Comparing clinical outcomes of patients with severe lower limb trauma undergoing orthoplastic and orthopedic surgeries: A long-term study protocol
Zhao Yang,
Chao Xu,
Yonggang Zhu,
Yanchen Tan,
Hao Hu,
Peng Fang,
Di Cui,
Guangyue Zhao,
Danmin Miao,
Lei Shang
Affiliations
Zhao Yang
Air Force Health Service Training Base, Air Force Military Medical University, No. 169 Changle Xi Road, Xi'an, Shaanxi, 710032, PR China
Chao Xu
Department of Knee Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, 710054, PR China; Department of Health Statistics,Faculty of Preventive Medicine, Air Force Military Medical University, No. 169 Changle Xi Road, Xi'an, Shaanxi, 710032, PR China
Yonggang Zhu
Department of Orthopeadic Surgery, Xi'an People's Hospital, No.155 Hangtian Dong Road, Xi'an, Shaanxi, 710199, PR China
Yanchen Tan
Student Brigade of Basic Medical College, Air Force Military Medical University, No. 169 Changle Xi Road, Xi'an, Shaanxi, 710032, PR China
Hao Hu
Student Brigade of Basic Medical College, Air Force Military Medical University, No. 169 Changle Xi Road, Xi'an, Shaanxi, 710032, PR China
Peng Fang
Department of Military Medical Psychology, Air Force Military Medical University, No. 169 Changle Xi Road, Xi'an, Shaanxim, 710032, PR China
Di Cui
Department of Military Medical Psychology, Air Force Military Medical University, No. 169 Changle Xi Road, Xi'an, Shaanxim, 710032, PR China
Guangyue Zhao
Department of Orthopeadic Surgery, Xi'an People's Hospital, No.155 Hangtian Dong Road, Xi'an, Shaanxi, 710199, PR China; Corresponding author. Department of Orthopeadic Surgery, Xi'an People's Hospital. No.155 Hangtian Dong Road, Xi'an, Shaanxi province, 710199, PR China.
Danmin Miao
Department of Military Medical Psychology, Air Force Military Medical University, No. 169 Changle Xi Road, Xi'an, Shaanxim, 710032, PR China; Corresponding author. Department of Military Medical Psychology, Air Force Military Medical University, No. 169 Changle Xi Road, Xi'an, Shaanxi province, 710032, PR China.
Lei Shang
Department of Health Statistics,Faculty of Preventive Medicine, Air Force Military Medical University, No. 169 Changle Xi Road, Xi'an, Shaanxi, 710032, PR China; Corresponding author.
This long-term study protocol aims to compare the clinical outcomes of patients with severe lower limb trauma undergoing orthoplastic and orthopedic surgeries, focusing on their physical and psychological status. Patients with lower limb injuries and open fractures have been recruited since October 2019 and will be followed up until October 2024. The patients will be divided into two groups: (1) Orthoplastic group, where single-stage debridement, fixation, and soft tissue repair will be performed, and (2) Orthopedic group, where soft tissue repair will be done in a delayed-stage. The follow-up period will be one year, during which clinical data, limb function recovery, psychological scores, and health-related quality of life (HRQOL) will be evaluated to assess postoperative recovery and clinical outcomes. Additional clinical data, such as socio-demographic information, baseline features, Enneking score, Visual Analogue Scale (VAS) score, two-point discrimination score, and blood test parameters will also be collected. The 36-Item Short Form Health Survey (SF-36) will be used to evaluate HRQOL, while the Post-traumatic Stress Disorder Checklist (PCL) will assess the severity of self-reported post-traumatic stress disorder. The results of this study will provide valuable insights into prognostically relevant targets and contribute to improving the management and outcomes of patients with lower limb injuries and open fractures, who often face challenges related to limb disability and potential amputation postoperatively, significantly impacting their psychological and physical well-being.
