A new foot and ankle outcome score: Questionnaire based, subjective, Visual-Analogue-Scale, validated and computerized

Richter, Martinus; Zech, Stefan; Geerling, J.; Frink, Michael; Knobloch, Karsten; Krettek, Christian

doi:10.1016/j.fas.2006.04.001

Cited by 160 publications

(132 citation statements)

References 28 publications

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“…All of these subjects were then contacted by mail and invited to complete 2 patient-reported outcome questionnaires: the Manchester Oxford Foot Questionnaire (MOXFQ) [8][9][10] and the Visual Analog Scale-Foot and Ankle (VAS-FA). 27,34 Both of these are validated scores for various foot and ankle conditions, and both of these scores are split into 3 separate components as well as a combined overall score. The 3 MOXFQ domains are: walking/standing, foot pain and social interaction, while the 3 VAS-FA components are pain, function, and other, the latter being similar to the social interaction domain of the MOXFQ score.…”

Section: Methodsmentioning

confidence: 99%

Long-Term Outcome of Open Plantar Fascia Release

MacInnes

Roberts

Kimpton³

et al. 2015

Foot Ankle Int.

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Background: Plantar fasciitis is thought to be a self-limiting condition best treated by conservative measures, but despite this many patients have a prolonged duration of symptoms and surgery may be indicated. Partial plantar fascial release is reported to have a short-term success rate of up to 80%, but anecdotally this was not thought to represent our local experience. Methods: An audit of long-term patient-reported outcomes following open partial plantar fascia release was performed. A total of 30 patients (33 feet) were identified over a 10-year period and case notes were reviewed. Patients were contacted by letter and invited to complete 2 validated patient-reported outcome score questionnaires (Visual Analog Scale-Foot and Ankle [VAS-FA] and Manchester Oxford Foot Questionnaire [MOXFQ]). Responses were received from 24 patients (26 feet). The average ages were 42.4 (range 24-61) for male and 46.2 (range 33-60) for female patients, with a female/male ratio of 2.7:1. The average duration of treatment prior to operative intervention was 3.1 years (range 1-5). Preoperatively, our cohort underwent a range of conservative measures. All patients were reviewed postoperatively, and average time from surgery to completion of questionnaires was 80 months (range 14-130). Results: The outcomes were worse in patients who had received preoperative steroid injections and this was found to be statistically significant. The mean MOXFQ score was 33.6 ± 3.9 (0-64). Mean VAS-FA score was 57.8 ± 4.9 (24-100). Conclusion: This study found a negative correlation between duration of follow-up and outcome, in both MOXFQ and VAS-FA, showing that patients continued to improve many years postoperatively. The authors also found worse outcomes with preoperative steroid injections, better outcomes in older patients, and a weak gender bias, suggesting results in men were better than those in women. A prolonged recovery period and generally poor outcomes leads the authors to suggest that open plantar fascia release is of questionable clinical value and that patients may improve in the natural course of the disease, in spite of surgery. Level of Evidence: Level III, comparative study.

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Section: Methodsmentioning

confidence: 99%

Long-Term Outcome of Open Plantar Fascia Release

MacInnes

Roberts

Kimpton³

et al. 2015

Foot Ankle Int.

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“…Physiotherapy was begun immediately after the operation, with lymph drainage, active joint mobilisation and gait training using crutches with partial weight bearing of 20 kg for eight to 12 weeks, depending on fracture type and operative treatment. In addition to a current clinical examination the visual analogue scale (VAS) foot and ankle questionnaire [11], the American Orthopaedic Foot and Ankle Society (AOFAS) questionnaire [12] and the Phillips score [13] were carried out. Radiographs were obtained and analysed for post-traumatic arthrosis using the Kellgren and Lawrence score [14].…”

Section: Methodsmentioning

confidence: 99%

Clinical outcome and changes in gait pattern after pilon fractures

Jansen¹,

Fenwick²,

Hoelscher-Doht³

et al. 2012

International Orthopaedics (SICOT)

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Purpose Axial burst fractures of the distal tibia are challenging to treat and often lead to restricted function of the lower limb. The purpose of this study was to investigate the clinical outcome and changes in gait pattern in such patients. Methods Thirty-five patients in a level 1 trauma centre were followed up clinically and by gait analysis. The American Orthopaedic Foot and Ankle Society (AOFAS), visual analogue scale (VAS) foot and ankle scale and Phillips scores were applied. Dynamic pedography (emed-M; Novel, Germany) with analyses of load, pressure and force-time integral were undertaken to investigate possible changes in gait pattern.Results Mean follow-up was 50 (19-100) months. Mean AOFAS, VAS foot and ankle and Phillips scores were 65, 63 and 55 points, respectively. There were clear correlations between fracture severity in the Arbeitsgemeinschaft für Osteosynthesefragen (AO) classification and functional outcome in AOFAS (−0.63; p<0.01), VAS foot and ankle scale (−0.56; p<0.01) and Phillips (−0.64; p<0.01) scores. There was a high correlation of 0.74 (p<0.01) between the severity of the injury in the AO-classification and onset of posttraumatic arthrosis. Dynamic pedography revealed lesser load bearing for the total foot, medial foot, heel, first metatarsal and medial forefoot for the affected limb, and increased load bearing was seen in the lateral midfoot region. Conclusions Fractures of the tibial pilon lead to restricted function of the lower limb. Clinical outcome correlates with fracture severity in the AO classification, the onset of posttraumatic arthrosis and changes in gait patterns.

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“…273,333 Th e VAS FA, however, is not available in other languages. 333,371 Furthermore, only the construct validity was reported in healthy individuals. 333 Th e FAAM is a reliable and valid international instrument with psychometric properties similar to the FAOS.…”

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confidence: 99%

“…333,371 Furthermore, only the construct validity was reported in healthy individuals. 333 Th e FAAM is a reliable and valid international instrument with psychometric properties similar to the FAOS. 273,277,295 Th e score has two subscales (ADL and Sport).…”

mentioning

confidence: 99%