Advanced Strategies in Fracture Treatments

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

Deadline for manuscript submissions: 30 January 2025 | Viewed by 867

Special Issue Editors


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Guest Editor
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

E-Mail Website
Guest Editor
Department of Orthopedics, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Road, Kaohsiung 813, Taiwan
Interests: hand surgery; microscopic surgery; complex upper extremity trauma

Special Issue Information

Dear Colleagues,

Fracture management is a critical aspect of orthopedic care, and the "Advanced Strategies in Fracture Treatments" 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.

Dr. Kai-Cheng Lin
Dr. Chun-Yu Chen
Guest Editors

Manuscript Submission Information

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Keywords

  • state of the art
  • peri-articular fracture
  • osteoporotic fracture
  • fragility fracture
  • treatment protocols

Published Papers (1 paper)

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Research

11 pages, 6976 KiB  
Article
Is Staged Surgery Always Necessary for Schatzker Type IV–VI Tibial Plateau Fractures? A Comparison Study
by Kai-Cheng Lin, Fu-Ting Huang, Chun-Yu Chen and Yih-Wen Tarng
Life 2024, 14(6), 753; https://doi.org/10.3390/life14060753 - 13 Jun 2024
Viewed by 266
Abstract
Aims: This study aims to compare the outcomes of immediate (followed by closed-incision negative-pressure therapy use) versus delayed ORIF in patients with Schatzker type IV–VI TPFs. Patients and Methods: A prospective study of patients undergoing ORIF between January 2018 and December 2019 was [...] Read more.
Aims: This study aims to compare the outcomes of immediate (followed by closed-incision negative-pressure therapy use) versus delayed ORIF in patients with Schatzker type IV–VI TPFs. Patients and Methods: A prospective study of patients undergoing ORIF between January 2018 and December 2019 was performed. The inclusion criteria were patients (>18 years) with a closed fracture sent to the emergency room (ER) within 24 h of injury. All the patients underwent preoperative image evaluation. Two senior orthopedic trauma surgeons evaluated the soft tissue condition in the ER by 5P’s of the compartment syndrome, judging the timing of the operation of definitive ORIF. Group 1 (n = 16) received delayed ORIF. Group 2 (n = 16) received immediate ORIF and ciNPT use. Patient follow-up occurred after 2 and 6 weeks and 3, 6, and 12 months after surgery. The assessments included the time to definitive fixation, the length of hospital stay, the time to bone union, surgical site complications, and reoperation within 12 months. A universal goniometer was used to measure the postoperative 3 m, 6 m, and 12 m ROM. Results: The patient demographics were similar between the groups (p > 0.05). Group 2 displayed significantly a shorter time to definitive fixation (5.94 ± 2.02 vs. 0.61 ± 0.28, p < 0.0001) and hospital stay (14.90 ± 8/78 vs. 10.30 ± 6.78, p = 0.0016). No significant difference was observed in the time to bone union, surgical site complication incidence, and reoperation rates (p > 0.05). Flexion and flexion–extension knee ROM were demonstrated to be significantly improved in Group 2, 3, 6, and 12 months postoperatively (p < 0.0001). Conclusions: In this study, early ORIF and ciNPT use resulted in a shorter hospital length of stay, a reduced time to early active motion of the knee, and improved knee ROM. These results suggest that early ORIF with ciNPT for Schatzker type IV–VI TPFs is safe and effective in some patients. However, further research to confirm these findings across larger and more diverse populations is needed. Full article
(This article belongs to the Special Issue Advanced Strategies in Fracture Treatments)
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