Five-year outcomes for patients with a displaced fracture of the distal tibia.
Journal
The bone & joint journal
ISSN: 2049-4408
Titre abrégé: Bone Joint J
Pays: England
ID NLM: 101599229
Informations de publication
Date de publication:
01 07 2023
01 07 2023
Historique:
medline:
5
7
2023
pubmed:
3
7
2023
entrez:
3
7
2023
Statut:
epublish
Résumé
To report the outcomes of patients with a fracture of the distal tibia who were treated with intramedullary nail versus locking plate in the five years after participating in the Fixation of Distal Tibia fracture (FixDT) trial. The FixDT trial reported the results for 321 patients randomized to nail or locking plate fixation in the first 12 months after their injury. In this follow-up study, we report the results of 170 of the original participants who agreed to be followed up until five years. Participants reported their Disability Rating Index (DRI) and health-related quality of life (EuroQol five-dimension three-level questionnaire) annually by self-reported questionnaire. Further surgical interventions related to the fracture were also recorded. There was no evidence of a difference in patient-reported disability, health-related quality of life, or the need for further surgery between participants treated with either type of fixation at five years. Considering the combined results for all participants, there was no significant change in DRI scores after the first 12 months of follow-up (difference between 12 and 24 months, 3.3 (95% confidence interval -1.8 to 8.5); p = 0.203), with patients reporting around 20% disability at five years. This study shows that the moderate levels of disability and reduced quality of life reported by participants 12 months after a fracture of the distal tibia persist in the medium term, with little evidence of improvement after the first year.
Identifiants
pubmed: 37399097
doi: 10.1302/0301-620X.105B7.BJJ-2022-1419.R1
pii: BJJ-2022-1419.R1
doi:
Types de publication
Randomized Controlled Trial
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
795-800Subventions
Organisme : National Institute for Health Research
ID : NIHR HTA 11/136/04
Investigateurs
Susie Hennings
(S)
Nafisa Boota
(N)
Mandy Maredza
(M)
Melina Dritsaki
(M)
Jonathan Young
(J)
Tom Wood
(T)
James Masters
(J)
Alan Johnstone
(A)
Andrew Carrothers
(A)
Mike McNicholas
(M)
Nigel Rossiter
(N)
Nikhil Kharwadkar
(N)
Anna Chapman
(A)
Tim White
(T)
James Murray
(J)
Mark Blyth
(M)
Shivkumar Gopal
(S)
Ian McMurtry
(I)
David Noyes
(D)
Adel Tavakkolizadeh
(A)
Peter Giannoudis
(P)
Aradhyula Murty
(A)
Ben Ollivere
(B)
Mark Westwood
(M)
Mark Farrar
(M)
Charlotte Lewis
(C)
Andrew McAndrew
(A)
Benedict Rogers
(B)
Andrew Gray
(A)
Stephen Aldridge
(S)
Paul Dixon
(P)
Caroline Hing
(C)
John Kendrew
(J)
Ashwin Kulkarni
(A)
Gorav Datta
(G)
Kevin Smith
(K)
Informations de copyright
© 2023 The British Editorial Society of Bone & Joint Surgery.
Déclaration de conflit d'intérêts
None declared.
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