Journal article
Five year outcomes for patients with a displaced fracture of the distal tibia
- Abstract:
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Aims
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.
Methods
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.
Results
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.
Conclusion
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.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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- Files:
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(Preview, Version of record, pdf, 390.2KB, Terms of use)
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- Publisher copy:
- 10.1302/0301-620X.105B7.BJJ-2022-1419.R1
Authors
- Publisher:
- British Editorial Society of Bone and Joint Surgery
- Journal:
- The Bone and Joint Journal More from this journal
- Volume:
- 105-B
- Issue:
- 7
- Pages:
- 795 - 800
- Publication date:
- 2023-07-01
- Acceptance date:
- 2023-03-20
- DOI:
- EISSN:
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2049-4408
- ISSN:
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2049-4394
- Language:
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English
- Keywords:
- Pubs id:
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1339034
- Local pid:
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pubs:1339034
- Deposit date:
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2023-04-26
- ARK identifier:
Terms of use
- Copyright holder:
- Parsons et al
- Copyright date:
- 2023
- Rights statement:
- © 2023 Author(s) et al. This is an open- access article distributed under the terms of the Creative Commons Attribution Non- Commercial No Derivatives (CC BY- NC- ND 4.0) licence, which permits the copying and redistribution of the work only, and provided the original author and source are credited. See https://creative- commons.org/licenses/by-nc-nd/4.0/
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