Weightbearing and mobilization in the postoperative care of ankle. Patients who had previously sustained a type b ankle fracture reported a diminished quality of life in comparison with an agematched sample. Quality of life 20 years after arthrodesis of the ankle. Olerud and molander ankle oma score, ankle swelling, usage of crutches, range of motion, short form 12, patientreported visual analogue scales vas pain, comfort, walking conwdence and time to return to work were evaluated. The omas is a selfadministered patient questionnaire with a score of zero totally impaired to 100 completely. All fracture types averaged olerudmolander ankle scores of 71. Evaluation of three patient reported outcome measures. Selfevaluated measurements of any aspect of a patients health status, without interpretation of the patients. Pdf translation, crosscultural adaptation, reliability and.
Of 141 patients that sustained ankle fractures, 74 were followed up 2 years after their ankle fracture. The purpose of this study was to examine prognostic validity, concurrent validity and responsiveness of ankle function score afs for patients with acute ankle injury. Olerudmolander ankle score omas is a wellestablished selfreported questionnaire, which is considered functionally orientated 2. The ankle scoring system of olerud and molander 1984 score pain none 25 walking on uneven surface 20 walking on even surface 10 walking indoors 5 constant and severe 0 stiffness. The primary outcome measure is ankle specific disability measured by the olerud molander ankle score. Moxfq 25 and the olerud molander ankle score omas 26.
What is the abbreviation for olerudmolander ankle score. This questionnaire was developed in 1984, specifically, to evaluate the function of patients with ankle fractures 11. When evaluating the testretest reliability of the omas, 42 subjects surgically treated due to an ankle fracture participated 12 months after injury. It correlates well with these four parameters, which are considered to summarize the results after this type of. In a prospective cohort study, afs was compared with olerud and molander ankle score omas, patientspecific complaints psc, and global perceived effect. Evaluation of three patient reported outcome measures following. Functional outcomes of syndesmotic injuries based on. Main outcomes and measures the primary 6month, perprotocol outcome was the olerud molander ankle score at 6 months omas.
Terminology definitions patient reported outcome measure. What is the abbreviation for olerud molander ankle score. Pdf on apr 1, 2018, derya celik and others published validity and reliability of turkish version of olerud molander ankle score in patients with malleolar fracture by buker et al find, read. Statistical analysis was completed using spss ibm spss statistics for windows, version 21. Interventions participants were randomly allocated to conventional six week cast immobilisation n84 or three week treatment either in a cast n83 or in a simple orthosis n80. Nine months following an injury, he walks unaided, can squat and drive and has no medial pain or instability with an olerud molander ankle score of. Olerud and molander scoring of symptoms after ankle fracture. Olerud molander ankle score, short musculoskeletal function assessment dysfunction index and bother index, and numeric pain rating scales were collected from patients at a minimum 1 year followup. This metaanalysis shows an even greater difference in the olerud molander score of 6. The wilcoxon signedrank test was used to assess change in the olerud molander ankle scores difference from preoperative to followup, and frequencies were used to categorize the percentage of patients who had excellent, good, fair, and poor scores. Casts were applied in the operating room under general or spinal anesthesia by a trained surgeon. To have 90% power to detect a difference of 10 points on the primary outcome olerud and molander ankle score at the primary outcome time point 16 weeks, we need to randomise a minimum of 478 people. Omas abbreviation stands for olerudmolander ankle score. The patient mobilised partially weightbearing, progressing to both clinical and radiographic union by 3 months.
All patients were contacted by postal followup at 1 year, using the olerud molander ankle score 8 patientrelated outcome measure and the euroqol5 dimensions eq5d standardized instrument for measurement of healthrelated quality of life. The olerud molander ankle score omas is a commonly used prom in ankle fracture research and often, it is the primary outcome measure 410. Weightbearing and mobilization in the postoperative care of. Olerud molander ankle score omas is a wellestablished selfreported questionnaire, which is considered functionally orientated 2. Percutaneous screw fixation of distal tibia fractures. Secondary outcomes were quality of life, pain, ankle motion, mobility, complications, health resource use. The aim of this study was to evaluate the testretest reliability and the validity of the selfreported questionnaire olerud molander ankle score omas in subjects after an ankle fracture. The turkish version of the omas omastr was developed after the translation and backtranslation. Development and validation of the ankle fracture outcome. Table olerud and molander scoring of symptoms after ankle fracture. The most commonly used patientreported outcome measure was the olerud molander ankle score, 28 which was used in 6 trials.
Weber a fractures averaged ankle function scores of 90, weber b fractures 80, and weber c fractures 78. The main outcome measure was the olerud molander ankle score omas which rates symptoms and subjectively scored function. This study compares the measurement properties of the lower extremity function scale lefs, olerud molander ankle score omas and selfreported foot and ankle score sefas following ankle surgery. Four cases 8% of medial malleolar radiographic nonunion occurred in the nonoperative group, although none of the patients. The olerud molander ankle score is scored out of 100 points, with higher scores indicating better outcomes. Cast versus functional brace in the rehabilitation of. Secondary outcome measures included adverse events, reoperation, and validated functional outcomes including the eq5d, the olerud molander ankle score, the foot and ankle disability index, and the work productivity activity impairment questionnaire. The scale is a functional rating scale from 0 totally.
Pdf validity and reliability of turkish version of olerud. Casting vs surgery for ankle fractures in older adults jama. The undefined acronym abbreviationslang omas means olerud molander ankle score. Patients were sent a postal questionnaire comprising five validated outcome measures. The primary outcome measure was the functional olerud molander ankle score omas. After surgery, patients are randomized to either the 1 unprotected nonweightbearing, 2 protected weightbearing, or 3 unprotected weightbearing group. Predictors of outcome of nondisplaced fractures of the base of the fifth metatarsalinternational orthopedics, may 2006 38 pts. Oct 11, 2016 main outcomes and measures the primary 6month, perprotocol outcome was the olerudmolander ankle score at 6 months omas. The swedish version of omas is a reliable and valid outcome. Function scale lefs, olerud molander ankle score omas and selfreported foot and ankle score sefas following ankle surgery. A correlation between the olerud molander ankle oma score and the general health status sf36 measure was found. Pdf translation, crosscultural adaptation, reliability.
The mean pre and postoperative olerud and molander questionnaire scores were 62 and 57 respectively. The olerud molander ankle score is scored out of 100 points, with higher scores. Stabilitybased classification for ankle fracture management and the syndesmosis injury in ankle fractures due to a supination external rotation mechanism of injury harri pakarinen. A scoring scale for symptom evaluation after ankle fracture. Translate the original english version of faam into a thai version and evaluate the validity and reliability of. Patient, fracture and treatment characteristics were recorded. Other causes include falls, especially in elderly 8. Function scale lefs, olerud molander ankle score omas and self reported foot and ankle score sefas following ankle surgery. In a prospective cohort study, afs was compared with olerud and molander ankle score omas, patient. Perhaps the most widely used patientreported outcome among people with ankle fractures to date has been the olerud molander ankle score. Orthopaedic foot and ankle society anklehindfoot score. Validity and responsiveness of the ankle function score. Trauma fragility fractures of the ankle in the frail.
Development and validation of the ankle fracture outcome of. Pdf validity and reliability of turkish version of. All patients of og showed reduced swelling at discharge. Outcome and quality of life after surgically treated ankle fractures in.
The foot and ankle ability measure faam subjective form is a regionspeci. Several patient reported outcome measures proms are available for assessing the outcomes of ankle fracture but few have been compared for recommended measurement properties. Functional outcome olerudmolander ankle score beckenkamp pr. Omas abbreviation stands for olerud molander ankle score.
Mar 25, 20 the aim of this study was to evaluate the testretest reliability and the validity of the selfreported questionnaire olerud molander ankle score omas in subjects after an ankle fracture. Main outcome measures the primary, noninferiority, intentiontotreat outcome was the olerud molander ankle score. The patients functional outcome was assessed by postal questionnaires. Sep 28, 2018 therefore, the objective of our study was to develop and validate the munich ankle questionnaire maq as a universal selfassessment score including subjective and objective items. Participants will be allocated to either plaster cast or a functional brace, both treatments are widely used. Olerud molander ankle score omas, karlsson ankle functional score kafs, tegner activity level score preinjury, prior to surgery, at followup, visual analog scale on pain vas and the short form 36 sf36. Determinants of outcome in operatively and nonoperatively treated. Registered users can save articles, searches, and manage email alerts. The first was an ankle specific outcome questionnaire devised by olerud and molander 12. Foot and ankle compression stockings in the management of. Validity and reliability of thai version of the foot and. Main outcomes and measures the primary 6month, perprotocol outcome was the olerudmolander ankle score at 6 months omas.
Twelve out of 16 fractures healed within 6 months of the injury. Three week versus six week immobilisation for stable weber b. Determinants of outcome in operatively and nonoperatively. Validity and reliability of turkish version of olerud. Fiveyear functional outcome analysis of ankle fracture fixation. Eligibility criteria included articles assessed the measurement properties, development or interpretability of one or more of the proms included in the prespecified list in a majority patient population of adults with ankle fracture. Hannanb, adepartment of physical therapy, steinhardt school of culture, education and human development. Trauma fragility fractures of the ankle in the frail elderly patient. Translation, crosscultural adaptation, reliability and.
Weber a fractures averaged ankle function scores of 90, weber b fractures. Secondary outcomes were quality of life, pain, ankle. The olerudmolander ankle score omas is a selfadministered patient questionnaire. The most popular abbreviation for olerud molander ankle score is. The swedish version of omas is a reliable and valid. The maximum score is 100 and is equivalent to normal function. A scoring system for evaluating symptoms after ankle fractures is presented. Apr 18, 2015 an expert panel validates the classification and inclusion eligibility. Aftertreatment of malleolar fractures following orif. The present study was planned to translate and culturally adapt the olerud molander ankle score omas and assess the validity and reliability of the turkish translation of the omas in patients with surgically treated malleolar fracture. In conclusion, operative treatment for ankle fractures restores sufficient stability and. Perhaps the most widely used patientreported outcome among people with ankle fractures to date has been the oler udmolander ankle score. Sixty patients 65 years or older were invited to participate in the study. The first was an anklespecific outcome questionnaire devised by olerud and molander 12.
Outcome and quality of life after surgically treated ankle. In young, active people, fractures were associated with vigorous activity, especially sports 6. Sep 30, 2011 patient, fracture and treatment characteristics were recorded. Rehabilitation considerations following ankle fracture. Validity and reliability of turkish version of olerud molander ankle score in patients with malleolar fracture nihal buker, phd 1, raziye s. Perhaps the most widely used patientreported outcome among people with ankle fractures to date has been the oler ud molander ankle score.
Bipolar fresh osteochondral allograft transplantation of. Fiveyear functional outcome analysis of ankle fracture. The aim of this study was to translate and culturally adapt the olerud molander ankle score omas into turkish and to assess its reliability and validity. The turkish version of the omas omastr was developed after the translation and backtranslation, which included the stages recommended by beaton. The established mcguire score, bray score, ankle hindfoot score aofas and olerud and molander score were analyzed for relevant items and subscales. Clinical and functional outcome was measured using the olerud molander ankle score omas, the american orthopaedic foot and ankle society ankle hindfoot score aofas and a visual analog score vas for overall satisfaction range 010. Casting vs surgery for ankle fractures in older adults. Three week versus six week immobilisation for stable weber. Omas was completed by the patients on two occasions at.
In 3 cases, delayed union was evident, but the fractures healed in less than nine months. Weight bearing or nonweight bearing after surgically fixed. Olerud molander ankle score omas, the american orthopaedic foot and ankle society ankle hindfoot score aofas, and a single question visual analog scale vas for patient satisfaction with outcome. The olerudmolander ankle score omas is a diseasespecific questionnaire devised for patients with ankle fractures and has been frequently. Pdf on apr 1, 2018, derya celik and others published validity and reliability of turkish version of olerudmolander ankle score in patients with malleolar fracture by buker et al find, read. Close contact casting vs surgery for initial treatment of. The primary outcome measure was the functional olerudmolander ankle score omas. Clinical and functional outcome was measured using the olerudmolander ankle score omas, the american orthopaedic foot and ankle society anklehindfoot score aofas and a visual analog score vas for overall satisfaction range 010. Assessments and treatment options smita raoa, jody l.
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