Contemporary Management and Outcomes of Orthopedic Fractures

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

Deadline for manuscript submissions: 31 August 2026 | Viewed by 717

Special Issue Editors


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Guest Editor
Department of Orthopedics and Reconstructive Surgery, Centre of Postgraduate Medical Education, Professor Adam Gruca Orthopedic and Trauma Teaching Hospital, Konarskiego 13, 05-400 Otwock, Poland
Interests: orthopedics; arthroplasty; osteotomy; fracture

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Guest Editor
Department of Musculoskeletal Trauma and Orthopaedics, Centre of Postgraduate Medical Education, Gruca Orthopaedic and Trauma Teaching Hospital, Konarskiego 13, 05-400 Otwock, Poland
Interests: cruciate ligament; sport medicine; trauma; knee instability; meniscus; sport injury; patellar instability
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Special Issue Information

Dear Colleagues,

Orthopedic fractures remain a major global health challenge, affecting millions of individuals of all ages and placing a substantial economic burden on healthcare systems worldwide. Advances in diagnostic imaging, surgical techniques, implant technology, and perioperative care have significantly contributed to improved clinical and functional outcomes.

In addition to high-energy traumatic fractures, aging societies are experiencing a rapidly increasing incidence of osteoporotic fractures. These fractures represent one of the greatest therapeutic challenges in modern orthopedics and are associated with significant morbidity, loss of independence, reduced quality of life, and increased mortality. Their rising incidence underscores the urgent need for improved prevention strategies, early diagnosis, and more effective surgical and non-surgical management.

Furthermore, the growing number of total joint arthroplasties has led to an increasing incidence of periprosthetic fractures. These complex injuries require meticulous preoperative planning and individualized treatment approaches, often involving osteosynthesis with or without revision arthroplasty.

This Special Issue aims to provide a comprehensive overview of contemporary approaches to the management of orthopedic fractures, encompassing both operative and non-operative strategies. It brings together current research and expert perspectives on fracture mechanisms, risk factors, clinical outcomes, and innovative treatment approaches that have the potential to improve patient care in this important field.

We warmly invite the submission of original, high-quality research articles, systematic reviews, and meta-analyses addressing the prevention and modern treatment of various fracture types, including high-energy and osteoporotic fractures of the upper and lower extremities, the spine, as well as periprosthetic fractures.

Dr. Dariusz Grzelecki
Dr. Rafał Kamiński
Guest Editors

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Keywords

  • fracture
  • osteoporotic fracture
  • periprosthetic fracture
  • femur fracture
  • radial fracture
  • spine fracture
  • lower extremity fracture
  • upper extremity fracture

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Published Papers (1 paper)

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Review

16 pages, 697 KB  
Review
Simultaneous Bilateral Scapular Fractures: A Scoping Review
by Josip Kocur, Slavko Čičak, Dalibor Kristek, Dalibor Divković, Marko Ivanović, Dino Gregorović, David Matić, Matej Tomić, Sonja Škiljić, Ivana Haršanji Drenjančević and Gordana Kristek
Medicina 2026, 62(4), 786; https://doi.org/10.3390/medicina62040786 - 19 Apr 2026
Viewed by 403
Abstract
Background and Objectives: Simultaneous bilateral scapular fractures are exceptionally rare injuries and are most commonly associated with high-energy trauma, convulsions, or electrical injury. Their occurrence following low-energy trauma is extremely uncommon. This study aimed to conduct a scoping review of the literature [...] Read more.
Background and Objectives: Simultaneous bilateral scapular fractures are exceptionally rare injuries and are most commonly associated with high-energy trauma, convulsions, or electrical injury. Their occurrence following low-energy trauma is extremely uncommon. This study aimed to conduct a scoping review of the literature on simultaneous bilateral scapular fractures, with emphasis on demographic characteristics, mechanisms of injury, fracture patterns, treatment strategies, and clinical outcomes. To provide clinical context, the findings are illustrated by a case of a 43-year-old previously healthy recreational athlete who sustained simultaneous bilateral scapular fractures after a low-energy fall directly onto the back. Materials and Methods: A scoping review of the literature was conducted in accordance with PRISMA-ScR guidelines using the PubMed/MEDLINE and Scopus databases. Studies reporting simultaneous bilateral scapular fractures were identified and analyzed with respect to demographic characteristics, mechanisms of injury, fracture patterns, treatment modalities, and outcomes. Results: Thirty-seven studies published between 1946 and 2025 were included, comprising a total of 43 patients. Most cases resulted from high-energy trauma (41.9%), convulsions (25.6%), or electrical injury (16.3%). Low-energy trauma and spontaneous fractures were rare. The scapular body was the most commonly involved anatomical region. Conservative treatment predominated and was generally associated with favorable functional outcomes, while surgical intervention was reserved for displaced or intra-articular fractures. The illustrative case involved bilateral comminuted extra-articular fractures of the scapular bodies and spines without associated injuries and was managed conservatively, resulting in complete fracture healing and full, painless shoulder range of motion. Conclusions: The findings of this scoping review, illustrated by the representative clinical case, indicate that simultaneous bilateral scapular fractures may occur even after low-energy trauma in otherwise healthy individuals. Bilaterality alone should not be interpreted as an independent indication for surgical treatment when fractures are stable and minimally displaced. A high index of clinical suspicion and appropriate radiological evaluation are therefore warranted, particularly in emergency and trauma settings, in order to avoid missed or delayed diagnosis, even in cases with seemingly benign mechanisms of injury. Full article
(This article belongs to the Special Issue Contemporary Management and Outcomes of Orthopedic Fractures)
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