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首页> 外文期刊>Injury >The effect of ongoing litigation on outcome scores following open reduction and internal fixation of the calcaneum.
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The effect of ongoing litigation on outcome scores following open reduction and internal fixation of the calcaneum.

机译：跟骨切开复位内固定后，正在进行的诉讼对结果评分的影响。

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All sixteen patients who had undergone open reduction and internal fixation (ORIF) of the calcaneum by the senior author between April 1993 and August 1996 were included in the study. Two had died from unrelated illnesses and one had failed to attend any follow-up following discharge. The remaining 13 were reviewed by the main author. As part of a complete clinical, radiological and functional assessment, Buckley and Meek (B&M) and Kerr and Atkins (K&A) outcome scores were calculated as well as a satisfaction score obtained by a visual analogue scale (VAS). Statistical analysis of the results using Wilcoxen's paired and unpaired ranking scores showed that the initial grade of the fracture, degree of operative reduction, correction of width of the heel and post-operative ranges of motion had no significant correlation to either B&M or K&A outcome scores or to the VAS score. However, the presence of ongoing litigation was significantly correlated to the scores (VAS < 0.01, B&M < 0.05, K&A < 0.05). These findings cast doubt on the validity of post operative scoring for fracture of the calcaneum in the presence of ongoing litigation.
机译：在1993年4月至1996年8月之间，由资深作者对跟骨进行了切开复位内固定术（ORIF）的所有16例患者均纳入了研究。两人死于无关疾病，一人出院后未参加任何随访。其余13篇由主要作者复审。作为完整的临床，放射学和功能评估的一部分，计算了Buckley和Meek（B＆M）以及Kerr和Atkins（K＆A）的结果评分以及通过视觉模拟量表（VAS）获得的满意度评分。使用Wilcoxen的配对和非配对等级评分对结果进行统计分析表明，骨折的初始等级，手术复位程度，足跟宽度的矫正以及术后运动范围与B＆M或K＆A结果评分均无显着相关性或VAS分数。但是，正在进行的诉讼的存在与得分显着相关（VAS <0.01，B＆M <0.05，K＆A <0.05）。这些发现使人们对正在进行诉讼的跟骨骨折术后评分的有效性产生怀疑。

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