Abstract
Introduction
The Ilizarov (IF) and Taylor Spatial (TSF) external fixator frames are commonly used to manage complex fractures and bone deformities and a dedicated Frame Service Team at our unit supports patients during pre- and post-operative period. Few studies have assessed the satisfaction of patients who have been treated with Circular frames.
Methods
A questionnaire was designed and distributed to 56 consecutive patients treated with a circular frame. Data was collected prospectively. Questions were focused on information given pre op, during treatment, overall satisfaction with the frame, morbidity and areas in which the frame service could be improved.
Results
All patients took part and completed the questionnaire. 54 patients (96%) were happy with the treatment they received and the end outcome with 35 patients (63%) stating that they would have the same treatment if they suffered a similar injury in the future. 47 patients (84%) rated the information given to them prior to surgery as ‘Very Good’. 54 patients (96%) thought it was ‘Easy’ or ‘Very Easy’ to get satisfactory explanations to their questions and concerns. 41 patients (73%) knew that a local IF patients' group existed although only 21 patients (37%) accessed it or found it helpful.
Pin site infections affected 23 patients (41%). Other common causes of morbidity declared by patients were pain (7 patients, 12.5%), reduced mobility (15 patients, 27%) and difficulty sleeping (6 patients, 11%).
Conclusions
Patients are generally very satisfied with the treatment provided and support given by the frame service at our unit. More information about, and encouragement to engage with local support groups may improve the satisfaction, patients experience and facilitate patient journey, undergoing circular frame treatment.
