Advances in Perioperative Care, Fixation Strategies, and Digital Innovation in Orthopedic Traumatology: An Integrated Review
Keywords:
orthopedic trauma, traumatology, fracture fixation, perioperative care, anticoagulation, infection prevention, artificial intelligence, fragility fractures, outcomesAbstract
Orthopedic traumatology is undergoing rapid transformation driven by demographic shifts, evolving perioperative care models, advances in fixation strategies, and the integration of digital and artificial intelligence (AI) technologies. This narrative review synthesizes recent evidence from forty contemporary publications on fracture management, perioperative optimization, infection prevention, functional outcomes, and emerging technologies in orthopedic trauma. Particular emphasis is placed on fragility fractures, high-energy injuries, venous thromboembolism (VTE) prevention, antibiotic stewardship, and the growing role of AI in imaging and decision support. The reviewed literature highlights a trend toward earlier definitive care in selected high-risk patients, standardized multidisciplinary pathways, noninferiority of simpler or less invasive regimens in several settings, and cautious but promising adoption of AI tools. Persistent gaps include limited external validation of predictive models, heterogeneous reporting of functional outcomes, and underrepresentation of implementation science.
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