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Trauma Surgery: Strategies, Challenges and Vision of the Future
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Trauma Surgery: Strategies, Challenges and Vision of the Future

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Clinical Medicine, Cell, and Organism Physiology".

Deadline for manuscript submissions: 20 September 2025 | Viewed by 2790

Special Issue Editors

Dr. Shai Factor

E-Mail Website
Guest Editor
Hand Surgery Unit, Division of Orthopedic Surgery, Tel Aviv Medical Center, Faculty of Medicine, Tel Aviv University, Tel Aviv 6423906, Israel
Interests: wrist; hand; elbow; trauma; e-scooter; fracture; 3D; arthroscopy
Special Issues, Collections and Topics in MDPI journals
Dr. Yaniv S. Warschawski

E-Mail Website
Guest Editor
Division of Orthopedic Surgery, Tel Aviv Medical Center, Faculty of Medicine, Tel Aviv University, Tel Aviv 6423906, Israel
Interests: orthopaedic surgery; trauma surgery; joint replacement

Special Issue Information

Dear Colleagues,

This Special Issue is dedicated to the latest advancements in the surgical management of orthopedic trauma, including upper-limb injuries. As the field of orthopedic surgery continuously evolves, innovative surgical techniques and treatment modalities have been developed to enhance patient outcomes and recovery. This Special Issue aims to gather high-quality studies, including original research and reviews, exploring various surgical approaches to treating orthopedic trauma. We seek to cover a broad spectrum of topics, ranging from fracture fixation methods to soft-tissue repair, and address the potential complications associated with these treatments. Our goal is to provide a comprehensive resource that not only enriches the existing literature but also promotes the dissemination and exchange of knowledge within the scientific community. By doing so, we hope to advance the field of orthopedic trauma and improve clinical practices globally.

Dr. Shai Factor
Dr. Yaniv S. Warschawski
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. Journal of Personalized Medicine is an international peer-reviewed open access monthly 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 2600 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

  • orthopaedic surgery
  • fractures
  • injuries
  • upper limb
  • trauma

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Published Papers (2 papers)

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Research

16 pages, 1559 KiB  
Article
Monobloc vs. Modular Radial-Head Arthroplasty for Complex Elbow Trauma: Long-Term Follow-Up and Comparative Evaluation
by Shai Factor, Ron Gurel, Daniel Tordjman, Gilad Eisenberg, Tamir Pritsch and Yishai Rosenblatt
J. Pers. Med. 2024, 14(9), 1006; https://doi.org/10.3390/jpm14091006 - 21 Sep 2024
Viewed by 1099
Abstract
Introduction: Mason Type 3 radial-head fractures are typically treated with open reduction and internal fixation (ORIF) or radial-head arthroplasty (RHA). Prosthetic options include traditional monobloc implants and newer modular implants designed to match patient anatomy. While short- and medium-term outcomes of metallic RHA [...] Read more.
Introduction: Mason Type 3 radial-head fractures are typically treated with open reduction and internal fixation (ORIF) or radial-head arthroplasty (RHA). Prosthetic options include traditional monobloc implants and newer modular implants designed to match patient anatomy. While short- and medium-term outcomes of metallic RHA are generally favorable, this study aims to compare the long-term outcomes of patients treated with monobloc versus modular implants. Methods: The medical records of all the patients who underwent RHA at a level I trauma center between 2000 and 2011 were retrospectively reviewed. Patients who were available for follow-up were invited for reassessment, which included physical examination, questionnaires for the assessment of elbow pain and function, and follow-up radiographs. Results: Out of 35 patients who had RHA, 13 (37%) had a monobloc prosthesis and 22 (63%) had a modular prosthesis. Out of the patients that could be traced, 4 patients from the monobloc group and 10 patients from the modular group agreed to participate in the study. The mean follow-up time was 15 years in the monobloc group and 12.4 years in the modular group. Patients in the modular group demonstrated superior functional outcomes compared to the monobloc group, with statistically significant improvements in MEPS and DASH scores and a non-significant trend towards better ASES scores and VAS scores. Physical examination revealed a decline in function in the operated arm for both groups, with statistically significant differences favoring the modular group in elbow flexion and extension. Radiographic analysis showed varying degrees of implant loosening, with the modular group exhibiting less loosening compared to the monobloc group. Mild degenerative changes and heterotopic ossification were also observed, predominantly in the modular group. Conclusions: The results suggest that modular implants offer superior functional outcomes compared to monobloc implants. The modular group showed statistically significant improvements in elbow flexion and extension. These findings indicate that modular implants may be a more favorable option for enhancing patient outcomes. Further research with larger sample sizes is recommended to confirm these trends and to better understand the long-term benefits of modular implants. Full article
(This article belongs to the Special Issue Trauma Surgery: Strategies, Challenges and Vision of the Future)
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12 pages, 3036 KiB  
Article
Outcomes of Free Vascularized Fibular Grafts in Treating Massive Forearm Skeletal Defects
by Panagiotis Konstantinou, Lazaros Kostretzis, Athina Zacharoula Ditsiou, Ioannis Samaras, Pericles Papadopoulos and Konstantinos Ditsios
J. Pers. Med. 2024, 14(9), 973; https://doi.org/10.3390/jpm14090973 - 14 Sep 2024
Viewed by 1194
Abstract
Introduction: Reconstructing long bone defects in the upper limbs, particularly the radius and ulna, poses significant challenges. These defects, resulting from trauma, tumors, infections, or congenital anomalies, require precise surgical intervention for functional restoration. Traditional non-vascularized autogenous bone grafts have limitations, such as [...] Read more.
Introduction: Reconstructing long bone defects in the upper limbs, particularly the radius and ulna, poses significant challenges. These defects, resulting from trauma, tumors, infections, or congenital anomalies, require precise surgical intervention for functional restoration. Traditional non-vascularized autogenous bone grafts have limitations, such as resorption and limited biological activity. To address these challenges, free vascularized fibular grafts (FVFGs) have been developed, offering enhanced recovery by supplying nutrients and structural support, particularly in large defects or compromised vascularity. Materials and Methods: This retrospective study reviewed patients with significant forearm skeletal defects treated with FVFGs at our institution from January 2008 to January 2019. Included were patients with radius or ulna defects exceeding 8 cm due to trauma, tumor excision, or non-union fractures. Data on demographics, clinical details, surgical techniques, and outcomes—including graft union time, complications, range of motion, and the disabilities of the arm, shoulder and hand (DASH) scores—were analyzed. Results: Eight patients, with a mean age of 27.6 years and an average defect length of 9.8 cm, were included. All patients achieved graft union within an average of 4 months, with no tumor recurrence or significant complications. Functional outcomes showed mean forearm pronation of 56.9 degrees, supination of 52.5 degrees, and a mean DASH score of 17.7. Conclusions: FVFG is a safe and effective technique for managing complex forearm bone defects, providing high union rates and good functional outcomes. It should be considered a primary option for large forearm skeletal defects. Full article
(This article belongs to the Special Issue Trauma Surgery: Strategies, Challenges and Vision of the Future)
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