Critical evaluation of outcome scales assessment of lateral ankle ligament reconstruction.

Details

Serval ID
serval:BIB_9C32DB4EAA75
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Critical evaluation of outcome scales assessment of lateral ankle ligament reconstruction.
Journal
Foot and Ankle International
Author(s)
Burn A., Buerer Y., Chopra S., Winkler M., Crevoisier X.
ISSN
1071-1007 (Print)
ISSN-L
1071-1007
Publication state
Published
Issued date
2013
Peer-reviewed
Oui
Volume
34
Number
7
Pages
995-1005
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
BACKGROUND: Outcome following foot and ankle surgery can be assessed by disease- and region-specific scores. Many scoring systems exist, making comparison among studies difficult. The present study focused on outcome measures for a common foot and ankle abnormality and compared the results obtained by 2 disease-specific and 2 body region-specific scores.
METHODS: We reviewed 41 patients who underwent lateral ankle ligament reconstruction. Four outcome scales were administered simultaneously: the Cumberland Ankle Instability Tool (CAIT) and the Chronic Ankle Instability Scale (CAIS), which are disease specific, and the American Orthopedic Foot & Ankle Society (AOFAS) hindfoot scale and the Foot and Ankle Ability Measure (FAAM), which are both body region-specific. The degree of correlation between scores was assessed by Pearson's correlation coefficient. Nonparametric tests, the Kruskal-Wallis and the Mann-Whitney test for pairwise comparison of the scores, were performed.
RESULTS: A significant difference (P < .005) was observed between the CAIS and the AOFAS score (P = .0002), between the CAIS and the FAAM 1 (P = .0001), and between the CAIT and the AOFAS score (P = .0003).
CONCLUSIONS: This study compared the performances of 4 disease- and body region-specific scoring systems. We demonstrated a correlation between the 4 administered scoring systems and notable differences between the results given by each of them. Disease-specific scores appeared more accurate than body region-specific scores. A strong correlation between the AOFAS score and the other scales was observed. The FAAM seemed a good compromise because it offered the possibility to evaluate the patient according to his or her own functional demand.
CLINICAL RELEVANCE: The present study contributes to the development of more critical and accurate outcome assesment methods in foot and ankle surgery.
Keywords
Adolescent, Adult, Ankle Joint, Cohort Studies, Female, Health Status Indicators, Humans, Joint Instability/etiology, Joint Instability/physiopathology, Lateral Ligament, Ankle/surgery, Male, Middle Aged, Outcome Assessment (Health Care), Recovery of Function, Reproducibility of Results, Young Adult
Pubmed
Web of science
Open Access
Yes
Create date
10/12/2013 14:26
Last modification date
20/08/2019 15:02
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