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Medicina
Special Issues
Clinical Care and Updates on Hip Fractures
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Clinical Care and Updates on Hip Fractures

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

Deadline for manuscript submissions: 31 December 2024 | Viewed by 2868

Special Issue Editor

Dr. Jun-Il Yoo

E-Mail Website
Guest Editor
Department of Orthopedic Surgery, Inha University Hospital, Incheon, Republic of Korea
Interests: orthopedic surgery; hip fractures; sarcopenia; total hip arthroplasty; osteoporosis

Special Issue Information

Dear Colleagues,

We are delighted to announce a call for manuscripts for a forthcoming Special Issue entitled "Clinical Care and Updates on Hip Fractures". We invite you to contribute your original research articles, reviews, clinical studies, and case reports that provide insights, advancements, and comprehensive knowledge on hip fractures and their clinical management.

This Special Issue aims to compile a collection of high-quality research focusing on the latest developments, clinical approaches, and innovations centered around the care and management of hip fractures. We welcome submissions that, among other things, address the following topics: the epidemiology of hip fractures, advances in surgical techniques, postoperative care and rehabilitation, non-surgical management and intervention, complications and their management, the impact of comorbidities, multidisciplinary approaches to hip fracture management; patient-centered care and outcomes; health economics and policy implications; and prevention strategies and public health interventions.

Dr. Jun-Il Yoo
Guest Editor

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. Medicina 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 2200 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

  • epidemiology of hip fractures
  • advances in surgical techniques
  • postoperative care and rehabilitation
  • non-surgical management and intervention
  • complications and their management
  • impact of comorbidities
  • multidisciplinary approaches centered around hip fracture management
  • patient-centered care and outcomes
  • health economics and policy implications
  • prevention strategies and public health interventions

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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

11 pages, 1410 KiB  
Article
The Long-Term Clinical and Radiographic Outcomes of Cerclage Cable Fixation for Displaced Acetabular Fractures Using a Posterior Approach: A Retrospective Cohort Study
by Yutaro Kuwahara, Genta Takemoto, So Mitsuya and Ken-ichi Yamauchi
Medicina 2024, 60(10), 1659; https://doi.org/10.3390/medicina60101659 - 10 Oct 2024
Viewed by 566
Abstract
Background and Objectives: Cerclage cable fixation with 2 mm multiple-braided cables for displaced acetabular fractures has shown good midterm functional and radiographic outcomes. We retrospectively evaluated the clinical and radiographic outcomes of cerclage cable fixations over ten years. Materials and Methods: [...] Read more.
Background and Objectives: Cerclage cable fixation with 2 mm multiple-braided cables for displaced acetabular fractures has shown good midterm functional and radiographic outcomes. We retrospectively evaluated the clinical and radiographic outcomes of cerclage cable fixations over ten years. Materials and Methods: We extracted data for patients who underwent cerclage cable fixation for acetabular fractures at a single institution from 2007 to 2012. We adopted this procedure for acetabulum fractures with posterior column fractures. Postoperative reduction quality, complications, reoperations, and Japanese Orthopedic Association (JOA) hip objective functional scores were analyzed. Postoperative reduction quality was classified using plain radiography and computed tomography. Results: We evaluated nine patients with a mean follow-up period of 14.1 ± 2.6 years (range: 10.8–18.1 years). The mean age was 47.1 ± 15.5 years old (range: 28–74 years); the mean injury severity score was 13.6 ± 4.7 (range: 9–22). The most frequent type of fracture was a both-column fracture. Anatomical reduction quality was achieved in five cases. Four patients had hip osteoarthritis at the last follow-up; among them, one patient had worsening hip arthritis > 5 years after surgery, and one patient developed osteoarthritis > 10 years after surgery. Their postoperative reduction quality was worse than their anatomical reduction quality, and both engaged in physical labor. None of the patients underwent revision total hip arthroplasty. The mean JOA hip score was 90.9 ± 7.9 (range: 74–100); seven patients scored >90 at the last follow-up. Conclusions: Cerclage cable fixation showed satisfactory postoperative reductions and favorable long-term clinical outcomes. Long-term follow-up might be necessary for patients whose postoperative reduction is not anatomical to detect late occurrence of hip osteoarthritis, even if osteoarthritis is not evident during short-term follow-up periods. Full article
(This article belongs to the Special Issue Clinical Care and Updates on Hip Fractures)
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9 pages, 6405 KiB  
Article
Anterior Sacroiliac Fracture Dislocation: A Comparative Radiologic analysis of Crescent Fractures in Pelvic Ring Injuries: A Retrospective Study
by You-Seung Chun, Kyeong-Eon Kwon and Se-Won Lee
Medicina 2024, 60(8), 1375; https://doi.org/10.3390/medicina60081375 - 22 Aug 2024
Viewed by 730
Abstract
Background and Objectives: Anterior sacroiliac fracture dislocation (ASFD), also known as locked pelvis, is a rarely reported diagnosis. The types of ASFDs are often misdiagnosed as lateral compression fractures due to the presence of crescent fractures. In this study, we distinguished ASFD from [...] Read more.
Background and Objectives: Anterior sacroiliac fracture dislocation (ASFD), also known as locked pelvis, is a rarely reported diagnosis. The types of ASFDs are often misdiagnosed as lateral compression fractures due to the presence of crescent fractures. In this study, we distinguished ASFD from lateral compression fractures (LC 2) and studied their characteristics. Materials and Methods: This is a retrospective study involving patients from a Level 1 trauma center. Fifty-nine patients under the age of 65 years with crescent fractures caused by a high-energy mechanism were investigated. Results: The incidence of ASFD was 25% (15 of 59) in patients with crescent fractures. Among the 15 patients, 6 had override of the ilium over the sacrum, inhibiting reduction in the sacroiliac joint. Pre-operative radiographic evaluations revealed that vertical displacement of the ASFD was larger than that of lateral compression fracture (LC 2) in the outlet view (mean 9.5 vs. 1.9 mm, p = 0.013), and the pelvic asymmetry ratio was larger in ASFD (mean 7.8 vs. 4.1, p = 0.006) in the pelvis AP view. All patients achieved union after surgery. Post-operative radiography showed no significant vertical displacement difference. There was no difference in vascular injury or hemodynamic instability requiring embolization or preperitoneal pelvic packing (PPP) between the two groups. Conclusions: Patients with ASFD have greater vertical displacement and asymmetry compared to patients with LC 2 fractures. These fractures must be distinguished for appropriate reduction and anterior plate fixation. Full article
(This article belongs to the Special Issue Clinical Care and Updates on Hip Fractures)
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10 pages, 877 KiB  
Article
Comparison of the Surgical Outcome between the Multiple Screw Fixation and Fixed Angle Devices for the Basicervical Femoral Neck Fractures
by Jin-Woo Kim, Jung-Wee Park, Hyo-Jung Kim, Tae-Young Kim, Jun-Il Yoo, Young-Kyun Lee and Byung-Woong Jang
Medicina 2024, 60(5), 680; https://doi.org/10.3390/medicina60050680 - 23 Apr 2024
Viewed by 1125
Abstract
Introduction: Basicervical femoral neck fracture (FNF) is an uncommon type of femoral neck fracture and is associated with an increased risk of fixation failure due to its inherent instability. The purpose of this study was to compare the surgical parameters and reoperation [...] Read more.
Introduction: Basicervical femoral neck fracture (FNF) is an uncommon type of femoral neck fracture and is associated with an increased risk of fixation failure due to its inherent instability. The purpose of this study was to compare the surgical parameters and reoperation rate between the use of a multiple cannulated screw (MCS) and fixed angle device (FAD) in treating basicervical FNFs. Methods: We retrospectively reviewed the records of 885 patients who underwent internal fixation between May 2004 and August 2019 to determine basicervical FNF with at least 12 months of follow-up. Among the identified 77 patients with basicervical FNF, 17 patients who underwent multiple cannulated screw (MCS) fixation and 36 patients who underwent fixed angle device (FAD) fixation were included. We compared the rates of fracture-site collapse and reoperations according to the fixation device. Results: Among the 53 patients with basicervical FNF, 13 patients (24.5%) sustained surgical complications (8 collapses of fracture site and 5 reoperations). The reoperation rate in the MCS group was significantly higher than that in the FAD group (23.5% vs. 2.8%, p = 0.016), without any significant difference in the collapse of the fracture site (11.8% vs. 16.7%, p = 0.642). Conclusions: Although basicervical FNF was rare among hip fractures, fracture site collapse was prevalent and prone to fixation failure. Surgeons should keep this in mind, and consider FAD for basicervical FNF. Full article
(This article belongs to the Special Issue Clinical Care and Updates on Hip Fractures)
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