dc.contributor.author | Chokotho, Linda | |
dc.contributor.author | Wu, Hao-Hua | |
dc.contributor.author | Shearer, David | |
dc.contributor.author | Lau, Brian C. | |
dc.contributor.author | Mkandawire, Nyengo | |
dc.contributor.author | Gjertsen, Jan Erik | |
dc.contributor.author | Hallan, Geir | |
dc.contributor.author | Young, Sven | |
dc.date.accessioned | 2021-03-23T14:23:02Z | |
dc.date.available | 2021-03-23T14:23:02Z | |
dc.date.created | 2020-08-10T13:21:52Z | |
dc.date.issued | 2020 | |
dc.Published | Acta Orthopaedica. 2020, 91 1-8. | |
dc.identifier.issn | 1745-3674 | |
dc.identifier.uri | https://hdl.handle.net/11250/2735153 | |
dc.description.abstract | Background and purpose — Intramedullary nailing (IMN) is underutilized in low-income countries (LICs) where skeletal traction (ST) remains the standard of care for femoral shaft fractures. This prospective study compared patient-reported quality of life and functional status after femoral shaft fractures treated with IMN or ST in Malawi.
Patients and methods — Adult patients with femoral shaft fractures managed by IMN or ST were enrolled prospectively from 6 hospitals. Quality of life and functional status were assessed using EQ-5D-3L, and the Short Musculoskeletal Function Assessment (SMFA) respectively. Patients were followed up at 6 weeks, 3, 6, and 12 months post-injury.
Results — Of 248 patients enrolled (85 IMN, 163 ST), 187 (75%) completed 1-year follow-up (55 IMN, 132 ST). 1 of 55 IMN cases had nonunion compared with 40 of 132 ST cases that failed treatment and converted to IMN (p < 0.001). Quality of life and SMFA Functional Index Scores were better for IMN than ST at 6 weeks, 3 and 6 months, but not at 1 year. At 6 months, 24 of 51 patients in the ST group had returned to work, compared with 26 of 37 in the IMN group (p = 0.02).
Interpretation — Treatment with IMN improved early quality of life and function and allowed patients to return to work earlier compared with treatment with ST. Approximately one-third of patients treated with ST failed treatment and were converted to IMN. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Taylor & Francis | en_US |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.title | Outcome at 1 year in patients with femoral shaft fractures treated with intramedullary nailing or skeletal traction in a low-income country: a prospective observational study of 187 patients in Malawi | en_US |
dc.type | Journal article | en_US |
dc.type | Peer reviewed | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | Copyright © 2020 The Author(s). | en_US |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.doi | 10.1080/17453674.2020.1794430 | |
dc.identifier.cristin | 1822468 | |
dc.source.journal | Acta Orthopaedica | en_US |
dc.source.40 | 91 | |
dc.source.pagenumber | 724-731 | en_US |
dc.identifier.citation | Acta Orthopaedica. 2020, 91 (6), 724-731. | en_US |
dc.source.volume | 91 | en_US |
dc.source.issue | 6 | en_US |