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dc.contributor.authorKulkarni, Ashwin
dc.date.accessioned2023-12-07T15:00:14Z
dc.date.available2023-12-07T15:00:14Z
dc.date.issued2023-07-01
dc.identifier.citationParsons, N., Achten, J., Costa, M. L., & FixDT Trial collaborators (2023). Five-year outcomes for patients with a displaced fracture of the distal tibia. The bone & joint journal, 105-B(7), 795–800. https://doi.org/10.1302/0301-620X.105B7.BJJ-2022-1419.R1en_US
dc.identifier.other10.1302/0301-620X.105B7.BJJ-2022-1419.R1
dc.identifier.urihttp://hdl.handle.net/20.500.12904/17959
dc.description.abstractAims: 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.
dc.description.urihttps://boneandjoint.org.uk/article/10.1302/0301-620X.105B7.BJJ-2022-1419.R1en_US
dc.language.isoenen_US
dc.subjectdisplaced fracture of the distal tibiaen_US
dc.subjectintramedullary nailen_US
dc.subjectintramedullary locking plateen_US
dc.titleFive-year outcomes for patients with a displaced fracture of the distal tibiaen_US
dc.typeArticleen_US
rioxxterms.funderDefault funderen_US
rioxxterms.identifier.projectDefault projecten_US
rioxxterms.versionNAen_US
rioxxterms.versionofrecordhttps://doi.org/10.1302/0301-620X.105B7.BJJ-2022-1419.R1en_US
rioxxterms.typeJournal Article/Reviewen_US
refterms.panelUnspecifieden_US
html.description.abstractAims: 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.en_US
rioxxterms.funder.project94a427429a5bcfef7dd04c33360d80cden_US


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