Algodystrophy and osteoporosis after tibial fractures
P P Sarangi1, A J Ward, E J Smith
1University Dept. of Orthopaedic Surgery, Bristol Royal Infirmary, UK.
Summary
Algodystrophy, a painful condition, affects nearly one-third of patients after tibial shaft fractures. Bone mineral loss is common in these patients, impacting recovery and return to work.
Area of Science:
- Orthopedics
- Traumatology
- Bone Metabolism
Background:
- Algodystrophy, also known as Complex Regional Pain Syndrome (CRPS), can occur after fractures.
- Understanding its incidence and impact on bone health is crucial for patient management.
Purpose of the Study:
- To prospectively investigate the incidence and natural history of algodystrophy following tibial shaft fractures.
- To assess associated changes in bone mineral density (BMD) in affected limbs.
Main Methods:
- Prospective study of 60 consecutive patients with unilateral tibial shaft fractures.
- Monitoring for algodystrophy signs and BMD changes at the ankle and foot until bone union.
Main Results:
- 18 out of 60 patients (30%) developed algodystrophy by bone union.
- Algodystrophy development was independent of fracture management and injury severity.
- Patients with algodystrophy exhibited significantly greater bone mineral loss compared to controls.
- The extent of bone loss was not influenced by treatment type or time to union.
Conclusions:
- Algodystrophy is a notable complication after tibial shaft fractures, associated with significant bone mineral loss.
- While most symptoms resolve within six months, some patients experience prolonged issues affecting return to work.
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