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

Détails

ID Serval
serval:BIB_9C32DB4EAA75
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Critical evaluation of outcome scales assessment of lateral ankle ligament reconstruction.
Périodique
Foot and Ankle International
Auteur(s)
Burn A., Buerer Y., Chopra S., Winkler M., Crevoisier X.
ISSN
1071-1007 (Print)
ISSN-L
1071-1007
Statut éditorial
Publié
Date de publication
2013
Peer-reviewed
Oui
Volume
34
Numéro
7
Pages
995-1005
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish
Résumé
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.
Mots-clé
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
Oui
Création de la notice
10/12/2013 14:26
Dernière modification de la notice
20/08/2019 15:02
Données d'usage