Assessment of late results of surgery in talipes equino-varus: a reliability study

Maffulli, Nicola; Kenward, M. G.; Irwin, Andrew; Porter, Richard W.

doi:10.1007/s004310050608

Cited by 21 publications

(13 citation statements)

References 8 publications

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“…The maximum calf circumference was measured in both the affected and the contralateral leg by using a commercially available steel tape measure [15,19]. All measurements were taken at a special clinic by a measurer (AK) trained in anthropometric techniques who was able to reproduce within 5% the duplicate measurements on the same calf [25,30]. The duplicate measurements correlated with one another (r = 0.91, p = 0.0023).…”

Section: Methodsmentioning

confidence: 99%

Favorable Outcome of Percutaneous Repair of Achilles Tendon Ruptures in the Elderly

Maffulli

Longo

Ronga

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Percutaneous repair of Achilles tendon (AT) ruptures reportedly reduces the risk of rerupture compared to nonoperative treatment and reduces the risk of wound infection compared to open surgery. We retrospectively reviewed the postoperative Achilles tendon total rupture score (ATRS), and the maximum calf circumference in 35 patients over 65 years of age who sustained an acute tear of the AT and underwent percutaneous repair of the AT. There were 26 men and nine women with a mean age at operation of 73.4 ± 8.7 years (range, 65-86 years). Of the 35 recruited patients, we report on 27 patients for whom we have a full data set. The minimum followup was 49 months (mean, 88 months; range, 49-110 months). The ATRS had a postoperative average rating of 69.4 ± 14 (range, 56-93). All patients were able to bear weight fully on the affected limb by the eighth postoperative week. The data suggest that percutaneous repair of the AT is a suitable option for patients older than 65, producing similar outcomes when compared to percutaneous repair in younger patients of previous reports.

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Section: Methodsmentioning

confidence: 99%

Favorable Outcome of Percutaneous Repair of Achilles Tendon Ruptures in the Elderly

Maffulli

Longo

Ronga

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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“…The maximum calf circumference was measured in both the affected and the contralateral leg by using a commercially available steel tape measurer, 28 by a fully trained anthropometrist able to reproduce within 5% the duplicate measurements on the same calf. 29 Isometric plantar flexion strength of the gastrocsoleus muscle complex was measured bilaterally with the ankle in neutral (0 ) in the fashion described in other reports. 25 Each patient was allowed three maximal isometric voluntary contractions, and the highest was used for the purposed of this report.…”

Section: Clinical Assessmentmentioning

confidence: 99%

Percutaneous repair of acute ruptures of the tendo Achillis

Guillo

Buono

Dias³

et al. 2013

The Surgeon

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“…Objective measures to assess outcome include; range of movement at the ankle [3], leg and foot muscle strength [4], pressure distribution under the sole of the foot [5], calf circumference, gait [6], skinfold thickness, foot length, foot width [7], and shoe size [8]. Radiographic assessment has also been advocated by some, with a number of measurements reported [9], although the use of radiographs is not universally accepted.…”

Section: Introductionmentioning

confidence: 99%

Subjective and objective outcome in congenital clubfoot; a comparative study of 204 children

Chesney

Barker

Maffulli

2007

BMC Musculoskelet Disord

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BackgroundOutcome following management of congenital talipes equinovarus (clubfoot) can be assessed in a number of ways. Bjonness stated simply that "the patient is the final judge of whether he has a good foot"; a purely subjective assessment. Others have employed objective measures. Combining subjective evaluation with a more objective assessment of movement and position of the foot, is likely to give a more comprehensive picture of the final result of clubfoot. The purpose of this study was to compare subjective and objective outcome following management of clubfoot, and evaluate sex differences in outcome.MethodsWe used a patient-administered subjective assessment of outcome following treatment of clubfoot and compared it with objective anthropometry and range of movement of the ankle to assess and compare subjective and objective outcome in clubfoot. Statistical analysis was performed using Pearson correlation coefficients. Significance was tested using Student's t-test test.ResultsObjective outcome can be assessed using length of the foot, calf circumference and range of movement at the ankle. These are easy to measure, reproducible, and correlate well with subjective outcome. Objective outcome is comparable for boys and girls. However, subjectively, female patients and their parents are less happy with the results of management of clubfoot.ConclusionThere is a correlation between the anthropometric measures and the subjective outcome and an objective grading can be designed using foot length, calf muscle bulk and range of movement at the ankle.

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Assessment of late results of surgery in talipes equino-varus: a reliability study

Cited by 21 publications

References 8 publications

Favorable Outcome of Percutaneous Repair of Achilles Tendon Ruptures in the Elderly

Favorable Outcome of Percutaneous Repair of Achilles Tendon Ruptures in the Elderly

Percutaneous repair of acute ruptures of the tendo Achillis

Subjective and objective outcome in congenital clubfoot; a comparative study of 204 children

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