A comparison of outcome scores in os calcis fractures.

Abstract:

BACKGROUND:Of over 20 different scoring systems to evaluate outcome following calcaneal fracture, the Maryland Foot Score has broad current acceptance. A general health survey, the Short Form 36 (SF 36) has also been used. AIMS:The study compared two scoring systems for assessing the outcome of open reduction and internal fixation of displaced intra-articular calcaneal fractures. METHODS:Over a four-year period, 31 displaced intra-articular calcaneal fractures were categorised by the Sanders classification and treated by open reduction and internal fixation. Outcome was assessed by the Maryland Foot Score and by the Short Form 36 (SF 36) general health questionnaire. RESULTS:Thirty-five per cent of fractures were Sanders class 2, 57% were class 3 and 8% were class 4. The average follow-up was 2.5 years (range 1-4 years). Using the Maryland Foot Score, seven fractures had an excellent result, 13 had a good result, six had a fair result and one was a failure. There was a correlation between pain (coefficient = 0.780, p < 0.001) and physical function (coefficient = 0.638, p < 0.001) with the appropriate sections of the SF 36. CONCLUSION:The Maryland Foot Score measures what it attempts to measure and therefore it has content validity for pain and physical function.

journal_name

Ir J Med Sci

authors

Heffernan G,Khan F,Awan N,Riordain CO,Corrigan J

doi

10.1007/BF03166916

keywords:

subject

Has Abstract

pub_date

2000-04-01 00:00:00

pages

127-8

issue

2

eissn

0021-1265

issn

1863-4362

journal_volume

169

pub_type

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