Update on Orthopedic Surgeries of the Lower Extremity Diseases and Injuries: 3rd Edition

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 28 February 2026 | Viewed by 1542

Special Issue Editors


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Guest Editor
Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, 31, Suncheonhyang 6-gil, Dongam-gu, Cheonan 31151, Republic of Korea
Interests: orthopedics; lower extremity; foot and ankle; pathologies; disease; deformities; infection; total ankle arthroplasty; trauma; sports medicine; diabetic foot; orthoses
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E-Mail Website
Guest Editor
Department of Orthopedic Surgery, Soonchunhyang University Seoul Hospital, 59 Daesagwan-ro, Yongsan-gu, Seoul 04401, Republic of Korea
Interests: orthopedics; foot and ankle surgery; diabetic foot
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The lower extremities—including the hips, knees, feet, and ankles—remain central to orthopedic research and surgical advancement. A wide range of diseases, deformities, and trauma-related conditions affect this region, and orthopedic surgical techniques have rapidly evolved in response. As clinical demands increase and research technologies advance, sharing updated surgical insights and treatment innovations has become more critical than ever.

Following the success of the first and second editions of the Special Issue “Orthopedic Surgeries of the Lower Extremity Diseases and Injuries”—which together received over 60 submissions, published more than 45 articles, and reached more than 113,000 views—we are pleased to announce the launch of the third edition.

This Special Issue will serve as an academic platform for sharing recent progress in the surgical management of lower extremity disorders, including original research, systematic reviews, literature reviews, and technical notes. Topics of interest include:

Surgical innovations for the foot, ankle, hip, and knee
Management of trauma in the lower extremities and sports injuries
Deformity correction and treatment strategies for infection
Application of biomaterials and insights from biomechanics
Advances in total joint arthroplasty and minimally invasive surgery
Reconstructive approaches to diabetic foot and wound care
Novel surgical techniques and translational research
High-quality systematic reviews, literature reviews, and technical notes

We warmly invite researchers and clinicians to submit their latest findings to help expand the global knowledge base and improve clinical outcomes in the field of orthopedic surgery for the lower extremities.

Dr. Woo Jong Kim
Dr. Sung Hun Won
Guest Editors

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Keywords

  • orthopedic surgery
  • lower extremity
  • foot and ankle
  • hip and knee
  • trauma
  • sports injury
  • trauma in lower extremity
  • deformity correction
  • total joint arthroplasty
  • minimally invasive surgery
  • diabetic foot
  • wound care
  • surgical technique
  • translational research
  • clinical outcomes
  • systematic review
  • literature review
  • technical note

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Published Papers (1 paper)

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Review

17 pages, 1200 KB  
Review
Revision Surgery for Achilles Tendon Rupture: A Comprehensive Review of Treatment Options, Outcomes, and Complications and the Role of Artificial Intelligence
by Elena Delmastro, Stefano Colace, Umile Giuseppe Longo, Pieter D’Hooghe, Alberto Marangon, Olimpio Galasso, Giorgio Gasparini and Michele Mercurio
Medicina 2025, 61(9), 1684; https://doi.org/10.3390/medicina61091684 - 17 Sep 2025
Viewed by 1375
Abstract
Background and Objectives: Achilles tendon ruptures in middle-aged individuals with systemic comorbidities represent a growing clinical challenge. Revision surgery, indicated in cases of tendon re-rupture, remains technically demanding and lacks standardized treatment protocols. This comprehensive review aimed to summarize current evidence regarding [...] Read more.
Background and Objectives: Achilles tendon ruptures in middle-aged individuals with systemic comorbidities represent a growing clinical challenge. Revision surgery, indicated in cases of tendon re-rupture, remains technically demanding and lacks standardized treatment protocols. This comprehensive review aimed to summarize current evidence regarding indications, outcomes, and complications associated with the most commonly employed revision techniques and explores the potential of artificial intelligence (AI) in improving management and outcomes. Materials and Methods: A literature review was performed in accordance with PRISMA guidelines. The PubMed, MEDLINE, and Cochrane Central databases were used to search keywords. We included articles (1) reporting indications, outcomes, and/or complications of revision surgery for Achilles tendon rupture; (2) reporting a minimum mean follow-up of >12 months; and (3) written in English. Six studies met the inclusion criteria, with a total of 3250 patients analyzed. A methodological quality assessment using the Modified Newcastle–Ottawa Quality Assessment Scale was performed, and all articles were found to be of high quality. Results: Surgical strategies were stratified based on defect size: <2 cm: end-to-end anastomosis; 2–5 cm: V-Y myotendinous lengthening, often combined with tendon transfer; and >5 cm: fascial turndown flaps, autografts (e.g., semitendinosus), or allografts. Tendon transfers showed satisfactory functional outcomes but varied in complication rates. Allografts offered reduced donor site morbidity. The use of AI and wearable sensors has demonstrated potential in preoperative planning, complication prediction, and real-time rehabilitation monitoring. Conclusions: Achilles tendon revision surgery requires a patient-specific, defect-oriented approach. Combined surgical techniques are often necessary for large or non-viable lesions. The integration of AI represents a promising advancement in enhancing surgical decision-making, optimizing rehabilitation, and improving long-term clinical outcomes. Full article
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