Abstract
BackgroundThe aim of this study is to evaluate the effects of successful revision operation on health quality of life(QoL) and functional outcome in humeral nonunion patients.MethodsThis retrospective study included 62 patients with humeral nonunion from Northwest China, who were admitted to the Department of Trauma Surgery, Honghui Hospital between March 2013 and September 2019. The following data were retrospectively evaluated: demographic data, clinical data, imaging findings, and treatment methods. The QoL assessment indicators for humeral nonunion patients included the SF-12 mental component summary (MCS) and physical component summary (PCS),brief pain inventory-severity(BPI-S) and brief pain inventory-interference (BPI-I). The mayo elbow performance score (MEPS) was used to assess the elbow function of the patients.ResultsSuccessful revision surgery significantly improved the patient's PCS, MCS, BPI-S and BPI-I scores (p<0.001). According to the MEPS criteria, the excellent and good rates were 95.16% in this study. The impact of humeral nonunion on mental health was comparable with the reported impact of stroke and type II diabetes (p>0.05).The impact of post-op on physical health was comparable with the reported impact of COPD, silicosis, hypertension, barrentt’s esophagus and lower urinary tract symptoms(p>0.05).ConclusionHumeral nonunion is a devastating chronic medical condition that negatively affects both physical and mental health as well as quality of life. Although the effects of pain in the body can be completely relieved by treatment, the entire medical process may cause everlasting psychological trauma to the patient.
Highlights
The aim of this study is to evaluate the effects of successful revision operation on health quality of life(QoL) and functional outcome in humeral nonunion patients
Inclusion criteria of humeral nonunion (i)Patients with humeral nonunion from Northwest China. (ii)Older than 18 years and with certain cognitive abilities. (iii) We defined ‘‘nonunion’’ according to the US US Food and Drug Administration (FDA) criteria, where a fracture that is at least 9 months old has not shown any signs of healing for three consecutive monthsis [11].(iv) Patients who agreed to participate in this study and had complete follow-up data. (v) “Fresh nonunion” meant that patients had not undergone prior revision surgery
Health-related Wuality of life (QoL) was evaluated using the short form-12 health survey (SF-12),this is because the general education level in Northwest China is low and cognitive level is not uniform, so the Short Form -12 (SF-12) scale has the advantages of easier understanding and acceptance, which is more suitable for patients with humeral nonunion [17]
Summary
The aim of this study is to evaluate the effects of successful revision operation on health quality of life(QoL) and functional outcome in humeral nonunion patients. Both conservative treatment and surgery can achieve good prognosis [1]. The humeral nonunion rate was up to 1 %~13 % among all fracture complications [2, 3]. The short and midterm surgical outcomes have been evaluated in most cases in terms of bone union, range of. Compared with other nonunion complications, pain has an important impact on the health status and quality of life(QoL) of patients, with chronic orthopedic injuries such as nonunion affecting psychosocial regulation and daily functions [5, 10]
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