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Reliability of Modified Radiographic Union Score for Tibia Scores in the Evaluation of Femoral Shaft Fractures in a Low-resource Setting. | LitMetric

Reliability of Modified Radiographic Union Score for Tibia Scores in the Evaluation of Femoral Shaft Fractures in a Low-resource Setting.

J Am Acad Orthop Surg Glob Res Rev

From the Institute for Global Orthopaedics and Traumatology, University of California, San Francisco San Francisco, CA (Mr. Urva, Dr. Morshed, and Dr. Shearer); Harvard Combined Orthopaedic Residency Program, Boston, MA (Dr. Challa); Muhimbili Orthopaedic Institute, Dar es Salaam, Tanzania (Dr. Haonga and Dr. Eliezer); Oregon Health & Sciences University, Portland, OR (Dr. Working); and University of California, San Francisco, San Francisco, CA (Dr. El Naga).

Published: May 2022

AI Article Synopsis

  • - The modified Radiographic Union Score for Tibia (mRUST) was developed to assess fracture healing more effectively, but its effectiveness in low-resource settings hasn’t been thoroughly explored!* - This study evaluated mRUST scores from 297 patients with femur fractures in Tanzania, comparing them with outcomes like revision surgery and quality-of-life measures (EQ-5D and VAS) to establish its validity.* - Results indicated that mRUST scores correlate moderately with EQ-5D and weakly with VAS scores, showing higher scores in patients without revision surgeries, thereby confirming mRUST as a reliable tool for assessing fracture healing in challenging environments.*

Article Abstract

Introduction: The modified Radiographic Union Score for Tibia (RUST) fractures was developed to better describe fracture healing, but its utility in resource-limited settings is poorly understood. This study aimed to determine the validity of mRUST scores in evaluating fracture healing in diaphyseal femur fractures treated operatively at a single tertiary referral hospital in Tanzania.

Methods: Radiographs of 297 fractures were evaluated using the mRUST score and compared with outcomes including revision surgery and EuroQol five dimensions questionnaire (EQ-5D) and visual analog scale (VAS) quality-of-life measures. Convergent validity was assessed by correlating mRUST scores with EQ-5D and VAS scores. Divergent validity was assessed by comparing mRUST scores in patients based on revision surgery status.

Results: The mRUST score had moderate correlation (Spearman correlation coefficient 0.40) with EQ-5D scores and weak correlation (Spearman correlation coefficient 0.320) with VAS scores. Compared with patients who required revision surgery, patients who did not require revision surgery had higher RUST scores at all time points, with statistically significant differences at 3 months (2.02, P < 0.05).

Discussion: These results demonstrate that the mRUST score is a valid method of evaluating the healing of femoral shaft fractures in resource-limited settings, with high interrater reliability, correlation with widely used quality of life measures (EQ-5D and VAS), and expected divergence in the setting of complications requiring revision surgery.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9126518PMC
http://dx.doi.org/10.5435/JAAOSGlobal-D-21-00211DOI Listing

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