Salvaged limbs after tibial shaft fractures with extensive soft-tissue injury: A biopsychosocial function analysis

0Background: The purpose of this study was to perform a biopsychosocial fun ction analysis of the outcome in patients with a salvaged leg after tibial shaft fractures associated with extensive soft-tissue injury. Methods: A retrospective review of 18 consecutive patients with tibial shaf t fractures and extensive soft-tissue damage with a mean Injury Severity Sc ore of 31 was undertaken. All patients were assessed for their physical fun ction, psychological status, and general function, Results: The range of motion and torque of the ankle joint were severely af fected. The liner joint was affected, but only with regard to the torque du ring concentric muscular activities. Nottingham Health Profile scores shelv ed that the general and social function for these patients were significant ly affected, Five of 18 patients suffered from depression, Conclusion: salvage procedures should be advocated if possible, but careful selection of patients on the basis of mental and social factors is crucial for the outcome.