title: Musculoskeletal function assessment outcomes scores over time for tibial plafond (OTA/AO 43) and proximal humeral (OTA/AO 11) fractures: a pilot project.
abstract: OBJECTIVE
  What is the return to function after an isolated proximal humerus or tibial plafond fracture?
  
  
  METHODS
  Prospective observational.
  
  
  METHODS
  Orthopaedic outpatient clinics.
  
  
  METHODS
  Consecutive patients were enrolled with isolated proximal humerus (N = 155) and tibial plafond fractures (N = 120).
  
  
  METHODS
  None.
  
  
  METHODS
  Musculoskeletal Function Assessment.
  
  
  RESULTS
  Patients who sustained isolated proximal humerus or tibial plafond fractures showed gradual improvement over 1 year. Women consistently demonstrated greater dysfunction than men at 6, 9, and 12 months after tibial plafond fracture. Age had an impact on return to function after injury for both fractures. Younger patients (18-29 years) with either type of injury tended to have better scores compared with the older patients.
  
  
  CONCLUSIONS
  Detailed analysis of this data demonstrates variation in patient-based outcomes during recovery from a proximal humerus or tibial plafond fracture. These data need to be reviewed in the context of the individual patient when following a patient's recovery.
  
  
  METHODS
  Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.
authors.affiliation: *Resurgens Orthopaedics, Marietta, GA; †Department of Orthopaedic Surgery and Sports Medicine, Harborview Medical Center, Seattle, WA; ‡Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA; §Department of Orthopaedics, Orthopaedic Associates of Michigan, Michigan State University, Grand Rapids, MI; ‖Department of Orthopaedics, UPMC Mercy, Pittsburg, PA; and ¶Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, NC.
authors.forename: Douglas W
authors.initials: DW
authors.lastname: Lundy
authors.forename: Julie
authors.initials: J
authors.lastname: Agel
authors.forename: J Lawrence
authors.initials: JL
authors.lastname: Marsh
authors.forename: Debra L
authors.initials: DL
authors.lastname: Sietsema
authors.forename: Clifford B
authors.initials: CB
authors.lastname: Jones
authors.forename: Andrew R
authors.initials: AR
authors.lastname: Evans
authors.forename: James F
authors.initials: JF
authors.lastname: Kellam
mesh_terms: D000293:Adolescent; D000328:Adult; D016512:Ankle Injuries / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D020127:Recovery of Function; D012784:Shoulder Fractures / Q000628:therapy*; D013978:Tibial Fractures / Q000628:therapy*; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult