Late outcome of isolated tibial fractures treated by intramedullary nailing: the correlation between disease-specific and generic outcome measures

Journal of Orthopaedic Trauma
A S DograD R Marsh

Abstract

To measure the late morbidity of nailed isolated tibial fractures, using both a generic health score and disease-specific scores. To determine the correlation between the two types of outcome measure. Retrospective study, using a combination of case notes and radiographic review plus current clinical assessment. Fracture Outcomes Research Unit in a U.K. teaching hospital. Eighty-three patients with isolated fractures of the tibial diaphysis. Follow-up time was a minimum of three years from injury (mean fifty-seven months). All patients were treated primarily by closed, reamed intramedullary nailing. Iowa Knee and Ankle Scores, visual analogue pain scores for fracture site and knee and ankle joints, and the Short Form 36 health status questionnaire. Sixty-four (77.1%) fractures united after the first procedure. Twenty-nine (34.9%) patients had pain around the knee at rest, fifty-nine (71.1%) had difficulty in kneeling, and thirteen (15.7%) were still experiencing some pain at their fracture site; 69% of patients had excellent results based on the Iowa scores as well as the SF-36 scores. Pain at the knee correlated with low Physical Component Summary and Mental Component Summary scores, and fracture site pain correlated with only...Continue Reading

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Citations

Jun 19, 2008·Archives of Orthopaedic and Trauma Surgery·Yoram A WeilDean G Lorich
Dec 20, 2011·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·M BurtonJ E Brazier
Feb 12, 2005·The Journal of Trauma·Michael ZlowodzkiPhilip J Kregor
Sep 27, 2013·Canadian Journal of Surgery. Journal Canadien De Chirurgie·Mohit BhandariRicardo E Dent
Dec 14, 2011·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Attilio Basile
Sep 11, 2007·Injury·M FergusonUNKNOWN Victorian Orthopaedic Trauma Outcomes Registry (VOTOR) Research Group
Aug 10, 2016·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Christopher E Hill
Jul 2, 2014·Journal of Orthopaedic Trauma·Daniel J HendersonHemant K Sharma
Jan 27, 2004·Journal of Orthopaedic Trauma·C M Court-Brown
Mar 10, 2010·Journal of Orthopaedic Trauma·Bauke W KooistraEmil H Schemitsch
Nov 10, 2011·Journal of Orthopaedic Trauma·Si Young SongTae Young Kim
Apr 29, 2006·The Journal of Bone and Joint Surgery. British Volume·E KatsoulisP V Giannoudis
Aug 11, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Mandala S LeliveldEsther M M Van Lieshout
May 17, 2006·Clinical Orthopaedics and Related Research·Timothy BhattacharyyaIlan Freedman

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