Elsoe, Rasmus

Eriksen, Christian Berre

Graven-Nielsen, Thomas

Laessoe, Uffe

Larsen, Peter

Rasmussen, Sten

English

INTRODUCTION: To evaluate the development in patient-reported quality of life (QOL) and muscle strength in the period from surgery to 12 months postoperatively after intramedullary nailing of a tibial shaft fracture.MATERIALS AND METHODS: The design was a prospective, follow-up cohort study. QOL was measured with the questionnaire Eq5D-5L and compared to norm data from a reference population. Recordings of pain and contralateral muscle strength (isometric maximal voluntary contraction (MVC) for knee flexion and extension were collected at 6 weeks, 3, 6, and 12 months postoperatively. Ipsilateral MVCs were recorded at 6 and 12 months.RESULTS: Forty-nine patients were included. The mean age at the time of fracture was 43.1 years (18-79 years). Twelve months postoperatively, the mean Eq5D-5L index was 0.792 (95 % CI 0.747-0.837). Throughout the 12 months postoperatively, patients reported worse QOL compared to the reference population. Six and 12 months after surgery patients demonstrated decreased muscle strength in the injured leg compared to the non-injured leg for knee extension and flexion (P &lt; 0.001). Twelve months postoperatively, increasing relative difference in muscle strength during knee extension show a fair correlation to worse QOL (R = 0.541, P &lt; 0.001).CONCLUSIONS: Throughout the 12 months postoperatively, patients reported worse QOL compared to the reference population. Muscle strength in the non-injured leg improved over time and was higher after 6 and 12 months compared with the injured leg.</p

    Aalborg UniversitetDecreased QOL and muscle strength are persistent 1 year after intramedullary nailingof a tibial shaft fracturea prospective 1-year follow-up cohort studyLarsen, Peter; Elsoe, Rasmus; Laessoe, Uffe; Graven-Nielsen, Thomas; Eriksen, ChristianBerre; Rasmussen, StenPublished in:Archives of Orthopaedic and Trauma SurgeryDOI (link to publication from Publisher):10.1007/s00402-016-2537-2Publication date:2016Document VersionAccepted author manuscript, peer reviewed versionLink to publication from Aalborg UniversityCitation for published version (APA):Larsen, P., Elsoe, R., Laessoe, U., Graven-Nielsen, T., Eriksen, C. B., & Rasmussen, S. (2016). DecreasedQOL and muscle strength are persistent 1 year after intramedullary nailing of a tibial shaft fracture: a prospective1-year follow-up cohort study. Archives of Orthopaedic and Trauma Surgery, 136(10), 1395-1402.https://doi.org/10.1007/s00402-016-2537-2General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright ownersand it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.            ? Users may download and print one copy of any publication from the public portal for the purpose of private study or research.            ? You may not further distribute the material or use it for any profit-making activity or commercial gain            ? You may freely distribute the URL identifying the publication in the public portal ?Take down policyIf you believe that this document breaches copyright please contact us at vbn@aub.aau.dk providing details, and we will remove access tothe work immediately and investigate your claim.

Decreased QOL and muscle strength are persistent 1 year after intramedullary nailing of a tibial shaft fracture:a prospective 1-year follow-up cohort study

Peter Larsen

Rasmus Elsoe

Uffe Laessoe

Thomas Graven-Nielsen

Christian Berre Eriksen

Sten Rasmussen

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Archives of Orthopaedic and Trauma Surgery

Decreased QOL and muscle strength are persistent 1 year after intramedullary nailing of a tibial shaft fracture: a prospective 1-year follow-up cohort study

https://vbn.aau.dk/ws/files/252401636/decreased_qol_and_muscle_strength_are_persistent_1year_after_intramedullary_nailing_of_a_tibial_shaft_fracture.pdf

Decreased QOL and muscle strength are persistent 1 year after intramedullary nailing of a tibial shaft fracture:a prospective 1-year follow-up cohort study

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