Long-term functional outcome and quality of life after successful surgical treatment of tibial nonunions.

Abstract:

PURPOSE:Our aim was to evaluate quality of life (QoL) and functional outcome of patients with tibial nonunions after completion of surgical treatment with an average follow-up of five years. METHODS:The following data of 64 patients were retrospectively evaluated: fracture type, type and duration of surgical therapy, range of motion of the knee and ankle and American Orthopaedic Foot and Ankle Society (AOFAS) score. QoL was evaluated with the Short-Form Health Survey (SF-36) questionnaire; pain intensity, patient satisfaction and impairments of daily, professional and sport activities with a ten point visual analogue scale. RESULTS:QoL, even in cases with successfully completed treatment, was significantly reduced compared with the normal general population. Pain intensity and limited ankle dorsal extension, despite the absence of intra-articular fractures, were significantly correlated with inferior QoL. CONCLUSIONS:This study emphasises the long-term negative impact of tibial nonunions on patient QoL, even after successful surgical treatment.

journal_name

Int Orthop

authors

Wichlas F,Tsitsilonis S,Disch AC,Haas NP,Hartmann C,Graef F,Schwabe P

doi

10.1007/s00264-014-2629-y

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

521-5

issue

3

eissn

0341-2695

issn

1432-5195

journal_volume

39

pub_type

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