Functional outcomes and quality of life in adult ipsilateral femur and tibia fractures
Objective: The aim of our study is to evaluate the functional outcomes and quality of life in adult ipsilateral femur and tibia fractures. Methods: 26 patients (21 male, 5 female; mean age 30 years, range: 18 to 66) treated for adult ipsilateral femur and tibia fractures were evaluated retrospective...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-01-01
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| Series: | Journal of Orthopaedic Translation |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214031X18300950 |
| _version_ | 1818990241695924224 |
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| author | Abdullah Demirtas Ibrahim Azboy Celil Alemdar Mehmet Gem Emin Ozkul Mehmet Bulut Kadir Uzel |
| author_facet | Abdullah Demirtas Ibrahim Azboy Celil Alemdar Mehmet Gem Emin Ozkul Mehmet Bulut Kadir Uzel |
| author_sort | Abdullah Demirtas |
| collection | DOAJ |
| description | Objective: The aim of our study is to evaluate the functional outcomes and quality of life in adult ipsilateral femur and tibia fractures. Methods: 26 patients (21 male, 5 female; mean age 30 years, range: 18 to 66) treated for adult ipsilateral femur and tibia fractures were evaluated retrospectively. For femur fractures, intramedullary nails were used in 15 patients (12 antegrade, 3 retrograde), plate in 11 patients (10 locked-plate, and 1 blade-plate with a 95 degree angle). For tibia fractures, locked-plate were used in 13 patients, intramedullary nails in 9 patients, external fixator in 3 patients and multiple screws in 1 patient. According to Blake and McBryde classification, 17 fractures were type I, 9 fractures were type II (7 type 2A and 2 type 2B). The functional outcomes were evaluated by Karlström and Olerud criteria, and quality of life was evaluated by Short Form-36. The mean follow-up duration was 4.4 years (range: 1.1 to 7.3 years). Results: The functional outcomes were excellent in 6 patients, good in 8 patients, acceptable in 6 patients and poor in 6 patients. The mean values of quality of life scales were; physical function: 64.8, physical role limitation: 60.5, pain: 68.2, general health: 63.3, vitality: 58.4, social function: 68.2, emotional role limitation: 62.7, and mental health: 65.8. Conclusion: Adult ipsilateral femur and tibia fractures are severe injuries and adversely affect the quality of life and functional outcomes. The quality of life scales should be used along with functional outcome scores in evaluating these injuries. The translational potential of this article: Adult ipsilateral femur and tibia fractures cause severe morbidity. Functional outcomes and quality of life scales should be used together to evaluate these fractures. Karlström and Olerud criteria for functional outcomes and Short Form-36 scales for quality of life are suitable methods to evalute these fractures. Keywords: Femur, Floating knee, Fracture, Ipsilateral, Tibia |
| first_indexed | 2024-12-20T19:51:15Z |
| format | Article |
| id | doaj.art-f2e9673b821b499d8afa61cc4d584d44 |
| institution | Directory Open Access Journal |
| issn | 2214-031X |
| language | English |
| last_indexed | 2024-12-20T19:51:15Z |
| publishDate | 2019-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Orthopaedic Translation |
| spelling | doaj.art-f2e9673b821b499d8afa61cc4d584d442022-12-21T19:28:18ZengElsevierJournal of Orthopaedic Translation2214-031X2019-01-01165361Functional outcomes and quality of life in adult ipsilateral femur and tibia fracturesAbdullah Demirtas0Ibrahim Azboy1Celil Alemdar2Mehmet Gem3Emin Ozkul4Mehmet Bulut5Kadir Uzel6Department of Orthopedics and Traumatology, Istanbul Medeniyet University Medical Faculty, Istanbul, Turkey; Corresponding author. Department of Orthopedics and Traumatology, Istanbul Medeniyet University Medical Faculty, Istanbul, Turkey. Tel.: +90 2165664000; fax: +90 2165664023.Department of Orthopedics and Traumatology, Medipol University Medical Faculty, Istanbul, TurkeyDepartment of Orthopedics and Traumatology, Dicle University Medical Faculty, Diyarbakir, TurkeyDepartment of Orthopedics and Traumatology, Dicle University Medical Faculty, Diyarbakir, TurkeyDepartment of Orthopedics and Traumatology, Dicle University Medical Faculty, Diyarbakir, TurkeyDepartment of Orthopedics and Traumatology, Dicle University Medical Faculty, Diyarbakir, TurkeyDepartment of Orthopedics and Traumatology, Malatya Training and Research Hospital, Malatya, TurkeyObjective: The aim of our study is to evaluate the functional outcomes and quality of life in adult ipsilateral femur and tibia fractures. Methods: 26 patients (21 male, 5 female; mean age 30 years, range: 18 to 66) treated for adult ipsilateral femur and tibia fractures were evaluated retrospectively. For femur fractures, intramedullary nails were used in 15 patients (12 antegrade, 3 retrograde), plate in 11 patients (10 locked-plate, and 1 blade-plate with a 95 degree angle). For tibia fractures, locked-plate were used in 13 patients, intramedullary nails in 9 patients, external fixator in 3 patients and multiple screws in 1 patient. According to Blake and McBryde classification, 17 fractures were type I, 9 fractures were type II (7 type 2A and 2 type 2B). The functional outcomes were evaluated by Karlström and Olerud criteria, and quality of life was evaluated by Short Form-36. The mean follow-up duration was 4.4 years (range: 1.1 to 7.3 years). Results: The functional outcomes were excellent in 6 patients, good in 8 patients, acceptable in 6 patients and poor in 6 patients. The mean values of quality of life scales were; physical function: 64.8, physical role limitation: 60.5, pain: 68.2, general health: 63.3, vitality: 58.4, social function: 68.2, emotional role limitation: 62.7, and mental health: 65.8. Conclusion: Adult ipsilateral femur and tibia fractures are severe injuries and adversely affect the quality of life and functional outcomes. The quality of life scales should be used along with functional outcome scores in evaluating these injuries. The translational potential of this article: Adult ipsilateral femur and tibia fractures cause severe morbidity. Functional outcomes and quality of life scales should be used together to evaluate these fractures. Karlström and Olerud criteria for functional outcomes and Short Form-36 scales for quality of life are suitable methods to evalute these fractures. Keywords: Femur, Floating knee, Fracture, Ipsilateral, Tibiahttp://www.sciencedirect.com/science/article/pii/S2214031X18300950 |
| spellingShingle | Abdullah Demirtas Ibrahim Azboy Celil Alemdar Mehmet Gem Emin Ozkul Mehmet Bulut Kadir Uzel Functional outcomes and quality of life in adult ipsilateral femur and tibia fractures Journal of Orthopaedic Translation |
| title | Functional outcomes and quality of life in adult ipsilateral femur and tibia fractures |
| title_full | Functional outcomes and quality of life in adult ipsilateral femur and tibia fractures |
| title_fullStr | Functional outcomes and quality of life in adult ipsilateral femur and tibia fractures |
| title_full_unstemmed | Functional outcomes and quality of life in adult ipsilateral femur and tibia fractures |
| title_short | Functional outcomes and quality of life in adult ipsilateral femur and tibia fractures |
| title_sort | functional outcomes and quality of life in adult ipsilateral femur and tibia fractures |
| url | http://www.sciencedirect.com/science/article/pii/S2214031X18300950 |
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