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Related Experiment Videos

Long-term outcomes after lower extremity trauma

J L Butcher1, E J MacKenzie, B Cushing

  • 1Center for Injury Research and Policy, Johns Hopkins School of Hygiene and Public Health, Baltimore, MD 21205, USA.

The Journal of Trauma
|July 1, 1996
PubMed
Summary

Recovery from severe lower extremity fractures continues beyond 12 months. By 30 months post-injury, most patients return to work and experience reduced disability, though some limitations persist.

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Area of Science:

  • Orthopedics
  • Trauma Surgery
  • Rehabilitation Medicine

Background:

  • Over 25% of patients with severe lower extremity fractures do not return to work within 12 months.
  • Persistent disabilities affect daily living, including household management, recreation, and social interaction.

Purpose of the Study:

  • To determine if functional recovery and return to work extend beyond the 12-month mark after severe lower extremity fractures.

Main Methods:

  • Prospective follow-up of 319 patients with severe lower extremity fractures at 3, 6, and 12 months.
  • Utilized the Sickness Impact Profile (SIP) to measure functional recovery.
  • Re-evaluated patients not recovered by 12 months at 30 months post-injury.

Main Results:

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  • Return to work increased from 72% at 12 months to 82% at 30 months.
  • Sickness Impact Profile (SIP) scores showed slight improvement from 6.4 at 12 months to 5.7 at 30 months.
  • At 30 months, 64% of patients reported no disability, while 7% had severe disability.

Conclusions:

  • Functional recovery and return to work continue beyond 12 months for patients with severe lower extremity fractures.
  • While overall outcomes are positive with appropriate care, a minority experience persistent limitations at 30 months.