踝关节骨折后早期恢复期间的足部和踝关节结局评分（FAOS）
The Foot and Ankle Outcome Score (FAOS) During Early Recovery After Ankle Fracture.
机构信息
Department of Occupational Therapy and Physiotherapy, Aalborg University Hospital, Aalborg, North Denmark Region, Denmark.
Department of Orthopaedic Surgery, Aalborg University Hospital, Aalborg, Denmark.
出版信息
Foot Ankle Int. 2021 Sep;42(9):1179-1184. doi: 10.1177/10711007211002811. Epub 2021 May 21.
BACKGROUND
Several patient-reported outcome measures (PROMs) are available for assessing the outcomes following ankle fractures. This study aimed to evaluate validity, reliability, and responsiveness and detect the minimal clinically important difference of the Foot and Ankle Outcome Score (FAOS) in patients with ankle fractures.
METHODS
The study design is a prospective cohort study, including all patients treated both conservatively and surgically following an ankle fracture (AO-43A/B/C). Content validity, test-retest reliability, responsiveness, and minimal clinically important difference were evaluated from 14 days to 3 months following the fracture.
RESULTS
The study population consisted of 52 females and 24 males. The mean age was 52.0 years (range, 15-75 years). The percentage of patients at 12 weeks reporting the 5 subscales at least somewhat relevant were pain, 77%; symptoms, 75%; activities of daily living (ADL), 64%; sport, 81%; and quality of life (QOL), 88%. High test-retest reliability of the FAOS questionnaire was observed. The interclass coefficients were 0.78, 0.77, 0.71, 0.73, and 0.74 for the pain, symptoms, ADL, sport, and QOL subscales, respectively. Responsiveness was evaluated with high effect size for the symptoms (0.83), ADL (1.19), sport (4.36), and QOL (2.12) subscales. The minimal clinically important difference of the FAOS was 14 (95% CI, 12-17).
CONCLUSION
The FAOS during early recovery after ankle fracture has high reliability and validity.
LEVEL OF EVIDENCE
Level II, prospective cohort study.
背景
有几种患者报告的结局测量（PROMs）可用于评估踝关节骨折后的结局。本研究旨在评估踝关节骨折患者的 Foot and Ankle Outcome Score（FAOS）的有效性、可靠性、反应性和检测最小临床重要差异。
方法
研究设计为前瞻性队列研究，包括所有接受保守和手术治疗的踝关节骨折（AO-43A/B/C）患者。从骨折后 14 天到 3 个月评估内容有效性、测试-重测信度、反应性和最小临床重要差异。
结果
研究人群包括 52 名女性和 24 名男性。平均年龄为 52.0 岁（范围，15-75 岁）。在 12 周时，报告 5 个亚量表至少有些相关的患者百分比为疼痛，77%；症状，75%；日常生活活动（ADL），64%；运动，81%；和生活质量（QOL），88%。FAOS 问卷具有较高的测试-重测信度。疼痛、症状、ADL、运动和 QOL 亚量表的组内相关系数分别为 0.78、0.77、0.71、0.73 和 0.74。症状（0.83）、ADL（1.19）、运动（4.36）和 QOL（2.12）亚量表的反应性评估具有较高的效应量。FAOS 的最小临床重要差异为 14（95%CI，12-17）。
结论
FAOS 在踝关节骨折后早期恢复时具有较高的可靠性和有效性。
证据水平
II 级，前瞻性队列研究。
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