Long-term functional outcome and quality of life after successful surgical treatment of tibial nonunions
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- 作者：Florian Wichlas (1)
Serafim Tsitsilonis (1) (2)
Alexander C. Disch (1)
Norbert P. Haas (1)
Christian Hartmann (1)
Frank Graef (1)
Philipp Schwabe (1)
1. Center for Musculoskeletal Surgery ; Charit茅 - Universit盲tsmedizin Berlin ; Augustenburger Platz 1 ; 13353 ; Berlin ; Germany
2. Berlin-Brandenburg Center of Regenerative Therapies ; Charit茅 - Universit盲tsmedizin Berlin ; Berlin ; Germany - 关键词：Tibia ; Nonunion ; Quality of life ; Fracture ; Complication
- 刊名：International Orthopaedics
- 出版年：2015
- 出版时间：March 2015
- 年：2015
- 卷：39
- 期：3
- 页码：521-525
- 全文大小：345 KB
- 参考文献：1. Giannoudis, PV, Harwood, PJ, Kontakis, G, Allami, M, Macdonald, D, Kay, SP, Kind, P (2009) Long-term quality of life in trauma patients following the full spectrum of tibial injury (fasciotomy, closed fracture, grade IIIB/IIIC open fracture and amputation). Injury 40: pp. 213-219 CrossRef
2. Pecina, M, Haspl, M, Jelic, M, Vukicevic, S (2003) Repair of a resistant tibial nonunion with a recombinant bone morphogenetic protein-7 (rh-BMP-7). Int Orthop 27: pp. 320-321 CrossRef
3. Pneumaticos, SG, Panteli, M, Triantafyllopoulos, GK, Papakostidis, C, Giannoudis, PV (2014) Management and outcome of diaphyseal aseptic nonunions of the lower limb: a systematic review. Surgeon 12: pp. 166-175 CrossRef
4. Said, GZ, El-Sharkawi, MM, Said, HG, Refai, OA (2011) Fibula-pro-tibia in plating tibial nonunions. Int Orthop 35: pp. 1713-1718 CrossRef
5. Moghaddam, A, Elleser, C, Biglari, B, Wentzensen, A, Zimmermann, G (2010) Clinical application of BMP 7 in long bone nonunions. Arch Orthop Trauma Surg 130: pp. 71-76 CrossRef
6. Wu, CC, Lee, ZL (2008) Speeded gradual lengthening and secondary angled blade plate stabilisation for proximal tibial shaft nonunion with shortening. Int Orthop 32: pp. 693-696 CrossRef
7. Mechrefe, AP, Koh, EY, Trafton, PG, DiGiovanni, CW (2006) Tibial nonunion. Foot Ankle Clin 11: pp. 1-18 CrossRef
8. Vukicevic, S, Oppermann, H, Verbanac, D, Jankolija, M, Popek, I, Curak, J, Brkljacic, J, Pauk, M, Erjavec, I, Francetic, I, Dumic-Cule, I, Jelic, M, Durdevic, D, Vlahovic, T, Novak, R, Kufner, V, Bordukalo Niksic, T, Kozlovic, M, Banic Tomisic, Z, Bubic-Spoljar, J, Bastalic, I, Vikic-Topic, S, Peric, M, Pecina, M, Grgurevic, L (2014) The clinical use of bone morphogenetic proteins revisited: a novel biocompatible carrier device OSTEOGROW for bone healing. Int Orthop 38: pp. 635-647 CrossRef
9. Lissenberg-Thunnissen, SN, Gorter, DJ, Sier, CF, Schipper, IB (2011) Use and efficacy of bone morphogenetic proteins in fracture healing. Int Orthop 35: pp. 1271-1280 CrossRef
10. Shahid, M, Hussain, A, Bridgeman, P, Bose, D (2013) Clinical outcomes of the Ilizarov method after an infected tibial non union. Arch Trauma Res 2: pp. 71-75 CrossRef
11. Brinker, MR, Hanus, BD, Sen, M, O'Connor, DP (2013) The devastating effects of tibial nonunion on health-related quality of life. J Bone Joint Surg Am 95: pp. 2170-2176 CrossRef
12. Zeckey, C, Mommsen, P, Andruszkow, H, Macke, C, Frink, M, Stubig, T, Hufner, T, Krettek, C, Hildebrand, F (2011) The aseptic femoral and tibial shaft nonunion in healthy patients - an analysis of the health-related quality of life and the socioeconomic outcome. Open Orthop J 5: pp. 193-197 CrossRef
13. Ware, JE, Sherbourne, CD (1992) The MOS 36-item short-form health survey (SF-36) I. Conceptual framework and item selection. Med Care 30: pp. 473-483 CrossRef
14. Kurth, BM, Ellert, U (2002) The SF-36 questionnaire and its usefulness in population studies: results of the German Health Interview and Examination Survey 1998. Soz Praventivmed 47: pp. 266-277 CrossRef
15. Zlowodzki, M, Obremskey, WT, Thomison, JB, Kregor, PJ (2005) Functional outcome after treatment of lower-extremity nonunions. J Trauma 58: pp. 312-317 CrossRef
16. Motsitsi, NS (2008) Management of infected nonunion of long bones: the last decade (1996-2006). Injury 39: pp. 155-160 CrossRef
17. Bishop, GB, Einhorn, TA (2007) Current and future clinical applications of bone morphogenetic proteins in orthopaedic trauma surgery. Int Orthop 31: pp. 721-727 CrossRef
18. Pecina, M, Giltaij, LR, Vukicevic, S (2001) Orthopaedic applications of osteogenic protein-1 (BMP-7). Int Orthop 25: pp. 203-208 CrossRef
19. Antonova, E, Le, TK, Burge, R, Mershon, J (2013) Tibia shaft fractures: costly burden of nonunions. BMC Musculoskelet Disord 14: pp. 42 CrossRef
20. Brinker, MR, O'Connor, DP (2007) Outcomes of tibial nonunion in older adults following treatment using the Ilizarov method. J Orthop Trauma 21: pp. 634-642 CrossRef
21. Bowen, CV, Botsford, DJ, Hudak, PL, Evans, PJ (1996) Microsurgical treatment of septic nonunion of the tibia. Quality of life results. Clin Orthop Relat Res 332: pp. 52-61 CrossRef - 刊物类别：Medicine
- 刊物主题：Medicine & Public Health
Orthopedics - 出版者：Springer Berlin / Heidelberg
- ISSN：1432-5195
文摘
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.