Reliability of the Radiographic Union Score for Tibial Fractures

Objective: the aim of this study was to investigate the correlation between the recently developedradiographic union score for tibial fractures (rust) scoring system and clinical outcomes in tibialfractures. methods: the study included 41 patients with tibia shaft fractures who underwent intramedullary nailing between 2005 and 2010. mean follow-up period was 26.32 (range: 12 to 48) months. clinical outcomes were measured using the karlström-olerud physical function scale, vas score and sf-36 physical function and pain scores during follow-up. rust scores were noted after radiological evaluation. results: rust scores accurately reflected healing and union of the bone (p<0.05). rust scoring also showed significant correlation with widely used physical and pain scoring systems (sf-36, vas and karlström-olerud). conclusion: the rust scoring system appears to be a reliable tool for the evaluation of clinical outcomes in management of tibial fracture.