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A Review of the Long-Term Effects of Selected Lower Limb Injuries
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Abstract
The lower limb is frequently injured during motor vehicle accidents. Some injuries, such as severe pelvic fractures, posterior dislocations of the hip, fractured femurs, and tibial plateau fractures, have their most common cause as motor vehicle related trauma. Musculoskeletal injuries usually take months to heal. Even optimal treatment leaves a significant percentage of those injured with permanent impairments. For some injuries the impairment may develop and/or worsen as the “recovered” victim ages. The long term consequences of major injuries of the musculoskeletal system are discussed in this paper.
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Levine, R., "A Review of the Long-Term Effects of Selected Lower Limb Injuries," SAE Technical Paper 860501, 1986, https://doi.org/10.4271/860501.Also In
References
- The Abbreviated Injury Scale (AIS) 1980 American Association of Automotive Medicine Morton Grove, Illinois 1980
- Grazier, K.L. et al The Frequency of Occurrence. Impact, and Cost of Musculoskeletal Conditions in the United States American Academy of Orthopaedic Surgeons Chicago 1984
- Riggins, R.S. Garrick, J. G. Lipscomb, P.R. “Supracondylar Fractures of the Femur, A Survey of Treatment” Clinical Orthopaedics and Related Research 42 32 36 1972
- Upadhyay, S.S. Moulton, A. Srikishnamurthy, K. “An Analysis of the Late Effects of Traumatic Posterior Dislocations of the Hip without Fractures” Journal Bone and Joint Surgery 65B 150 152 1983
- Key, J.A. Conwell, H.E. Management of Fractures, Dislocations, and Sprains C.V. Mosley Co. Saint Louis 1951
- Slatis, P. Huittinen, V.-M. Double Vertical Fractures of the Pelvis: A Report on 163 Patients Acta Chir Scan 138 799 807 1972
- Mucha, P., Jr. Farnell, M.B. Analysis of Pelvic Fracture Management Journal of Trauma 24 379 386 1984
- Perry, J.F., Jr. McClellan, J. Autopsy Findings in 127 Patients Following Fatal Traffic Accidents Surgery, Gynecology, & Obstetrics 47 586 590 1964
- Hoffmann, A.A. Dahl, C.P. Wyatt, R.B. “Experience with Acetabular Fractures” Journal of Trauma. 24 8 750 752 1984
- Rowe, C.R. Lowell, J.D. “Prognosis of Fractures of the Acetabulum” Journal of Bone and Joint Surgery 43A 30 59 1960
- Letournel, E. “Acetabular Fractures: Classification and Management” Clinical Orthopaedics and Related Research 151 81 106 1980
- Stewart, M.J. Milford, L. W. “Fracture Dislocations of the Hip: An End Result Study” Journal of Bone and Joint Surgery 36A 315 342 1954
- Brav, Col. E.A. “Traumatic Dislocation of the Hip: Army Experience and Results over a Twelve Year Period” Journal of Bone and Joint Surgery 44A 1115 1134 1962
- Hunter, G.A. “Posterior Dislocations and Fracture Dislocations of the Hip: A Review of Fifty-seven Patients” Journal of Bone and Joint Surgery 51B 38 44 1969
- Rosenthal, R.E. Coker, W. L. “Posterior Fracture-dislocation of the Hip: An Epidemiologic Review” Journal of Trauma 19 572 581 1979
- Reigstad, A. “Traumatic Dislocation of the Hip” Journal of Trauma 20 603 606 1980
- Upadhyay, S.S. Moulton, A. “The Long Term Results of Traumatic Posterior Dislocation of the Hip” Journal of Bone and Joint Surgery 63B 548 551 1981
- Epstein, H.C. “Posterior Fracture-Dislocations of the Hip” Journal of Bone and Joint Surgery 56A 1103 1127 1974
- Pietrafesa, C.A. Hoffmann, J.R. “Traumatic Dislocation of the Hip” JAMA 249 3342 3346 1983
- Thompson, E.P. Epstein, H.C. “Traumatic Dislocations of the Hip: A Survey of Two Hundred and Four Cases Covering a Period of Twenty One Years” Journal of Bone and Joint Survey 33A 746 778 1951
- Bassett, C.A.L. Schlink, M.M. Mitchell, S.N. “Treatment of Osteonecrosis with Pulsed Electromagnetic Fields” Clinical Rheumatology 1 1982
- DeLee, J.C. “Fractures and Dislocations of the Hip” Rockwood, C.A. Green, D.P. Fractures in Adults 2 1211 1356 J. B. Lippincott Philadelphia 1985
- Protzman, R.R. Burkhalter, W.E. “Femoral Neck Fractures in Young Adults” Journal of Bone and Joint Surgery 58A 689 695 1976
- Zetterberg, C.H. Irstam, L. Andersson, G.B.J. “Femoral Neck Fractures in Young Adults” Acta. Orthop. Scand. 53 427 435 1982
- Swiontkowski, M.F. Winquis, R. A. Hansen, S.T. “Fractures of the Femoral Neck in Patients between the Age of Twelve and Forty-nine Years” Journal of Bone and Joint Surgery 66A 837 846 1984
- Askin, S.R. Bryan, R.S. “Femoral Neck Fractures in Young Adults” Clinical Orthopaedics and Related Research 114 259 264 1976
- Nichols, P.J.R. “Rehabilitation after Fractures of the Shaft of the Femur” Journal of Bone and Joint Surgery 45B 96 102 1963
- Patterson, A.H. Scott, W.N. “Ten Year Experience with Femoral Shaft Fractures” Journal of Trauma 15 348 355 1975
- Carr, C.R. Wingo, C.H. “Fractures of the Femoral Diaphysis: A Retrospective Study of the Results and Costs of Treatment by Intramedullary Nailing and by Traction and a Spica Cast” Journal of Bone and Joint Surgery 55A 690 700 1973
- Commission on Professional and Hospital Activities “Length of Stay by Diagnosis, United States, North Central Region 1982” CPHA Ann Arbor 1984
- Patterson, A.H. “Ten Years' Experience with Femoral Shaft Fractures” Journal of Trauma 15 348 355 1975
- Dencher, H. “Shaft Fractures of the Femur: A Comparative Study of the Results of Various Methods of Treatment in 1.003 Cases” Acta Chir Scand 130 173 184 1965
- Stryker, W.S. Fussell, M.F. West, H.D. “Comparison of the Results of Operative and Non-Operative Treatment of Diaphyseal Fractures of the Femur at the Naval Hospital, San Diego. Over a Five-Year Period” Journal of Bone and Joint Surgery 52A 815 1970
- Mooney, V. Cauldi, B.F. “Fractures of the Shaft of the Femur” Rockwood, C.A. Green, D.P. Fractures in Adults 2 1357 1427 J. B. Lippincott Philadelphia 1984
- Connolly, J. Dehne, E. LaFollette, B. “Closed Reductions and Early Cast-Brace Ambulation in the Treatment of Femoral Fractures” Journal of Bone and Joint Surgery 55A 1581 1973
- Steward, M.J. Sisk, D. Wallace, S.L. “Fractures of the Distal Third of the Femur: A Comparison of Methods of Treatment” Journal of Bone and Joint Surgery 48A 784 807 1966
- Schatzker, J. Horne, G. Waddell, J. “The Toronto Experience with the Supracondvlar Fracture of the Femur, 1966-72” Injury 6 113 128 1974
- Neer, C.S. Gantham, S.A. Shelton, M.L. “Supracondylar Fracture of the Adult Femur: A Study of One Hundred and Ten Cases” Journal of Bone and Joint Surgery 49A 591 613 1967
- Aglietti, P. Chambat, P. “Fracture of the Knee” Insall, J.N. Surgery of the Knee Churchill Livingston New York 1984
- Nummi, J. “Fracture of the Patella: A Clinical Study of 707 Patellar Fractures” Ann. Chir. Gynaecol. Fenn 179 Suppl. 1 85 1971
- Sorensen, K.H. “The Late Prognosis after Fracture of the Patella” Acta Orthop. Scand. 34 198 212 1964
- Duthie, H.L. Hutchinson, J.R. “The Results of Partial and Total Excision of the Patella” Journal of Bone and Joint Surgery 40B 75 81 1958
- Haxton, H. “The Function of the Patella and the Effects of Its Excision” Surgery. Gynecology, and Obstetrics 80 389 1945
- Mishra, U.S. “Late Results of Patellectomy in Fractured Patella” Acta Orthop. Scandinav. 43 256 263 1972
- Sutton, F.L. Thompson, C.H. Lipke, J. Kettlekamp, D.B. “The Effect of Patellectomy on Knee Function” Journal Bone and Joint Surgery 58A 537 540 1976
- West, F.E. “End Results of Patellectomy” Journal of Bone and Joint Surgery 44A 1089 1108 1962
- Mishra, U.S. “Late Results of Patellectomy in Fractured Patella” Acta Orthop, Scandinav. 43 256 263 1972
- Wilkinson, J. “Fracture of the patella Treated by Total Excision: A Long Term Follow Up” Journal of Bone and Joint Surgery 59B 352 354 1977
- Cotton, F.J. Berg, R. “‘Fender Fractures’ of the Tibia at the Knee” New England Journal of Medicine 201 989 995 1929
- Barr, J.S. “Treatment of Fractures of the External Tibial Condyle” Journal American Medical Association 115 1683 1686 1940
- Roberts, J.M. “Fractures of the Condyles of the Tibia” Journal of Bone and Joint Surgery 50A 1505 1521 1968
- Dovey, H. Heerfordt, J. “Tibial Condylar Fractures: A Follow-up of 200 52. Cases” Acta Chir Scand 137 521 531 1971
- Porter, B.B. “Crush Fractures of the Lateral Tibial Table: Factors Influencing the Prognosis” Journal of Bone and Joint Surgery 52B 676 687 1970
- Rasmussen, P.S. “Tibial Condylar Fractures: Impairment of Knee Joint Stability as and Indication for Surgical Treatment” Journal of Bone Surgery 55A 1331 1350 1973
- Hohl, M. Luck, J.V. “Fractures and Dislocations of the Knee,” Rockwood, C.A. Green, D.P. Fractures 2 Philadelphia J. B. Lippincott 1984
- Bakalim, G. Wilppula, E. “Fractures of the Tibial Condyles” Acta Orthop. Scand. 44 311 322 1973
- Rinonapoli, E. Aglietti, P. “Comparison of Treatment by Open and Closed Reduction of Comparable Cases of Articular Fractures of the Proximal Tibia” Italian Journal of Orthopaedics and Traumatology 3 Suppl.1 99 116 1977
- Bauer, G.C.H. Edwards, Per Widmark, P.H. “Shaft Fractures of the Tibia: Etiology of Poor Results in a Consecutive Series of 173 Fractures” Acta Chir Scand 124 386 395 1962
- Johner, R. Wruhs, O. “Classification of Tibial Shaft Fractures and Correlation with Results after Rigid Fixation” Clinical Orthopaedics and Related Research 178 7 25 1983
- Jensen, J.S. Hansen, F.W. Johansen, J. “Tibial Shaft Fractures: A Comparison of Conventional Treatment and Internal Fixation with Conventional Plates or AO Compression Plates” Acta Orthop. Scand. 48 204 212 1977
- Merianos, P. Cambouridis, P. Smyrnis, P. “The Treatment of 143 Tibial Shaft Fractures by Ender's Nailing and Early Weight Bearing” Journal of Bone and Joint Surgery 65B 576 580 1985
- Nicoll, E.A. “Fractures of the Tibial Shaft: A Survey of 705 Cases” Journal of Bone and Joint Surgery 46B 373 387 1964
- Batten, R.L. Donaldson, L.J. Aldridge, M.J. “Experience with the AO Method in the Treatment of 142 Cases of Fresh Fracture of the Tibial Shaft Treated in the UK” Injury 10 108 114 1978
- Dehne, E. Deffer, P.A. Hall, R.M. Brown, P.W. Johnson, E.V. “The Natural History of the Fractured Tibia” Surgical Clinics of North American 41 1495 1513 1961
- Allum, R.L. Mowbray, M.A.S. “A Retrospective Study of the Healing of Fractures of the Shaft of the Tibia with Special Reference to the Mechanism of Injury” Injury 11 304 308 1979
- Ellis, H. “Disabilities after Tibial Shaft Fractures With Special Reference to Volkmann's Ischaemic Contracture” Journal of Bone and Joint Surgery 40B 190 197 1958
- Ruedi, T. Webb, J.K. Allgower “Experience with the Dynamic Compression Plate (DCP) in 418 Recent Fractures of the Tibial Shaft” Injury 7 252 257 1976
- Pierce, R.O. Heinrich, J.H. “Comminuted Intra-articular Fractures of the Distal Tibia” Journal of Trauma 19 828 832 1979
- Leach, R.E. “Fractures of the Tibial Plafond” American Academy of Orthopaedic Surgery Instructional Course Lectures 28 88 93 1979
- Ruedi, T.P. Allgower, M. “The Operative Treatment of Intra-articular Fractures of the Lower End of the Tibia” Clinical Orthopaedics and Related Research 138 105 110 1979
- Ruedi Allgower 70
- Klossner, O. “Late Results of Operative and Non-operative Treatment of Severe Ankle Fractures” Acta Chir. Scandinavica 292 Supplement 1 93 1962
- Bauer, M. Bergstrom, B. Hemborg, A. Sandegard, J. “Malleolar Fractures: Nonoperative Versus Operative Treatment, A Controlled Study” Clinical Orthopaedics and Related Research 199 17 27 1985
- Wilson, F.C. “Fractures and Dislocations of the Ankle” Rockwood, C.A. Green, D.P. Fractures in Adults 2 1665 1701 J.B. Lippincott Philadelphia 1984
- Wilson, F.C., Jr. Skilbred, L.A. “Long Term Results in the Treatment of Displaced Bimalleolar Fractures” Journal of Bone and Joint Surgery 43A 1065 1078 1966
- McDaniel, W.J. Wilson, F.C. “Trimalleolar Fracture of the Ankle, An End Result Study” Clinical Orthopaedics and Related Research 122 37 45 1972
- Eventov, I. Salama, R. Goodwin, D.R.A. Weissman, S.L. “An Evaluation of Surgical and Conservative Treatment of Fractures of the Ankle in 200 Patients” Journal of Trauma 18 271 274 1978
- Anderson, H.G. Cottart, W. D. “Aviator's Astragalus” Journal of Bone and Joint Surgery 34B 545 566 1952
- Hawkins, L.G. “Fractures of the Neck of the Talus” Journal of Bone and Joint Surgery 52A 991 1002 1970
- Santavirta, S. Seitsalo, S. Kiviluoto, O. Myllynen, P. “Fractures of the Talus” Journal of Trauma 24 986 989 1984
- Szyszkowitz, R. Reschauer, R. Segal, W. “Eighty-five Talus Fractures Treated by ORIF with Five to Eight Years of Follow-up Study of 69 Patients” Clinical Orthopaedics and Related Research 199 97 107 1985
- Heckman, J.D. “Fractures and Dislocations of the Foot” Rockwood, C.A. Green, D.P. Fractures in Adults 2 1703 1832 J.B. Lippincott Philadelphia 1984
- Canale, S.T. Kelly, F.B. “Fractures of the Neck of the Talus: Long-Term Evaluation of Seventy-one Cases” Journal of Bone and Joint Surgery 60A 143 156 1978
- Heckman, J.D. “Fractures and Dislocations of the Foot” Rockwood, C.A. Green, D.P. Fractures in Adults 2 1703 1832 J.B. Lippincott Philadelphia 1984
- Cave, E.F. “Fracture of the Os Calcis: The Problem in General Clinical Orthopaedics” Clinical Orthopaedics and Related Research 30 64 66 1963
- Pozo, J.L. Kirwan, E. O'G. Jackson, A.M. “The Long Term Results of Conservative Management of Severly Displaced Fractures of the Calcaneus” Journal of Bone and Joint Surgery 66B 386 390 1984
- Rowe, C.R. Sakellarides, H.T. Freeman, P.A. Sorbie, C. “Fractures of the Os Calcis: A Long Term Follow-up Study of 146 Patients” Journal of the American Medical Association 184 920 923 1963
- Miller, W.E. “Pain and Impairment Considerations Following Treatment of Disruptive Os Calcis Fractures” Clinical Orthopaedics and Related Research 177 82 86 1983
- Flint, L.M. Richardson, J.D. “Arterial Injuries with Lower Extremity Fracture” Surgery 93 5 8 1983
- Orcult, M.B. Levine, B.A. Root, H.D. Sirinek, K.R. “The Continuing Challenge of Popliteal Vascular Injuries” American Journal of Surgery 146 758 761 1983
- Mendoca, J.M. de Maltos, A.N. “Arterial Injuries Associated with Trauma to the Knee” American Journal of Surgery 147 210 211 1984
- Weaver, F.A. Rosenthal, R.E. Waterhouse, G. Adkins, R.B. “Combined Skeletal and Vascular Injuries of the Lower Extremities” American Surgeon 50 189 97 1984