Review Question - QID 228

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Outcome Measure Tools MULTI-SUBSPECIALTY SF-36 QID: 228 (OBQ06.217)

QID 228 (Type "228" in App Search)

A 45-year-old male trauma patient presents with multiple extremity injuries including the foot injury shown in Figure A. The foot fracture is treated surgically, and heals without any initial complications. At a minimum of 12 months, this patient will be expected to have which of the following scores compared to a matched polytrauma patient without a foot injury?

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Lower mean Short Form 36 (SF-36) score

66%

1417/2139

Higher mean score on the AAOS lower limb and foot and ankle outcomes questionnaire

202/2139

Equivalent score on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)

179/2139

Lower Constant score

178/2139

Higher score on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)

135/2139

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Turchin et al assessed the outcome of two groups of matched polytrauma patients, with the only difference being the presence of a foot injury in Group 1. They used three outcome tools, SF-36, WOMAC, and Modified Boston Children's Hospital Grading System to evaluate the the two groups at a minimum of 2 years from injury. The foot injury group, including all types of foot fractures, had a poor outcome when using any of these measures. Turchin concludes that “Foot injuries cause significant disability to multiply injured patients. More attention should be given to these injuries, and more aggressive management should be considered to improve the outcome of this group of multiply injured patients.”

Tran et al compared polytrauma patients with foot injuries to 14 polytrauma patients without foot injury at a minimum of 12 months from injury. The AAOS lower limb and foot and ankle outcomes data collection questionnaire showed significantly lower scores in the foot injury group. The Constant score is used for evaluation of shoulder conditions.