Faergemann C, Frandsen P A, Röck N D
Department of Orthopedics, Odense University Hospital, Odense C, Denmark.
J Trauma. 1998 Jul;45(1):123-6. doi: 10.1097/00005373-199807000-00026.
In a prospective follow-up study of 158 consecutive patients 18 to 64 years old with unilateral lower extremity fracture, our aim was to disclose the impairment and disability 6 months after the injury. The patients were interviewed within 1 week after the trauma, and all patients returned to the hospital for an interview and a clinical assessment 6 months later. The disability was measured by administering the Sickness Impact Profile (SIP) to all patients by an interview process. SIP scores were calculated for pretraumatic and posttraumatic states. The pretraumatic SIP scores described the functional status before the injury. Additionally, three major aspects of impairments were measured 6 months after the fractures: range of motion, muscle strength, and pain. Most patients had a significantly higher SIP score 6 months after the fracture(s) than pretraumatically. The mean overall SIP score was 2.7 pretraumatically and 8.7 6 months posttraumatically. Major deficits in range of motion was observed, especially in the ankle joint. Additionally, loss of muscle strength was observed in the thigh and calf muscles in one fourth of the patients. Only low levels of residual pain were reported after 6 months.
在一项针对158例年龄在18至64岁之间的单侧下肢骨折患者的前瞻性随访研究中，我们的目的是揭示受伤6个月后的损伤情况和残疾程度。患者在创伤后1周内接受访谈，所有患者在6个月后返回医院接受访谈和临床评估。通过访谈过程对所有患者进行疾病影响量表（SIP）测量来评估残疾情况。计算创伤前和创伤后的SIP评分。创伤前的SIP评分描述了受伤前的功能状态。此外，在骨折6个月后测量损伤的三个主要方面：活动范围、肌肉力量和疼痛。大多数患者骨折后6个月的SIP评分明显高于创伤前。创伤前SIP总分平均为2.7分，创伤后6个月为8.7分。观察到活动范围存在重大缺陷，尤其是在踝关节。此外，四分之一的患者大腿和小腿肌肉出现肌肉力量丧失。6个月后仅报告了低水平的残余疼痛。
