PDF] Functional Outcomes and Quality of Life Following Complex Tibial Fractures Treated with Circular External Fixation: A Comparison between Proximal, Midshaft, and Distal Tibial Fractures
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Last updated 22 março 2025
![PDF] Functional Outcomes and Quality of Life Following Complex Tibial Fractures Treated with Circular External Fixation: A Comparison between Proximal, Midshaft, and Distal Tibial Fractures](https://d3i71xaburhd42.cloudfront.net/b674392d7ee09812f3f6593e718229faa670c8e7/4-Figure2-1.png)
It is suggested that the functional outcomes between proximal, midshaft, and distal complex tibial fractures are comparable, but complex tasks are more difficult and better compared to the ambulating ability of a healthy population aged 65 to 80 years. Abstract Aim and objective The purpose of this study was to compare clinical results following complex proximal, midshaft, and distal tibial fractures and investigate whether there are differences in outcomes between these locations. Materials and methods Patients between 18 years and 65 years of age and minimum follow-up of 12 months with complex tibial fractures treated with a circular ring fixator were included. Functional outcomes were assessed using the Association for the Study and Application of Methods of Ilizarov (ASAMI) functional and bone scores, Foot Function Index (FFI), Four Step Square Test (FSST), and Timed Up and Go Test (TUG). Quality of life was assessed by the EQ-5D score. Results A total of 45 patients were included: proximal fractures, n = 11; midshaft fractures, n = 17; and distal fractures, n = 17. ASAMI functional (p = 0.8) and bone scores (p = 0.3) were not different. Excellent and good bone scores were achieved in >90% in all groups. FFI was 30.9 + 24.7 in the proximal group, 33.9 + 27.7 in the midshaft group, and 28.8 + 26.9 in the distal group (p = 0.8). TUG was 9.0 + 2.7 sec in the proximal group, 9.0+3.5 in the midshaft group, and 8.5+2.0 in the distal group (p = 0.67). FSST was 10.7 + 2.5 sec in the proximal, 10.3 + 3.8 in the midshaft, and 8.9 + 1.8 in the distal fracture groups (p = 0.5). EQ-5D index value was highest in the distal (0.72), lowest in the proximal (0.55), and 0.70 in the midshaft fracture groups (p = 0.001). EQ-5D VAS was significantly different between the proximal (65) and midshaft (82.3) (p = 0.001) and between the distal (75) and proximal (65) fracture groups (p = 0.001). Conclusions The results of this study suggest that the functional outcomes between proximal, midshaft, and distal complex tibial fractures are comparable. Their ability to ambulate afterward is comparable to age-related normative data, but complex tasks are more difficult and better compared to the ambulating ability of a healthy population aged 65 to 80 years. Patients with proximal tibial fractures had significantly more disability by at least one functional level and/or one health dimension. How to cite this article Naude JJ, Manjra MA, Birkholtz F, et al. Functional Outcomes and Quality of Life Following Complex Tibial Fractures Treated with Circular External Fixation: A Comparison between Proximal, Midshaft, and Distal Tibial Fractures. Strategies Trauma Limb Reconstr 2021;16(1):32–40.
![PDF] Functional Outcomes and Quality of Life Following Complex Tibial Fractures Treated with Circular External Fixation: A Comparison between Proximal, Midshaft, and Distal Tibial Fractures](https://d3i71xaburhd42.cloudfront.net/4a35c7ea842486a1db458c373feec8d32ed88a63/4-TableI-1.png)
PDF] Short-term results of grade III open tibia fractures treated with circular fixators
![PDF] Functional Outcomes and Quality of Life Following Complex Tibial Fractures Treated with Circular External Fixation: A Comparison between Proximal, Midshaft, and Distal Tibial Fractures](https://www.mdpi.com/medicina/medicina-59-01751/article_deploy/html/images/medicina-59-01751-g001-550.jpg)
Medicina, Free Full-Text
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Medicina, Free Full-Text
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PDF] Functional Outcomes and Quality of Life Following Complex Tibial Fractures Treated with Circular External Fixation: A Comparison between Proximal, Midshaft, and Distal Tibial Fractures
![PDF] Functional Outcomes and Quality of Life Following Complex Tibial Fractures Treated with Circular External Fixation: A Comparison between Proximal, Midshaft, and Distal Tibial Fractures](https://journals.sagepub.com/cms/10.1177/19386400221087822/asset/images/large/10.1177_19386400221087822-fig7.jpeg)
Increased Arthrodesis Rates in Charcot Neuroarthropathy Utilizing Distal Tibial Distraction Osteogenesis Principles - Noman A. Siddiqui, Kelsey J. Millonig, Brittany E. Mayer, Jessica N. Fink, Philip K. McClure, Christopher Bibbo, 2022
![PDF] Functional Outcomes and Quality of Life Following Complex Tibial Fractures Treated with Circular External Fixation: A Comparison between Proximal, Midshaft, and Distal Tibial Fractures](https://media.springernature.com/m685/springer-static/image/art%3A10.1007%2Fs00068-023-02411-9/MediaObjects/68_2023_2411_Fig4_HTML.png)
Staged treatment of bicondylar tibial plateau fractures: influence of frame configuration and quality of reduction on outcomes
![PDF] Functional Outcomes and Quality of Life Following Complex Tibial Fractures Treated with Circular External Fixation: A Comparison between Proximal, Midshaft, and Distal Tibial Fractures](https://www.researchgate.net/publication/353309138/figure/tbl3/AS:1046544056860673@1626526955403/Foot-function-index-and-functional-tests_Q320.jpg)
PDF) Functional Outcomes and Quality of Life Following Complex Tibial Fractures Treated with Circular External Fixation: A Comparison between Proximal, Midshaft, and Distal Tibial Fractures
![PDF] Functional Outcomes and Quality of Life Following Complex Tibial Fractures Treated with Circular External Fixation: A Comparison between Proximal, Midshaft, and Distal Tibial Fractures](https://pub.mdpi-res.com/medicina/medicina-58-00389/article_deploy/html/images/medicina-58-00389-g002.png?1646476814)
Medicina, Free Full-Text
![PDF] Functional Outcomes and Quality of Life Following Complex Tibial Fractures Treated with Circular External Fixation: A Comparison between Proximal, Midshaft, and Distal Tibial Fractures](https://www.tandfonline.com/cms/asset/4fc29503-c92d-41f9-9986-6257e4f5d53c/iort_a_11327395_f0001_b.gif)
Full article: External fixation of tibial pilon fractures and fracture healing
![PDF] Functional Outcomes and Quality of Life Following Complex Tibial Fractures Treated with Circular External Fixation: A Comparison between Proximal, Midshaft, and Distal Tibial Fractures](https://media.springernature.com/lw685/springer-static/image/art%3A10.1186%2Fs13018-020-01904-2/MediaObjects/13018_2020_1904_Fig1_HTML.png)
Prevalence and influencing factors of nonunion in patients with tibial fracture: systematic review and meta-analysis, Journal of Orthopaedic Surgery and Research
![PDF] Functional Outcomes and Quality of Life Following Complex Tibial Fractures Treated with Circular External Fixation: A Comparison between Proximal, Midshaft, and Distal Tibial Fractures](https://media.springernature.com/lw685/springer-static/image/art%3A10.1186%2Fs13018-018-0792-3/MediaObjects/13018_2018_792_Fig1_HTML.gif)
Comparing case-control study for treatment of proximal tibia fractures with a complete metaphyseal component in two centers with different distinct strategies: fixation with Ilizarov frame or locking plates
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