Gubolin Aline Ferreira Guimarães, Greve Julia Maria D'Andrea, da Silva Vanderlei Carneiro
Instituto de Ortopedia e Traumatologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IOT-HCFMUSP), São Paulo, SP, Brazil.
Department of Orthopedics and Traumatology, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil; Movement Studies Laboratory (LEM), Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil; Postgraduate Programs in Experimental Pathophysiology and Musculoskeletal System Sciences at Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.
Clinics (Sao Paulo). 2025 Aug 1;80:100742. doi: 10.1016/j.clinsp.2025.100742.
Traffic accidents pose a significant public health concern, particularly for motorcyclists, who are especially susceptible to severe and debilitating injuries. These injuries can impair work activities and diminish the overall quality of life.
This study aims to assess the functionality, quality of life, and return-to-work status of patients who sustained lower limb fractures due to traffic accidents.
The authors conducted a retrospective observational study involving patients hospitalized with lower limb fractures due to traffic accidents at the Institute of Orthopedics and Traumatology at the Hospital das Clínicas, Faculty of Medicine, University of São Paulo, from 2018 to 2022. The authors performed the Timed Up and Go (TUG) test, and the 10-meter walk test, and administered the SF-12 questionnaire to evaluate quality of life. Additional questions regarding their return to work were also included.
A total of thirty-nine patients were evaluated six months or more following their last surgery. The results indicated that the average TUG time was 12.3 ± 3.3 seconds, and the average speed in the 10-meter walk test was 1.6 ± 0.3 m/s. The SF-12 results revealed a mean score of 48.6 ± 10.9 points in the mental domain and 39.9 ± 9.5 points in the physical domain. Notably, 72 % of patients had not returned to work. The length of hospital stay and the severity of injuries were significant factors influencing patient recovery.
Although patients demonstrated normal functional status, the majority reported difficulties in performing daily activities and experienced low quality of life even after rehabilitation. This highlights the considerable impact that traffic accidents have on individuals' lives.
交通事故是一个重大的公共卫生问题，对摩托车骑行者而言尤为如此，他们特别容易受到严重且使人衰弱的伤害。这些伤害会影响工作活动并降低整体生活质量。
本研究旨在评估因交通事故导致下肢骨折患者的功能、生活质量和重返工作岗位的状况。
作者进行了一项回顾性观察研究，涉及2018年至2022年期间在圣保罗大学医学院临床医院骨科与创伤研究所因交通事故导致下肢骨折而住院的患者。作者进行了计时起立行走（TUG）测试和10米步行测试，并使用SF - 12问卷评估生活质量。还包括了关于他们重返工作岗位的其他问题。
共有39名患者在最后一次手术后6个月或更长时间接受了评估。结果表明，TUG测试的平均时间为12.3±3.3秒，10米步行测试的平均速度为1.6±0.3米/秒。SF - 12结果显示，心理领域的平均得分为48.6±10.9分，身体领域的平均得分为39.9±9.5分。值得注意的是，72%的患者尚未重返工作岗位。住院时间和损伤严重程度是影响患者康复的重要因素。
尽管患者表现出正常的功能状态，但大多数患者报告在进行日常活动时存在困难，即使经过康复治疗后生活质量仍较低。这突出了交通事故对个人生活的巨大影响。
