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Updated: Feb 2, 2026

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Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents
Published on: August 14, 2018
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Measuring outcomes following tibial fracture
R Morris1, I Pallister1, R W Trickett1
1Department of Trauma & Orthopaedics, Abertawe Bro Morgannwg University Health Board, Morriston Hospital, Swansea, SA6 6NL, UK.
Injury
|November 29, 2018
Summary
Standardizing outcome reporting for adult tibial fractures is crucial. Current methods lack consistency and validated patient-reported outcome measures are needed for better patient assessment.
Area of Science:
- Orthopedic Surgery
- Clinical Outcomes Research
Background:
- Adult tibial shaft fractures are common injuries.
- Modern healthcare emphasizes functional outcomes and patient-reported outcomes (PROs).
- Current outcome measurement in tibial fracture care requires standardization.
Purpose of the Study:
- To evaluate outcome measurement practices for adult tibial fractures.
- To assess the use and validation of PROMs in this patient population.
Main Methods:
- Systematic review of publications since 2009 on adult tibial shaft fractures.
- Searched multiple databases (Ovid Medline, Embase, PubMed, PsycINFO).
- Assessed PROMs using Consensus-based Standards for the selection of health Measurement INstruments (COSMIN) standards.
Main Results:
- 117 articles were analyzed from 943 titles.
- Heterogeneity and lack of detail in reporting basic outcomes (union, infection, reoperation).
- PROMs are variably used, and none are validated for tibial fracture.
Conclusions:
- A core outcome set is recommended to standardize reporting for tibial fractures.
- Development of a validated PROM is essential for assessing patient-important outcomes.
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