Superior olerud molander ankle scores were observed at threeweeks followup in the ankle. The 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 confidence and. Validity and reliability of turkish version of olerudmolander ankle. First, if the turkish version is already available and reported, it is not necessary to translate and culturally adapted the same outcome score. Sep 24, 2018 the olerud molander ankle score ranges from 0 to 100. The olerud molander ankle score omas is a diseasespecific questionnaire devised for patients with ankle fractures and has been frequently used to evaluate subjectively scored function in this patient group 16,19,22,23,26,29,31,37. Pdf on apr 1, 2018, derya celik published validity and reliability of turkish version of olerud molander ankle score in patients with malleolar fracture by buker et al find, read and cite. Fiftyfour patients, aged 1764 years, were evaluated 14 months postoperatively. Methods when evaluating the testretest reliability of the omas, 42 subjects surgically treated due to an ankle fracture participated 12 months after injury. The primary outcome is the olerud and molander ankle score omas patientreported outcome measure prom at 12 weeks post surgery. An evaluation of the measurement properties of the olerud. Secondary outcomes were adverse events including infection and reoperation. The number of included patients ranged from 28 to 93.
No deviations were found in men at nine domains of olerud molander ankle score omas 6 and 12 6month followup but at 12month the men deviated months after surgically treated ankle fracture from the normative data regarding general health p items omas omas scoring 0. Evaluation included a questionnaire containing the olerud molander ankle score omas olerud and. Fiveyear functional outcome analysis of ankle fracture fixation injury. Of the 11 studies, only 3 reported the mean results of return to work andor daily activities fig. Eq5d3l indicates euroqol healthrelated quality of life 3level score. 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. Pdf effects of a training program after surgically. Several patient reported outcome measures proms are available for assessing the outcomes of ankle fracture but few have been compared for recommended measurement properties. The olerud molander ankle score is a valid, jointspeci. The swedish version of omas is a reliable and valid outcome. Turkish version of the olerud molander ankle score, pcs. Costs and resource use were assessed using selfreported questionnaires and medical records, and analysed from a societal perspective. The scale is a rating scale from 0 totally impaired to 100 completely unimpaired and is based on nine items.
Aftertreatment following syndesmotic screw placement. Propensity scorematched analysis of arthroscopically. Superior olerud molander ankle scores were observed at threeweeks followup in the ankle trainer group 40. Outcome and quality of life after surgically treated ankle. A total of nine studies were identified with 531 patients. The olerud molander ankle score omas is a commonly used prom in ankle fracture research and often, it is the primary outcome measure 410.
Evaluation of three patient reported outcome measures. The median is shown by the bold lines, and the first and third quartiles by the gray boxes. The user has requested enhancement of the downloaded file. The olerud molander ankle score showed adequate convergent. Validity and responsiveness of the ankle function score. Pdf fiveyear functional outcome analysis of ankle fracture. Translation, crosscultural adaptation, reliability and validity of the. Ankle fractures form a high proportion of the total number of fractures treated in new zealand. Weightbearing or nonweightbearing after surgical treatment. The primary outcome is the olerud and molander ankle score omas. 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. Mar 25, 20 background 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 aim of this study was to translate and culturally adapt the olerud molander ankle score omas into turkish and to assess its reliability and. During the application of the cast, a manual reduction was tried by.
Pdf effects of a training program after surgically treated. The swedish version of omas is a reliable and valid. Surgical treatment of lateral malleolar fractures using the. Secondary outcome measures included olerud molander ankle oma score, visual. Our experience with the olerud molander ankle score omas in the ongoing ankle fracture prct dowecast archives of clinical case. The treatment recommended for dis previously described 20. Nov 01, 2007 the first was an ankle specific outcome questionnaire devised by olerud and molander 12. Emade versus usual care post ankle fracture fixation repository. Primary outcome measures used in interventional trials for. The ankle functional outcome was assessed with the olerud molander ankle score scale 0100.
Nov 01, 2017 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. 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. Reduction of routine use of radiography in patients with. Only 10 19% of the patients reported complete recovery and 16 30%. Secondary proms include the eq5d5 l questionnaire, return to work and return to driving, with objective outcomes including ankle range of motion. Ankle society ankle hindfoot score aofas, the olerud molander ankle score omas, and a single question visual analog scalevas for patient satisfaction with outcome. Effects of a training program after surgically treated. Evaluation of three patient reported outcome measures following. Validity and responsiveness of the ankle function score after.
Mean olerud molander ankle scores are shown with corresponding 95% confidence intervals of the means on the different time points. 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. Performance after surgical treatment of patients with ankle fractures 14. Effects of a training program after surgically treated ankle. Effect of locking plate fixation vs intramedullary nail. Following surgical fixation of ankle fractures, the traditional. The olerud molander ankle score omas was used by 9 included studies and is similar to aofas, including questions about specific symptoms and reported as.
The omas is a selfadministered patient questionnaire with a score of zero totally impaired to 100 completely. Aug 31, 2014 the most commonly used patientreported outcome measure was the olerud molander ankle score, 28 which was used in 6 trials. Patients who underwent osteosynthesis for an unstable ankle fracture between 202016 and completed legacy outcome scores foot and ankle outcome score faos, olerud and molander ankle score omas, and weber score along with the promis physical function pf and promis lower extremity le cats postoperatively were included. Close contact casting vs surgery for initial treatment of unstable.
Pdf unsatisfactory outcome following surgical intervention. Disability rating index, 0 no disability to 100 complete disability. Although the long term olerud molander score was reported in three studies, only simanski et al. At oneyear followup, there was no difference between the groups p 0. The maximum score is 100 and is equivalent to normal function. The olerud molander ankle score omas is a selfadministered patient questionnaire. Patient, fracture and treatment characteristics were recorded. Outcome and quality of life after surgically treated ankle fractures in. Olerud molander ankle function score, and rates of complications wound complication, loss of reduction, hardware failure, reoperation. Main outcomes and measures the primary 6month, perprotocol outcome was the olerudmolander ankle score at 6 months omas. International studies show that there are mixed functional outcomes with differing fract. Compared to conventional physiotherapy, does the use of an. Twentyone patients were scored after 17 months on average range 827 months with the olerud molander ankle score.
This study examines retrospectively the functional outcome of patients at 5 years following their ankle fracture surgery using the olerud molander ankle score omas and sf12 questionnaire. Olerud and molander ankle score was used to evaluate functional outcome. Omas, 0 worst pain and function to 100 no pain and best function. Validity and reliability of turkish version of olerud. Early motion and directed exercise emade versus usual care. Early motion and directed exercise emade versus usual. Nov 18, 2010 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. For both cohorts, the proms assessed after 4 years were the olerud and molander ankle score omas 22 and the foot and ankle ability measure faam. Computerized adaptive testing for patient reported. May 31, 2018 the intervention period is between week 2 and week 6 post surgery. The timing of ankle fracture surgery and the effect on. Evaluation included a questionnaire containing the olerud molander ankle score omas olerud and molander, 1984 and some additional questions. The clinical outcome was measured according to the olerud molander ankle score. Three week versus six week immobilisation for stable.
The olerud molander ankle score omas was the primary outcome measure and is a selfadministered patient questionnaire. Performance after surgical treatment of patients with ankle fractures. Results at the final followup, 15 out of 21 patients 9 women and 6 men. Determinants of outcome in operatively and nonoperatively treated. Two patients with a complication other than a wound infection were excluded n2. Sep 30, 2011 outcome was measured using standard questionnaires, which was sent in january 2010, and consisted of the 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.
Background several patient reported outcome measures proms are available for assessing the outcomes of ankle fracture but few have been compared for recommended measurement properties. Computerized adaptive testing for patient reported outcomes. Pdf ankle fractures form a high proportion of the total number of fractures treated in new zealand. Anteroposterior ap and lateral radiographs at two and six weeks were assessed for standard signs of bony union by fig. The faam score is divided into 2 subscales, the 21item activities of daily living adl and the 8item sports subscale. Pdf performance after surgical treatment of patients with. Outcomes olerud molander ankle scorethe olerud molander ankle score omas 28 was the primary outcome measure and is a selfadministered patient questionnaire. It consists of nine functional items evaluating pain, stiffness. 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 0. Patients were also called for a physical and radiographic examination. This questionnaire was developed in 1984, specifically, to evaluate the function of patients with ankle fractures 11. Pdf validity and reliability of turkish version of.
Pdf the swedish version of omas is a reliable and valid. Better outcome for suture button compared with single syndesmotic. Olerud molander ankle score omas is a wellestablished selfreported questionnaire, which is considered functionally orientated 2. Outcomes were evaluated with olerud molander ankle score, visual analogue scale for pain and ankle dorsiflexion at 3, 6, 12 and 52weeks followup. The scale is a functional rating scale from 0 totally impaired to 100 completely unimpaired and is based on nine different items. The study used a retrospective crosssectional study design. In a prospective cohort study, afs was compared with olerud and molander ankle score omas, patient. Pdf performance after surgical treatment of patients. A reminder was sent to patients that had not responded after four weeks. A scoring scale for symptom evaluation after ankle. Functional therapy was finished in 34 cases successfully. It correlates well with these four parameters, which are considered to summarize the results after this type of. Olerud and molander scoring of symptoms after ankle fracture. Fiveyear functional outcome analysis of ankle fracture.
A scoring system for evaluating symptoms after ankle fractures is presented. There was a total of 28 different outcome measures collected and five different multiitem, patient reported outcome measures collected as the primary outcome measure. Our findings show that many patients who have had surgery for ankle. Item responses are added up to form a score from 0 to 100, with higher scores representing the best possible scenario. Pdf outcome and quality of life after surgically treated. Time of hospitalization and complications were registered. Pdf validity and reliability of turkish version of olerud. Jun 11, 2020 the primary outcome measure of this study was the olerud molander ankle score omas which is a scoring system for evaluating symptoms and function after ankle fractures. Determinants of outcome in operatively and nonoperatively. A higher score indicates a better functional outcome.
The olerud molander ankle score omas was used by 9 included studies and is similar to aofas, including questions about specific symptoms and. There were 74 and 26% of weber b and c fractures, respectively. The primary, noninferiority, intentiontotreat outcome was the olerudmolander ankle score at 12 months omas. Scoring system devised by olerud and molendar maximum 100 points fig. Foot and ankle compression stockings in the management of. Treatment options for unstable ankle fractures in older. Volume 56, issue 6, novemberdecember 2017, pages 12091212. Dec 20, 2007 sixty patients 65 years or older were invited to participate in the study. Patients with primary clinically severely frequently used to evaluate subjectively scored function dislocated ankle joints have been reported to have after ankle. Boxplots of the longitudinal olerud and molander ankle scores omass and tegner activity scale tas scores. Pdf weightbearing and mobilization in the postoperative. Translation, crosscultural adaptation, reliability and. Conservative functional treatment of ankle fractures. A scoring scale for symptom evaluation after ankle fracture.
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