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Iowa Orthop J. 2021 Dec;41(2):6-11.

Resection of Tarsal Coalition in 27 Children with 2 Years Follow-Up - Patient-Reported Outcomes Using the Validated Oxford Ankle Foot Questionnaire.

The Iowa orthopaedic journal

Ahmed Abdul-Hussein Abood, Bjarne Møller-Madsen, Jan Duedal Rölfing, Alexios Iliadis, Manoj Ramachandran, Ole Rahbek

Affiliations

  1. Department of Orthopedics, Aarhus University Hospital, Aarhus N, Denmark.
  2. Department of Pediatric Orthopedics, The Royal London Hospital, Barts Health NHS Trust, London, United Kingdom.
  3. Department of Orthopedics, Aalborg University Hospital, Aalborg, Denmark.

PMID: 34924864 PMCID: PMC8662924

Abstract

BACKGROUND: Patient Reported Outcome Measures (PROM) after resection of tarsal coalitions are sparse. This cross-sectional study evaluates the outcome after resection of tarsal coalitions in children using the validated Oxford Foot and Ankle Questionnaire (OxAFQ).

METHODS: Tarsal coalition patients between 5-16 years of age from Aarhus University Hospital (Denmark) and The Royal London Hospital (United Kingdom) were included. The patients were identified using patient and theatre register. All patients and proxies filled in the PROM: OxAFQ-C and OxAFQ-proxy respectively. The scores were calculated within each domain and reported as means (95% confidence intervals). Talocalcaneal coalitions were compared to calcaneonavicular coalition with regard to OxAFQ score and re-operation rate.

RESULTS: 27 patients and their proxies returned 54 questionnaires in total regarding 36 feet. Mean time from surgery to filling of the questionnaire was 25 (21-30) months. The relative mean OxAFQ score was higher in the School and Play and Emotional domain than the Physical domain, p = 0.007. The OxAFQ scores and re-operation rates were similar for both coalitions, p=0.63.

CONCLUSION: The OxAFQ PROM showed more encouraging results in playing or emotional health status than the physical health status. The outcome for both types of coalitions is similar.

Copyright © The Iowa Orthopaedic Journal 2021.

Keywords: coalitio; oxafq; prom

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