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Healthcare
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Health Service Interventions in Musculoskeletal Disorders
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Health Service Interventions in Musculoskeletal Disorders

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: 31 January 2025 | Viewed by 3913

Special Issue Editors

Dr. Ioannis Stratos

E-Mail Website
Guest Editor
Department of Orthopaedic Surgery, University of Wuerzburg, 97074 Wuerzburg, Germany
Interests: foot and ankle surgery; trauma surgery; muscle injury; muscle regeneration
Dr. Annette Eidmann

E-Mail Website
Guest Editor
Department of Orthopaedic Surgery, University of Wuerzburg, 97074 Wuerzburg, Germany
Interests: foot and ankle surgery; arthroplasty; planetary health

Special Issue Information

Dear Colleagues,

Musculoskeletal disorders represent a substantial burden on global health, necessitating innovative strategies in both surgical and non-surgical interventions. With advancements in orthopedic surgery and conservative treatments, there is a critical need to evaluate and share knowledge on effective healthcare practices in this domain. This Special Issue aims to collate cutting-edge research, providing a comprehensive view of current health service interventions in orthopedics.

We seek to explore various facets of musculoskeletal diseases, focusing on surgical treatments, conservative approaches, and overall healthcare strategies in orthopedic surgery. This Special Issue aims to foster interdisciplinary collaboration, inviting contributions from clinicians, surgeons, researchers, and healthcare professionals. By encompassing a wide array of topics, we strive to enhance the understanding and application of effective interventions in the field.

We welcome submissions across a variety of formats including original research, review articles, case studies, and clinical trials. Potential themes include but are not limited to: innovations in orthopedic surgical techniques, effectiveness of conservative treatments, healthcare policies affecting orthopedic practices, and comprehensive management strategies for musculoskeletal diseases. By disseminating knowledge across these themes, this Special Issue aims to contribute significantly to the evolution of health services in orthopedic surgery.

We look forward to receiving your contributions.

Dr. Ioannis Stratos
Dr. Annette Eidmann
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. Healthcare 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 2700 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

  • orthopedic surgery
  • musculoskeletal disorders
  • conservative treatment
  • rehabilitation
  • healthcare services
  • patient outcomes
  • evidence-based practice
  • surgical interventions
  • non-surgical treatment
  • quality of life

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Further information on MDPI's Special Issue polices can be found here.

Published Papers (3 papers)

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Research

13 pages, 3029 KiB  
Article
Demographic-, Radiographic-, and Surgery-Related Factors Do Not Affect Functional Internal Rotation Following Reverse Total Shoulder Arthroplasty: A Retrospective Comparative Study
by Felix Hochberger, Jakob Siebler, Marco-Christopher Rupp, Bastian Scheiderer, Sebastian Siebenlist and Stephanie Geyer
Healthcare 2024, 12(17), 1695; https://doi.org/10.3390/healthcare12171695 - 26 Aug 2024
Viewed by 759
Abstract
Purpose: This study aimed to identify the demographic-, radiographic-, and surgery-related factors influencing postoperative functional internal rotation (fIR) following reverse total shoulder arthroplasty (RTSA). Methods: In this retrospective cohort study, patients who underwent RTSA between June 2013 and April 2018 at a single [...] Read more.
Purpose: This study aimed to identify the demographic-, radiographic-, and surgery-related factors influencing postoperative functional internal rotation (fIR) following reverse total shoulder arthroplasty (RTSA). Methods: In this retrospective cohort study, patients who underwent RTSA between June 2013 and April 2018 at a single institution were assigned to two groups (“IROgood” or “IRObad”). Patients were classified as having good fIR (≥8 points in the Constant–Murley score (CS) and fIR to the twelfth thoracic vertebra or higher) or poor fIR (≤2 points in the CS and fIR to the twelfth thoracic vertebra or lower) after RTSA with a single implant model. The minimum follow-up period was two years. Standardized shoulder-specific scores (Visual Analogue Scale (VAS), Simple Shoulder Test (SST), American Shoulder and Elbow Surgeons Score (ASES), Constant–Murley score (CS)) were used to assess the pre- and postoperative functional status of patients. Postoperative radiographic evaluation included the distalization shoulder angle (DSA), lateralization shoulder angle (LSA), critical shoulder angle (CSA), acromiohumeral distance (AHD), glenoid inclination (GI), medialization of the center of rotation (COR), lateralization of the humerus, and distalization of the greater tuberosity. Additionally, preoperative evaluation included rotator cuff arthropathy according to Hamada, glenoid version, anterior or posterior humeral head subluxation, and fatty infiltration of the rotator cuff according to Goutallier. Univariate analysis of demographic, surgical, radiographic, and implant-associated parameters was performed to identify factors associated with postoperative fIR. The Shapiro–Wilk test assessed the normal distribution of the data. Intergroup comparisons regarding demographic and surgery-related factors were conducted using the Mann–Whitney-U Test. Radiographic changes were compared using chi-square or Fisher’s exact tests. The significance level was set at p < 0.05. Results: Of a total of 42 patients, 17 (age: 73.7 ± 5.0 years, follow-up (FU) 38 months [IQR 29.5–57.5]) were included in the “IRObad” group, and 25 (age: 72 ± 6.1 years, FU 47 months [IQR 30.5–65.5]) were included in the “IROgood” group. All patients were treated with the same type of implant (glenosphere size: 36 mm, 14.3%; 39 mm, 38.1%; 42 mm, 47.6%; neck-shaft angle: 135° in 68.0%; 155° in 32.0%) and had comparable indications. Univariate analysis did not reveal any of the investigated demographic, radiographic, or surgery-related parameters as risk factors for poor postoperative fIR (p > 0.05). Conclusion: None of the investigated factors, including implant-associated parameters, influenced postoperative fIR after RTSA in this cohort. Full article
(This article belongs to the Special Issue Health Service Interventions in Musculoskeletal Disorders)
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10 pages, 1701 KiB  
Article
The Future of Total Elbow Arthroplasty: A Statistical Forecast Model for Germany
by Felix Krane, Vincent Johann Heck, Jannik Leyendecker, Kristina Klug, Alexander Klug, Michael Hackl, Jörn Kircher, Lars Peter Müller and Tim Leschinger
Healthcare 2024, 12(13), 1322; https://doi.org/10.3390/healthcare12131322 - 2 Jul 2024
Viewed by 984
Abstract
This study provides a statistical forecast for the development of total elbow arthroplasties (TEAs) in Germany until 2045. The authors used an autoregressive integrated moving average (ARIMA), Error-Trend-Seasonality (ETS), and Poisson model to forecast trends in total elbow arthroplasty based on demographic information [...] Read more.
This study provides a statistical forecast for the development of total elbow arthroplasties (TEAs) in Germany until 2045. The authors used an autoregressive integrated moving average (ARIMA), Error-Trend-Seasonality (ETS), and Poisson model to forecast trends in total elbow arthroplasty based on demographic information and official procedure statistics. They predict a significant increase in total elbow joint replacements, with a higher prevalence among women than men. Comprehensive national data provided by the Federal Statistical Office of Germany (Statistisches Bundesamt) were used to quantify TEA’s total number and incidence rates. Poisson regression, exponential smoothing with Error-Trend-Seasonality, and autoregressive integrated moving average models (ARIMA) were used to predict developments in the total number of surgeries until 2045. Overall, the number of TEAs is projected to increase continuously from 2021 to 2045. This will result in a total number of 982 (TEAs) in 2045 of mostly elderly patients above 80 years. Notably, female patients will receive TEAs 7.5 times more often than men. This is likely influenced by demographic and societal factors such as an ageing population, changes in healthcare access and utilization, and advancements in medical technology. Our projection emphasises the necessity for continuous improvements in surgical training, implant development, and rehabilitation protocols. Full article
(This article belongs to the Special Issue Health Service Interventions in Musculoskeletal Disorders)
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12 pages, 1430 KiB  
Article
Trends in Shoulder Arthroplasty in Germany: A 10-Year Epidemiological Analysis of Patients with Primary Osteoarthritis of the Shoulder
by Felix Hochberger, Philipp Herrmann, Maximilian Rudert, Kilian List and Ioannis Stratos
Healthcare 2024, 12(9), 949; https://doi.org/10.3390/healthcare12090949 - 6 May 2024
Cited by 1 | Viewed by 1549
Abstract
Shoulder arthroplasty has significantly gained popularity in orthopedic surgery, driven by progress in prosthesis design and surgical techniques. This study explored the epidemiology of shoulder arthroplasty, analyzing healthcare data from 2012 to 2022 for primary osteoarthritis of the shoulder. The data included patient [...] Read more.
Shoulder arthroplasty has significantly gained popularity in orthopedic surgery, driven by progress in prosthesis design and surgical techniques. This study explored the epidemiology of shoulder arthroplasty, analyzing healthcare data from 2012 to 2022 for primary osteoarthritis of the shoulder. The data included patient demographics and types of surgical procedures. Data analysis indicates a higher utilization rate of reverse total shoulder arthroplasty (RTSA; n = 41,251) over total- (TSA; n = 18,679) and hemiarthroplasty (HSA; n = 12,827) for primary shoulder osteoarthritis. Overall, a significant increase in RTSA procedures from n = 2237 (2012) to n = 5415 (2022) was observed, representing more than a two-fold increase of 121.1%. The relative proportion of RTSA among all types of shoulder arthroplasty increased from 39% (2012) to 68.6% (2022), while HSA decreased and TSA essentially remained constant. Age analysis identified the following peaks: RTSA, 77 ± 7 y; HSA, 68 ± 12 y; and TSA, 67 ± 10 y. Among the over 60s, significantly more women were treated with any type of prosthesis, whereas in young patients (45 to 59 y), more men received HSA or TSA. Our study confirms that RTSA has become the preferred choice for elderly patients in Germany, reflecting the prevailing preference despite varying patient ages and conditions, with a noted difference in sex in treatment prevalence. Full article
(This article belongs to the Special Issue Health Service Interventions in Musculoskeletal Disorders)
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