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首页> 外文期刊>Foot & Ankle Orthopaedics >Comparison of Generic, Musculoskeletal-Specific, and Foot and Ankle–Specific Outcome Measures Over Time in Tibial Plafond Fractures
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Comparison of Generic, Musculoskeletal-Specific, and Foot and Ankle–Specific Outcome Measures Over Time in Tibial Plafond Fractures

机译：胫骨PLAFOND骨折随着时间的推移通用，肌肉骨骼特异性和脚踝特异性结果的比较

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Background: This study performed a psychometric analysis assessing and comparing the responsiveness of the relevant components of a generic (Short Form–36 [SF36]), a musculoskeletal-specific (Short Musculoskeletal Functional Assessment [SMFA]), and a foot and ankle–specific (Foot and Ankle Outcome Score [FAOS]) outcome score when evaluating surgically treated tibial plafond fractures over time. Methods: Fifty-one patients were followed for 12 months after their tibial plafond fracture. Responsiveness, or the ability to detect clinical change in a disease, was evaluated through the standardized response mean (SRM), the proportion meeting a minimal clinically important difference (MCID), and floor and ceiling effects. Results: The SRM of the SF36–Physical Component Summary (PCS) was significantly greater than the SMFA–dysfunction index (DI) (P .01) and FAOS–Activities of Daily Living (ADL) (P = .01) between baseline and 6 months, whereas the SRMs of only SF36-PCS and FAOS-ADL differed (P = .01) between 6 and 12 months. The proportion of patients achieving an MCID for SF36-PCS was higher than FAOS-ADL (P = .03) between baseline and 6 months and higher than SMFA-DI (P = .04) between 6 and 12 months. The FAOS-ADL showed substantial ceiling effects at baseline (88.2%) but much less at 6 months (5.9%) and 12 months (9.8%). Smaller ceiling effects were observed for the SMFA-DI (11.8%) at baseline, whereas none were observed for the SF36-PCS. Conclusions: This study found that the SF36-PCS had greater responsiveness in assessing tibial plafond fractures compared to the SMFA-DI and FAOS-ADL, particularly in the first 6 months after surgery. In addition, limitations were revealed in the SMFA-DI and FAOS-ADL. This study illustrates the necessary diligence required for selection of outcome measures, as musculoskeletal and anatomy specific scores are not necessarily superior. Level of Evidence: Level II, prospective cohort study.
机译：背景：本研究进行了对常规（短甲型-36 [SF36]），肌肉骨骼特异性（短肌肉骨骼功能评估[SMFA]）和脚踝的响应性评估和比较响应性的响应性当在评估手术治疗的胫骨PLAFOND骨折随时间时，特定于（脚和脚踝结果分数[FAOS]）结果得分。方法：在胫骨藻渣骨折后5个月后，50例患者。通过标准化的响应平均值（SRM）评估响应性，或检测疾病临床变化的能力，该比例符合最小临床重要差异（MCID）和地板和天花板效应。结果：SF36物理成分摘要（PCS）的SRM显着大于基线之间的日常生活（ADL）（P = .01）的SMFA-Dysfunction指数（PCS）（P <.01）（P = .01） 6个月，而仅SF36-PC和FAOS-ADL的SRMS不同（P = .01）在6到12个月之间。为SF36-PC实现MCID的患者的比例高于基线和6个月之间的FAOS-ADL（p =，0.03），高于6至12个月的SMFA-DI（P = .04）。 FAOS-ADL在基线显示出大量的天花板效应（88.2％），但在6个月（5.9％）和12个月（9.8％）下少得多。对于基线的SMFA-DI（11.8％）观察到较小的天花板效应，而SF36-PCS没有观察到无。结论：本研究发现，与SMFA-DI和FAOS-ADL相比，SF36-PC在评估胫骨藻骨折方面具有更大的反应性，特别是在手术后的前6个月内。此外，SMFA-DI和FAOS-ADL中揭示了局限性。本研究说明了选择结果措施所需的必要勤奋，因为肌肉骨骼和解剖学特异性得分不一定是优异的。证据水平：二级，潜在队列研究。

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