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

Inclusion Criteria:

1. Patients treated surgically for one or more orthopaedic injuries with initial
admission to the trauma service of the participating hospital

2. Ages 18-60 yrs inclusive

3. Length of Stay (LOS) >=5 days or >= 3 days with planned readmission for additional
procedures

4. 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.

5. Traumatic amputations of the upper or lower extremities (excluding amputations to
fingers or toes)

Exclusion Criteria:

1. Initial admission to non-trauma service.

2. Peri-prosthetic fractures of the femur, regardless of etiology

3. Patient eligible for the METRC OUTLET Study, i.e. patient with:

1. 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;

2. Open or closed industrial foot crush injuries;

3. Open or closed foot blast injuries.

4. Patient requiring a Legally Authorized Representative (as defined by an inability to
answer the "Evaluation of Give Consent" questions)

5. Patient non-ambulatory due to an associated spinal cord injury

6. Patient non-ambulatory pre-injury

7. Non-English speaking

8. Patient diagnosed with a severe psychosis

9. Patient lives outside the hospital's catchment area and/or follow-up is planned at
another medical center

10. 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).