the older cohort (p = 0.027) and in the distal-third fracture group (p = 0.001). No differences in bone healing or functional outcomes were observed, and complication rates were similar. Conclusion: Our stepwise surgical algorithm appears to be a safe and effective approach. By adhering to this protocol, 66.7% of patients were successfully spared the morbidity of a second incision, while all patients achieved solid union and excellent functional outcomes. However, further high-quality studies are essential to establish comprehensive protocols for intraoperative stability assessment and postoperative care. Full article
(This article belongs to the Special Issue New Challenges in Fracture Management)
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