Functional outcomes and quality of life in adult ipsilateral femur and tibia fractures

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dc.authorid0000-0003-0926-3029
dc.contributor.authorDemirtaş, Abdullah
dc.contributor.authorAzboy, İbrahim
dc.contributor.authorAlemdar, Celil
dc.contributor.authorGem, Mehmet
dc.contributor.authorÖzkul, Emin
dc.contributor.authorBulut, Mehmet
dc.contributor.authorÜzel, Kadir
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:49:52Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:49:52Z
dc.date.issued2019
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.descriptionWOS: 000456210100006
dc.descriptionPubMed ID: 30723681
dc.description.abstractObjective: The aim of our study is to evaluate the functional outcomes and quality of life in adult ipsilateral femur and tibia fractures. Methods: 26 patients (21 male, 5 female; mean age 30 years, range: 18 to 66) treated for adult ipsilateral femur and tibia fractures were evaluated retrospectively. For femur fractures, intramedullary nails were used in 15 patients (12 antegrade, 3 retrograde), plate in 11 patients (10 locked-plate, and 1 blade-plate with a 95 degree angle). For tibia fractures, locked-plate were used in 13 patients, intramedullary nails in 9 patients, external fixator in 3 patients and multiple screws in 1 patient. According to Blake and McBryde classification, 17 fractures were type I, 9 fractures were type II (7 type 2A and 2 type 2B). The functional outcomes were evaluated by Karlstrom and Olerud criteria, and quality of life was evaluated by Short Form-36. The mean follow-up duration was 4.4 years (range: 1.1 to 7.3 years). Results: The functional outcomes were excellent in 6 patients, good in 8 patients, acceptable in 6 patients and poor in 6 patients. The mean values of quality of life scales were; physical function: 64.8, physical role limitation: 60.5, pain: 68.2, general health: 63.3, vitality: 58.4, social function: 68.2, emotional role limitation: 62.7, and mental health: 65.8. Conclusion: Adult ipsilateral femur and tibia fractures are severe injuries and adversely affect the quality of life and functional outcomes. The quality of life scales should be used along with functional outcome scores in evaluating these injuries. The translational potential of this article: Adult ipsilateral femur and tibia fractures cause severe morbidity. Functional outcomes and quality of life scales should be used together to evaluate these fractures. Karlstrom and Olerud criteria for functional outcomes and Short Form-36 scales for quality of life are suitable methods to evalute these fractures.
dc.identifier.citationDemirtaş, A., Azboy, İ., Alemdar, C., Gem, M., Özkul, E., Bulut, M. ... Üzel, K. (2019). Functional outcomes and quality of life in adult ipsilateral femur and tibia fractures. Journal of Orthopaedic Translation, 16, 53-61. https://dx.doi.org/10.1016/j.jot.2018.08.002
dc.identifier.doi10.1016/j.jot.2018.08.002
dc.identifier.endpage61
dc.identifier.issn2214-031X
dc.identifier.scopusqualityQ2
dc.identifier.startpage53
dc.identifier.urihttps://dx.doi.org/10.1016/j.jot.2018.08.002
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1800
dc.identifier.volume16
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Science Bv
dc.relation.ispartofJournal of Orthopaedic Translationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectFemur
dc.subjectFloating Knee
dc.subjectFracture
dc.subjectIpsilateral
dc.subjectTibia
dc.titleFunctional outcomes and quality of life in adult ipsilateral femur and tibia fractures
dc.typeArticle

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