2,503
Views
5
CrossRef citations to date
0
Altmetric
Research Article

Outcome at 1 year in patients with femoral shaft fractures treated with intramedullary nailing or skeletal traction in a low-income country: a prospective observational study of 187 patients in Malawi

, , , , , , & show all

  • Brinker M R, Trivedi A, O’Connor D P. Debilitating effects of femoral nonunion on health-related quality of life. J Orthop Trauma 2017; 31(2): e37–e42.
  • Brooks R, Group E. EuroQol: the current state of play. Health Policy 1996; 37(1): 53–72.
  • Brumback R J, Uwagie-Ero S, Lakatos R P, Poka A, Bathon G H, Burgess A R. Intramedullary nailing of femoral shaft fractures, Part II: Fracture-healing with static interlocking fixation. Orthop Trauma Dir 2006; 4(01): 29–33.
  • Bucholz R W, Jones A. Fractures of the shaft of the femur. J Bone Joint Surg 1991; 73(10): 1561–66.
  • Chagomerana M B, Tomlinson J, Young S, Hosseinipour M C, Banza L, Lee C N. High morbidity and mortality after lower extremity injuries in Malawi: a prospective cohort study of 905 patients. Int J Surg 2017; 39: 23–9.
  • Chokotho L, Mkandawire N, Conway D, Wu H-H, Shearer D D, Hallan G, Gjertsen J E, Young S, Lau B C. Validation and reliability of the Chichewa translation of the EQ-5D quality of life questionnaire in adults with orthopedic injuries in Malawi. Malawi Med J 2017; 29(2): 84–8.
  • Chokotho L, Lau B C, Conway D, Wu H, Shearer D, Hallan G, Gjertsen J E, Mkandawire N, Young S. Validation of Chichewa Short Musculoskeletal Function Assessment (SMFA) questionnaire: a cross-sectional study. Malawi Med J 2019; 31(1): 65–70.
  • Doorgakant A, Mkandawire N C. The management of isolated closed femoral shaft fractures in a district hospital in Malawi. Trop Doct 2012; 42(1): 8–12.
  • El-Menyar A, Muneer M, Samson D, Al-Thani H, Alobaidi A, Mussleman P, Latifi R. Early versus late intramedullary nailing for traumatic femur fracture management: meta-analysis. J Orthop Surg Res 2018; 13(1): 160.
  • El Moumni M, Leenhouts P A, Ten Duis H J, Wendt K W. The incidence of non-union following unreamed intramedullary nailing of femoral shaft fractures. Injury 2009; 40(2): 205–8.
  • Harris P A, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap): a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 2009; 42(2): 377–81.
  • Haug L, Wazakili M, Young S, Van den Bergh G. Longstanding pain and social strain: patients’ and health care providers’ experiences with fracture management by skeletal traction; a qualitative study from Malawi. Disabil Rehabil 2017; 39(17): 1714–21.
  • Hollis A C, Ebbs S R, Mandari F N. The epidemiology and treatment of femur fractures at a northern Tanzanian referral centre. Pan Afr Med 2015; 22(1): 338.
  • Ibrahim J M, Conway D, Haonga B T, Eliezer E N, Morshed S, Shearer D W. Predictors of lower health-related quality of life after operative repair of diaphyseal femur fractures in a low-resource setting. Injury 2018; 49(7): 1330–5.
  • Jaeschke R, Singer J, Guyatt G H. Measurement of health status: ascertaining the minimal clinically important difference. Control Clin Trials 1989; 10(4): 407–15.
  • Jelsma J, Hansen K, De Weerdt W, De Cock P, Kind P. How do Zimbabweans value health states? Popul Health Metr 2003; 1(1): 11.
  • Kamau D M, Gakuu L N, Gakuya E M, Sang E K. Comparison of closed femur fracture: skeletal traction and intramedullary nailing cost-effectiveness. East Afr Orthop J 2014; 8(1): 4–9.
  • Kramer E J, Shearer D, Morshed S. The use of traction for treating femoral shaft fractures in low- and middle-income countries: a systematic review. Int Orthop 2016; 40(5): 875–83.
  • Luo N, Johnson J A, Coons S J. Using instrument-defined health state transitions to estimate minimally important differences for four preference-based health-related quality of life instruments. Med Care 2010; April 1: 365–71.
  • Mahomed H. Late nailing of femoral shaft fractures. Orthopedic Proceedings, the British Editorial Society of Bone & Joint Surgery 2008; 90(SUPP_III): 464.
  • Mkandawire N, Ngulube C, Lavy C. Orthopedic clinical officer program in Malawi: a model for providing orthopedic care. Clin Orthop Relat Res 2008; 466(10): 2385–91.
  • Parkes R J, Parkes G, James K. A systematic review of cost-effectiveness, comparing traction to intramedullary nailing of femoral shaft fractures, in the less economically developed context. BMJ Glob Health 2017; 2(3): e000313.
  • Paterno M V, Archdeacon M T. Is there a standard rehabilitation protocol after femoral intramedullary nailing? J Orthop Trauma 2009; 23: S39–S46.
  • Ricci W M, Bellabarba C, Evanoff B, Herscovici D, DiPasquale T, Sanders R. Retrograde versus antegrade nailing of femoral shaft fractures. J Orthop Trauma 2001; 15(3): 161–9.
  • Salawu O N, Ibraheem G H, Babalola O M, Kadir D M, Ahmed B A, Agaja S B, Olawepo A, Nasir A A. Clinical outcomes after open locked intramedullary nailing of closed femoral shaft fractures for adult patients in a Nigerian Hospital. Niger J Clin Pract 2017; 20(11): 1316–21.
  • Shah R K, Moehring H D, Singh R P, Dhakal A. Surgical Implant Generation Network (SIGN) intramedullary nailing of open fractures of the tibia. Int Orthop 2004; 28(3): 163–6.
  • Shrier I, Platt R W. Reducing bias through directed acyclic graphs. BMC Med Res Methodol 2008; 8(1): 70.
  • Sullivan K, Dean A, Soe M. OpenEpi: a web-based epidemiologic and statistical calculator for public health. Public Health Rep 2009; 124(3): 471–4.
  • Swai S P M. Conservative management of closed femoral shaft fractures: is skeletal traction still justified or cost effective in a developing country like Tanzania? (Doctoral diss., Muhimbili University of Health and Allied Sciences; 2005).
  • Swiontkowski M F, Engelberg R U, Martin D P, Agel J. Short musculoskeletal function assessment questionnaire: validity, reliability, and responsiveness. Orthop Trauma Dir 2005; 3(02): 29–34.
  • Tay W H, de Steiger R, Richardson M, Gruen R, Balogh Z J. Health outcomes of delayed union and nonunion of femoral and tibial shaft fractures. Injury 2014; 45(10): 1653–8.
  • Tsang S T, Mills L A, Frantzias J, Baren J P, Keating J F, Simpson A H. Exchange nailing for nonunion of diaphyseal fractures of the tibia: our results and an analysis of the risk factors for failure. Bone Joint J 2016; 98(4): 534–41.
  • Whelan D B, Bhandari M, Stephen D, Kreder H, McKee M D, Zdero R, Schemitsch EH. Development of the radiographic union score for tibial fractures for the assessment of tibial fracture healing after intramedullary fixation. J Trauma Acute Care Surg 2010; 68(3): 629–32.
  • Young S, Lie S A, Hallan G, Zirkle L G, Engesaeter L B, Havelin L I. Risk factors for infection after 46,113 intramedullary nail operations in low-and middle-income countries. World J Surg 2013a; 37(2): 349–55.
  • Young S, Banza L N, Hallan G, Beniyasi F, Manda K G, Munthali B S, Dybvik E, Engesaeter L B, Havelin L I. Complications after intramedullary nailing of femoral fractures in a low-income country: a prospective study of follow-up, HIV infection, and microbial infection rates after IM nailing of 141 femoral fractures at a central hospital in Malawi. Acta Orthop Scand 2013b; 84(5): 460–7