One-Year Outcome After Tibial Shaft Fractures: Results of a Prospective Fracture Registry
| Autor: | Anne Skoog, Hans Törnkvist, Anita Söderqvist, Sari Ponzer |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Outcome measurements Visual analogue scale Bone Nails Risk Assessment Outcome (game theory) Age Distribution Injury Severity Score Postoperative Complications Quality of life Epidemiology medicine Humans Orthopedics and Sports Medicine Prospective Studies Registries Tibia Aged Pain Measurement Aged 80 and over Fracture Healing Sweden business.industry Incidence Recovery of Function General Medicine Middle Aged Fracture Fixation Intramedullary Surgery Radiography Tibial Fractures Diaphysis Treatment Outcome medicine.anatomical_structure Physical therapy Ankle business Bone Plates Follow-Up Studies |
| Zdroj: | Karolinska Institutet |
| ISSN: | 0890-5339 |
| DOI: | 10.1097/00005131-200103000-00011 |
| Popis: | Objectives: To describe the outcome in a consecutive series of patients with tibial shaft fractures and to determine whether prospective registration of fracture care produces useful data for clinical purposes. Design: A prospective follow-up study. Setting: A large teaching hospital in Stockholm, Sweden. Patients: Sixty-four consecutive patients with a tibial shaft fracture. Intervention: Patients were surgically treated according to the protocols at our institute and were followed up prospectively for one year. Main Outcome Measurements: Clinical outcome, functional results, Short Form 36 Health Survey, ()lerud Molander Ankle score, visual analogue scale. Results: The fractures were classified as 42A (61 percent), 42B (31 percent), and 42C (8 percent). Forty-three (67 percent) patients were treated with an interlocked tibial nail. The complication rate was low and associated with high-energy trauma. The quality of life according to the Short Form 36 Health Survey was diminished at four and twelve months after the injury, as compared with the preinjury status. Twelve months after the injury. 44 percent had not regained full function of the injured leg, although all but two of the patients had returned to preinjury working status. Conclusions: Although the complication rate was low, twelve months after the injury, nearly half the patients still experienced functional limitations related to the fracture, which was also reflected in the quality-of-life parameters. There were difficulties in retrieving data for this registry. We think that periodic, rather than continuous, registration of patient-related outcome after fracture treatment is more beneficial from a clinical and economic point of view. |
| Databáze: | OpenAIRE |
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