Paley et al evaluated clinical outcome following surgical therapy for non-union of a tibial fracture. This can help determine the effectiveness of the therapeutic intervention. The authors are from the University of Maryland, Hospital of Lecco (Italy), and Hospital Matteo Rota (Italy).
Parameters:
(1) union vs nonunion
(2) infection
(3) deformity
(4 length discrepancy between the 2 limbs
Parameter
Finding
Points
infection
none
0
present
1
deformity
none
0
< 7°
0
>= 7°
1
length discrepancy
< 2.5 cm (1 inch)
0
>= 2.5 cm
1
total number of problems =
= SUM(points for all 3 parameters)
Union Status
Number of Problems
Outcome
union
0
excellent
union
1
good
union
2
fair
union
3
poor
non-union
NA
poor
refracture
NA
poor
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