Improving Activity and Quality of Life Following Orthopaedic Trauma: The Trauma Collaborative Care Study (TCCS)

Inclusion criteria

• Patients treated surgically for one or more orthopaedic injuries with initial admission to the trauma service of the participating hospital
• Ages 18-60 yrs inclusive
• Length of Stay (LOS) >=5 days or >= 3 days with planned readmission for additional procedures
• At least one orthopaedic injury of AIS 3 or greater (determination based on information available at the time of enrollment) resulting from a moderate to high energy force (e.g. motor vehicle or motorcycle crash, high fall). Injuries can include those to the upper or lower extremities, pelvis/acetabulum or spine.
• Traumatic amputations of the upper or lower extremities (excluding amputations to fingers or toes)

Exclusion criteria

• Initial admission to non-trauma service.
• Peri-prosthetic fractures of the femur, regardless of etiology
• Patient eligible for the METRC OUTLET Study, i.e. patient with:

• Gustilo type III distal tibia and/or foot or type III B or C ankle fractures with fracture pattern consistent with one of OTA codes: 43B1.3, 43B2-B3, 43C, 44B, 44C, 81B2-B3, 82B, and 82C;
• Open or closed industrial foot crush injuries;
• Open or closed foot blast injuries.
• Patient requiring a Legally Authorized Representative (as defined by an inability to answer the "Evaluation of Give Consent" questions)
• Patient non-ambulatory due to an associated spinal cord injury
• Patient non-ambulatory pre-injury
• Non-English speaking
• Patient diagnosed with a severe psychosis
• Patient lives outside the hospital's catchment area and/or follow-up is planned at another medical center
• Severe problems with maintaining follow-up expected (e.g. patients who are prisoners or homeless at the time of injury or those who are severely intellectually challenged).