胫骨干骨折髓内钉固定术后的生活质量受限：一项对223例患者的回顾性随访研究
Restrictions in quality of life after intramedullary nailing of tibial shaft fracture: a retrospective follow-up study of 223 cases.
作者信息
Larsen Peter, Lund Hans, Laessoe Uffe, Graven-Nielsen Thomas, Rasmussen Sten
机构信息
*Department of Occupational Therapy and Physiotherapy and †Orthopaedic Surgery Research Unit, Research and Innovation Center, Aalborg University Hospital, Aalborg University, Aalborg, Denmark; ‡Faculty of Medicine, Aalborg University, Aalborg, Denmark; §Research Unit for Musculoskeletal Function and Physiotherapy, Institute for Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark; ‖Physiotherapy Department, University College of Northern Denmark, Aalborg, Denmark; and ¶Laboratory for Musculoskeletal Pain and Motor Control, Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.
出版信息
J Orthop Trauma. 2014 Sep;28(9):507-12. doi: 10.1097/BOT.0000000000000031.
OBJECTIVE
To evaluate the long-term outcome after intramedullary nailing of tibial shaft fracture.
DESIGN
Retrospective, cross-sectional study.
SETTING
Level I, Trauma Center.
METHODS
Retrospective review of 294 patients treated with intramedullary nailing after tibial shaft fracture from 1998 to 2008. The participants completed Knee injury and Osteoarthritis Outcome Score, and these data were compared with published reference population.
INTERVENTION
Intramedullary nailing of tibial shaft fracture.
MAIN OUTCOME MEASURES
Knee Injury and Osteoarthritis Outcome Score.
RESULTS
A total of 223 patients agreed to participate (76%). Mean time of follow-up was 7.9 years. Compared to reference population, the study group reported 44% higher incidence of knee pain, 39% higher incidence of function in daily living limitations, 58% higher incidence of limitations in quality of life, and 60% higher incidence of limitations during sports activities. Comparison of age-related differences between the study group and reference population showed that the age group of 18-34 years reported the most difficulties.
CONCLUSIONS
Compared with reference population, 60% of the patients experienced limitations in activity and restrictions in quality of life and 44% reported knee pain. This was mainly evident among the young participants.
LEVEL OF EVIDENCE
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
目的
评估胫骨干骨折髓内钉固定后的长期疗效。
设计
回顾性横断面研究。
地点
一级创伤中心。
方法
回顾性分析1998年至2008年接受胫骨干骨折髓内钉固定治疗的294例患者。参与者完成了膝关节损伤和骨关节炎疗效评分，并将这些数据与已发表的参考人群数据进行比较。
干预措施
胫骨干骨折髓内钉固定。
主要观察指标
膝关节损伤和骨关节炎疗效评分。
结果
共有223例患者同意参与（76%）。平均随访时间为7.9年。与参考人群相比，研究组报告膝关节疼痛发生率高44%，日常生活功能受限发生率高39%，生活质量受限发生率高58%，体育活动受限发生率高60%。研究组与参考人群年龄相关差异的比较显示，18 - 34岁年龄组报告的困难最多。
结论
与参考人群相比，60%的患者活动受限，生活质量受到限制，44%的患者报告膝关节疼痛。这在年轻参与者中尤为明显。
证据水平
治疗性三级。有关证据水平的完整描述，请参阅作者指南。
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