Journal of Musculoskeletal Trauma

Comparison of Quality of Life between Before and After Orthopaedic Implant Removal Surgery: Sang Bong Ko, Seung Bum Chae; J Korean Fract Soc 2016;29(2):101-106. Published online April 30, 2016; DOI: https://doi.org/10.12671/jkfs.2016.29.2.101

Abstract PDF: PURPOSE
The purpose of this study is to determine whether or not a patient's results are improved after removal of an internal fixative from a patient with no related symptoms.
MATERIALS AND METHODS
This prospective study included 87 patients who agreed to participate in the study and satisfied the criteria for selection and exclusion of patients who underwent the operation for removal of internal fixative due to broken bones from March 1st, 2004 to December 31st, 2011 at Daegu Catholic University Medical Center. The average replication period was 27 months (12-64 months) and the average age at the time of the operation for removal was 41.5 years (21-75 years) for 55 males and 32 females. The quality of life for all patients was evaluated using Short Form 36 (SF-36) surveys before the operation for removal and after a minimum of one year.
RESULTS
After an orthopedic operation for removal of internal fixative, physical health status showed statistically significant improvement (p=0.001); however mental health status did not (p=0.411). A satisfaction test for the subjective surgery written by patients indicated an improvement of subjective health status in 52.9% after the surgery for removal but with no difference in 29.9% compared to preoperation.
CONCLUSION
In case of an operation for removal of internal fixative for patients with no related symptoms with internal fixatives used for treatment of fractures showing agglutination opinions, an improvement was observed in physical health status, not in mental health status. When surgery for removal of internal fixative is performed for patients without related symptoms, consideration that subjective satisfaction of patients shows an improvement only in 52.9% will be helpful.

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A Comparison of Quality of Life Using Short Form 36 between Femoral Shaft Fracture and Tibia Shaft Fracture Treated with Antegrade Nailing: Sangbong Ko, Hojin Chang; J Korean Fract Soc 2015;28(3):163-168. Published online July 31, 2015; DOI: https://doi.org/10.12671/jkfs.2015.28.3.163

PURPOSE
We sought to compare the quality of life between two similar groups of patients; one group who sustained an isolated femoral shaft fracture, and the other group who sustained an isolated tibial shaft fracture.
MATERIALS AND METHODS
From February 1995 to July 2010, two groups of 168 patients who underwent implant removal operations after intramedullary nailing for an isolated femoral shaft fracture or an isolated tibial shaft fracture were enrolled. Short Form 36 (SF-36) questionnaires were completed at the final follow-up visit. Data analysis was performed by another physician not otherwise involved with clinical evaluation or the surgeries.
RESULTS
Patients ranged in age from 18 to 37 years old. The two groups had similar characteristics, including age, gender ratio, body weight, smoking, and mean follow-up period (all p>0.05). No significant difference in functional outcome using SF-36 was observed between the groups except in the domain of physical functioning (PF) where femoral shaft fracture patients had a slightly higher score (p=0.002).
CONCLUSION
Femoral shaft fracture patients and tibial shaft fracture patients who underwent intramedullary nailing and subsequent implant removal after fracture union with similar epidemiological characteristics had similar functional outcomes using the SF-36 survey, except in the domain of PF, where femoral shaft fracture patients had a slightly better outcome.

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Health‐related quality of life outcomes after surgical treatment of atypical femur fractures: a multicenter retrospective cohort study
Jonathon Spanyer, Lauren A. Barber, Harrison Lands, Alexander Brown, Mary Bouxsein, Marilyn Heng, Madhusudhan Yakkanti
JBMR Plus.2021;[Epub] CrossRef

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Evaluation of Quality of Life after Treatment of Femoral Neek Fracture in Elderly Patieno: Kweon Jae Roh, Jae Doo Yoo; J Korean Soc Fract 1996;9(4):869-875. Published online October 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.4.869

Abstract PDF: In the elderly patients, we evaluated the results of treatments for the femoral neck fractures in the respect of quality of life. We used the Rosser index to generate quality of life score(QoL). Rosser index composed of two dimensions with distress and disability. Seventy-nine patients aged over 65 years with femoral neck fracture have been evaluated. Forty-nine cases were treated with bipolar hemiarthroplasty and thirty cases were treated with internal fixation such as compression hip screw. Knowles pin, cannulated hip screws. At one-year after operation, the median score of quality of life was 0.990 in bipolar hemiarthroplasty patients and 0.988 in the internal fixation patients. There was significant difference between the two groups(P<0.05). Patients treated with bipolar hemiarthrol)lasty had better QoL score than the patients treated with internal fixation. The elderly patients treated with bipolar hemiarthroplasty has lesser diability and was able to get early weight bearing.

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