Quality of life in patients with post-traumatic femoral defects treated with vascularized fibula: case series
DOI:
https://doi.org/10.62827/fb.v25i4.1012Keywords:
Femur; bone transplantation; physical therapy; quality of life.Abstract
Objective: to evaluate the quality of life of patients treated with vascularized fibula for the reconstruction of post-traumatic femoral defects. Methods: Patients operated between 2009 and 2016 at the Institute of Orthopedics and Traumatology of the Hospital das Clínicas of the Faculty of Medicine of the University of São Paulo (IOT-HCFMUSP) were included. Patients responded to the SF-12 quality of life questionnaire. In addition, medical records were consulted to analyze medical and physiotherapeutic follow-up and patients were evaluated to analyze the range of movement of the hip, knee and ankle joints. Results: Four patients were included in the study. Regarding quality of life, patients classify their health as good and excellent, three patients perform fewer tasks than they would like and the presence of pain interferes with carrying out daily activities in all cases. Everyone used some form of aid for walking over longer distances and limitation of knee range of motion was a common complication in these cases. Conclusion: the quality of life of patients treated with vascularized fibula in this series of cases was reestablished and early physiotherapy seemed essential for the recovery of these patients who went through long periods with restrictions and lack of load and joint range. More studies are needed with patients, with this specific profile, so that these demands can be better met in the best possible way.
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