PLD score evaluation of the quality of life after severe (Grade III) open tibial fractures
West Indian med. j
; 46(Suppl. 2): 36, Apr.1997.
Article
em En
| MedCarib
| ID: med-2465
Biblioteca responsável:
JM3.1
Localização: JM3.1; R18.W4
ABSTRACT
Grade III open tibial fractures often require long hospitialized and many operations. They always leave unsightly scars and functional results are sometimes very poor. We wanted to establish a predictive score for use in all cases to help us to decide if amputation would give a better result or not. We devised a "PLD" scoring system with a maximum of twenty points, comprising data that concern the patient (0 to 4), the lesions (0 to 14) and the delay of bone coverage(0 to 2). Patient outcome was quantitatively scored by assessing the function (15 points) and the quality of life (professional, sport and leisure, social and psychologic, 15 points). Twenty-seven cases of grade III open tibial fracture were reviewed for this study. Traffic accidents (23 cases) were very frequent. For each case, the total hospital stay and the type and the number of interventions were noted. PLD scores were calculated at emergency and after one month. Final outcome was evaluated at the latest patients follow-up. Results showed that if the PLD score in emergency or at one month was < 5, the final resut was good or excellent (>25) for more than 80 percent of patients. If the score at one month was < 5, the result was judged poor (<20) in more than half the cases. If the PLD score in emergency or at one month was o 20, all such cases required an amputation in emergency or at a later stage. (AU)
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Coleções:
01-internacional
Base de dados:
MedCarib
Assunto principal:
Qualidade de Vida
/
Fraturas da Tíbia
Tipo de estudo:
Prognostic_studies
Aspecto:
Patient_preference
Limite:
Humans
Idioma:
En
Revista:
West Indian med. j
Ano de publicação:
1997
Tipo de documento:
Article
/
Congress and conference