Quality of Life Assessment of Patients With Posttraumatic Fracture Nonunion, Chronic Refractory Osteomyelitis, and Lower-Extremity Amputation

Lerner, Reut Kassif; Esterhai, John L.; Polomano, Rosemary C.; Cheatle, Martin D.; Heppenstall, R. Bruce

doi:10.1097/00003086-199310000-00006

Cited by 125 publications

(87 citation statements)

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“…Consistent with the results of the current study, these studies demonstrate that age, depression, perceived prosthetic mobility/ problems, and comorbidity are associated with worse QOL [15]. Social support and social functioning have been associated with better QOL [15,[44][45]. We did not directly measure social support, but employment status and family support were not associated with better or worse QOL in either group.…”

Section: Discussionsupporting

confidence: 84%

Quality of life for veterans and servicemembers with major traumatic limb loss from Vietnam and OIF/OEF conflicts

Epstein¹,

Heinemann²,

McFarland³

2010

JRRD

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Abstract-The goals of rehabilitation after major limb loss include not only functional restoration but also a return to a high quality of life (QOL). Few studies have identified which factors are associated with QOL in veterans and servicemembers with combat-associated major limb loss. We enrolled Vietnam and Operation Iraqi Freedom/Operation Enduring Freedom (OIF/ OEF) veterans and servicemembers in a national survey on prosthetic device use. In the Vietnam group, multivariate analysis found multiple limb loss (adjusted odds ratio [aOR] = 3.1, 95% confidence interval [CI] = 1.57-6.02) and satisfaction with current prostheses (aOR = 1.2, 95% CI = 1.05-1.38) are associated with better overall QOL, while a higher amputation impact rank (aOR = 0.66, 95% CI = 0.59-0.74) and depression (aOR = 0.21, 95% CI = 0.08-0.54) are associated with worse overall QOL. In the OIF/OEF group, three factors are significantly associated with worse overall QOL: combat-associated head injury (aOR = 0.78, 95% CI = 0.61-0.99), combat-associated injury to the nonamputated limb (aOR = 0.71, 95% CI = 0.57-0.88), and assistance needed in daily living (aOR = 0.12, 95% CI = 0.02-0.72). Improving satisfaction with prosthetic devices, improving mental health care, and treating other combat-associated injuries may significantly improve the overall QOL for these veterans and servicemembers.

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Section: Discussionsupporting

confidence: 84%

Quality of life for veterans and servicemembers with major traumatic limb loss from Vietnam and OIF/OEF conflicts

Epstein¹,

Heinemann²,

McFarland³

2010

JRRD

View full text Add to dashboard Cite

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“…It is important to assess the effect of these severe injuries and their treatment on the daily life of the patients. [53][54][55] Our study is the only report which addresses the well-being of these patients treated by fine-wire fixation; Marsh et al 19 assessed it in a group of patients who were treated with monolateral external fixation They reported "moderate correlation" (no figures given) between SF36 domains and the Iowa knee score and as in our patients, the strongest correlation was for physical function. 49,56 The limitations of our study include the lack of a control group and the relatively small numbers.…”

Section: Discussionmentioning

confidence: 49%

Outcome of complex fractures of the tibial plateau treated with a beam-loading ring fixation system

Ali¹,

Burton

Hashmi

et al. 2003

The Journal of Bone and Joint Surgery. British volume

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ine-wire external fixation is accepted as a minimally invasive technique, which can provide better outcomes than traditional open methods in the management of complex fractures of the tibial plateau. Available fixators vary in their biomechanical stability, and we believe that a stable beam-loading system is essential for consistently good outcomes. We assessed, prospectively, the clinical, radiological and general health status of 20 of 21 consecutive patients with complex fractures of the tibial plateau who had been treated using a standard protocol, with percutaneous screw fixation and a neutralisation concept with a fine wire beam-loading fixator allowing early weightbearing.Bony union was achieved in all patients, with 85% having good or excellent results. Full weight-bearing started during the first six weeks in 60% of patients. The general health status assessment correlated well with the knee scores and reflected a satisfactory outcome. [Br] 2003;85-B:691-9. J Bone Joint Surg

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“…The scales have demonstrated internal consistency reliability and construct validity [42,43]. The AIMS has been used in nonarthritic populations [44]. Research indicates that the AIMS is sufficiently sensitive to indicate changes over short-term clinical interventions from 1 to 3 months [42,45].…”

Section: Arthritis Impact Measurement Scales (Aims)mentioning

confidence: 99%

Psychosocial effects of an exercise program in older persons who fall

Means¹,

O’Sullivan²,

Rodell³

2003

JRRD

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Abstract-Falling is associated with psychosocial sequelae that may influence functional performance and fall risk. Exercise can improve psychosocial factors. To address the research questions (1) Do psychosocial variables differ among persons with and without falls? and (2) Among persons who fall, can exercise improve psychosocial variables? we evaluated psychosocial and functional performance variables in older persons with and without recent falls. A pretest and posttest design with a nonequivalent control group was used. Community-residing elderly individuals participated, 66 had falls in the past year (fallers) and 77 had no falls (nonfallers). Participants completed measures of self-esteem, depression, psychological impact, and functional performance at baseline and 6 weeks. Baseline descriptive characteristics for fallers and nonfallers were similar. Fallers then completed a 6-week exercise program. Exercise benefited fallers' self-esteem, depression, mobility, social role, social activity, and anxiety. Nearly 40% of fallers were clinically depressed before exercise and 24% were depressed after (p = 0.04). Psychosocial variables correlated significantly with quality of functional performance (p < 0.019). Among fallers, moderate exercise produced a significant improvement in psychosocial variables and functional performance (p < 0.045).

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Quality of Life Assessment of Patients With Posttraumatic Fracture Nonunion, Chronic Refractory Osteomyelitis, and Lower-Extremity Amputation

Cited by 125 publications

References 0 publications

Quality of life for veterans and servicemembers with major traumatic limb loss from Vietnam and OIF/OEF conflicts

Quality of life for veterans and servicemembers with major traumatic limb loss from Vietnam and OIF/OEF conflicts

Outcome of complex fractures of the tibial plateau treated with a beam-loading ring fixation system

Psychosocial effects of an exercise program in older persons who fall

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