Functional outcome and quality of life of patient with post traumatic osteomyelitis of the femur and tibia

This study was conducted to evaluate the clinical outcome, functional outcome, and quality of life of patients treated for post traumatic osteomyelitis (PTO) of femur or tibia in Hospital Tengku Ampuan Afzan, Kuantan, Malaysia. A total of 119 patients were identified from the operating records from...

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Main Authors: Mohd Yusof, Nazri, Sulong, Ahmad Fadzli
Format: Conference or Workshop Item
Language:English
Published: 2016
Subjects:
Online Access:http://irep.iium.edu.my/50875/
http://irep.iium.edu.my/50875/
http://irep.iium.edu.my/50875/3/50875.pdf
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recordtype eprints
spelling iium-508752018-05-22T03:07:40Z http://irep.iium.edu.my/50875/ Functional outcome and quality of life of patient with post traumatic osteomyelitis of the femur and tibia Mohd Yusof, Nazri Sulong, Ahmad Fadzli RD701 Orthopedics This study was conducted to evaluate the clinical outcome, functional outcome, and quality of life of patients treated for post traumatic osteomyelitis (PTO) of femur or tibia in Hospital Tengku Ampuan Afzan, Kuantan, Malaysia. A total of 119 patients were identified from the operating records from June 2007 until June 2014. 47 patients consented and participated in this study. The median age of participants was 44 years old, and ranges from 16 to 80 years old. There were 26 tibia and 21 femur osteomyelitis evaluated in this study. 38 participants (80.9%) had implants inserted and 9 participants (19.1%) had no implants. The participants were follow up for a mean duration of 4.4 years (range 1.7-9.5 years). Interviews were then conducted and clinical assessments were performed to evaluate the clinical outcome. Their functional outcomes were evaluated using the Lower Extremity Functional Score (LEFS) and the quality of life were evaluated using the SF-36v2 (validated and translated into Malay Language). As for the results, 93.6% of participants had a successful treatment and achieved union without recurrence of infection. 3 (6.4%) participants had failure of treatment were from CM-IIIA, CM-IVA, and CM-IVB. Staphylococcus aureus and MRSA were the 2 commonest microorganisms isolated from the culture. The mean scores of SF-36v2 of participants with PTO were significantly lower compared to the Malaysian general population. However with increasing age, the general health and vitality were similar with the Malaysian general population. Concurrent medical problem and CMB (Systemic) hosts significantly contributed to poorer functional outcome, and lower quality of life score especially the Physical Component domain. In conclusion, most patients with post traumatic osteomyelitis had successful treatment. However their quality of life were poorer in comparison to the Malaysian general population. Concurrent medical problem and CM-B(Systemic) hosts had significantly poorer functional outcome and quality of life than healthy patients. 2016-05-27 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/50875/3/50875.pdf Mohd Yusof, Nazri and Sulong, Ahmad Fadzli (2016) Functional outcome and quality of life of patient with post traumatic osteomyelitis of the femur and tibia. In: 3rd AOTrauma Asia Pacific Scientific Congress and TK Experts’ Symposium, 27-28 May 2016, Chengdu, China. (Unpublished) http://www.aotapcongress.org/index.php
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic RD701 Orthopedics
spellingShingle RD701 Orthopedics
Mohd Yusof, Nazri
Sulong, Ahmad Fadzli
Functional outcome and quality of life of patient with post traumatic osteomyelitis of the femur and tibia
description This study was conducted to evaluate the clinical outcome, functional outcome, and quality of life of patients treated for post traumatic osteomyelitis (PTO) of femur or tibia in Hospital Tengku Ampuan Afzan, Kuantan, Malaysia. A total of 119 patients were identified from the operating records from June 2007 until June 2014. 47 patients consented and participated in this study. The median age of participants was 44 years old, and ranges from 16 to 80 years old. There were 26 tibia and 21 femur osteomyelitis evaluated in this study. 38 participants (80.9%) had implants inserted and 9 participants (19.1%) had no implants. The participants were follow up for a mean duration of 4.4 years (range 1.7-9.5 years). Interviews were then conducted and clinical assessments were performed to evaluate the clinical outcome. Their functional outcomes were evaluated using the Lower Extremity Functional Score (LEFS) and the quality of life were evaluated using the SF-36v2 (validated and translated into Malay Language). As for the results, 93.6% of participants had a successful treatment and achieved union without recurrence of infection. 3 (6.4%) participants had failure of treatment were from CM-IIIA, CM-IVA, and CM-IVB. Staphylococcus aureus and MRSA were the 2 commonest microorganisms isolated from the culture. The mean scores of SF-36v2 of participants with PTO were significantly lower compared to the Malaysian general population. However with increasing age, the general health and vitality were similar with the Malaysian general population. Concurrent medical problem and CMB (Systemic) hosts significantly contributed to poorer functional outcome, and lower quality of life score especially the Physical Component domain. In conclusion, most patients with post traumatic osteomyelitis had successful treatment. However their quality of life were poorer in comparison to the Malaysian general population. Concurrent medical problem and CM-B(Systemic) hosts had significantly poorer functional outcome and quality of life than healthy patients.
format Conference or Workshop Item
author Mohd Yusof, Nazri
Sulong, Ahmad Fadzli
author_facet Mohd Yusof, Nazri
Sulong, Ahmad Fadzli
author_sort Mohd Yusof, Nazri
title Functional outcome and quality of life of patient with post traumatic osteomyelitis of the femur and tibia
title_short Functional outcome and quality of life of patient with post traumatic osteomyelitis of the femur and tibia
title_full Functional outcome and quality of life of patient with post traumatic osteomyelitis of the femur and tibia
title_fullStr Functional outcome and quality of life of patient with post traumatic osteomyelitis of the femur and tibia
title_full_unstemmed Functional outcome and quality of life of patient with post traumatic osteomyelitis of the femur and tibia
title_sort functional outcome and quality of life of patient with post traumatic osteomyelitis of the femur and tibia
publishDate 2016
url http://irep.iium.edu.my/50875/
http://irep.iium.edu.my/50875/
http://irep.iium.edu.my/50875/3/50875.pdf
first_indexed 2023-09-18T21:12:00Z
last_indexed 2023-09-18T21:12:00Z
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