{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T21:44:48Z","timestamp":1770414288586,"version":"3.49.0"},"reference-count":23,"publisher":"SLACK, Inc.","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:p>A retrospective review of surgically treated lower-extremity long-bone fractures in wheelchair-bound patients was conducted. Between October 2000 and July 2009, eleven lower-extremity fractures in 9 wheelchair-bound patients underwent surgical fixation. The Short Musculoskeletal Function Assessment, Short Form, and Spinal Cord Injury Quality of Life questionnaires were used to assess functional outcome.<\/jats:p>\n          <jats:p>Mechanism of injury for all patients was a low-energy fall that occurred while transferring. Four patients who sustained a distal femur fracture, 1 patient who sustained a distal femur fracture and a subsequent proximal tibia fracture, and 1 patient who sustained a proximal third tibia shaft fracture underwent open reduction and internal fixation with plates and screws. Three patients with 4 midshaft tibia fractures underwent intramedullary nailing.<\/jats:p>\n          <jats:p>\n            At last follow-up, all 9 patients had returned to their baseline preoperative function. Quality of life was significantly higher (\n            <jats:italic>P<\/jats:italic>\n            &lt;.01) than the Spinal Cord Injury Quality of Life questionnaire\u2019s reference score. Self-reported visual analog scale pain scores improved significantly from time of fracture to last follow-up (\n            <jats:italic>P<\/jats:italic>\n            =.02). All fractures achieved complete union, and no complications were reported. This study\u2019s findings demonstrate that operative treatment in active, wheelchair-bound patients can provide an improved quality of life postinjury and a rapid return to activities.\n          <\/jats:p>","DOI":"10.3928\/01477447-20120822-25","type":"journal-article","created":{"date-parts":[[2012,9,6]],"date-time":"2012-09-06T16:52:21Z","timestamp":1346950341000},"source":"Crossref","is-referenced-by-count":18,"title":["Treatment of Lower-extremity Long-bone Fractures in Active, Nonambulatory, Wheelchair-bound Patients"],"prefix":"10.3928","volume":"35","author":[{"given":"Michelle T.","family":"Sugi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roy","family":"Davidovitch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Montero","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamar","family":"Nobel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth A.","family":"Egol","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"issue":"112","key":"e_1_3_1_2_2","first-page":"44","article-title":"The management of long bone fracture in the spinal cord injured patient","author":"McMaster WC","year":"1975","unstructured":"McMaster WC, Stauffer ES. The management of long bone fracture in the spinal cord injured patient. Clin Orthop Relat Res. 1975; (112):44\u201352.","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200108000-00009"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196345020-00008"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002517-198803000-00007"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199110000-00026"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1038\/sc.1967.33"},{"key":"e_1_3_1_8_2","first-page":"77","article-title":"Conservative and operative treatment of fractures of the limbs in paraplegia","volume":"16","author":"Meinecke FW","year":"1967","unstructured":"Meinecke FW, Rehn J, Leitz G. Conservative and operative treatment of fractures of the limbs in paraplegia. 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