Leonard J. Goldner Award 2009. Intraoperative pedobarography leads to improved outcome scores: a Level I study.
BACKGROUND
The purpose was to compare the clinical outcome scores after additional use of intraoperative pedobarography (IP) in comparison with patients treated without IP.


METHODS
Patients with arthrodesis and/or correction of the foot and/or ankle were randomized for use of IP or no IP. American Orthopaedic Foot and Ankle Society (AOFAS) score, Short-Form 36 (SF-36), and Visual Analogue Scale Foot and Ankle (VAS FA) were analyzed.


RESULTS
One hundred patients were included. Fifty-two were randomized for the use of IP, and in 24 of those (46%), the correction was modified after IP during the same operation. At mean followup of 2 years, the average scores were higher in the group with IP than in the group without IP (IP/no IP: AOFAS 89.7/78.2; SF-36 90.3/76.3; VAS FA 90.3/76.3; t-test, all p < 0.05).


CONCLUSIONS
The use of IP led to improved clinical outcome scores at a mean followup of 2 years.
Richter
Martinus
M
Coburg Clinical Center, Department for Trauma, Orthopaedic and Foot Surgery, Coburg, Germany. info@fuss-trauma.de
Zech
Stefan
S
D000328:Adult; D000843:Ankle Joint / Q000601:surgery*; D001174:Arthrodesis / Q000379:methods; D001696:Biomechanical Phenomena / Q000502:physiology; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D005545:Forefoot, Human / Q000503:physiopathology*; D006801:Humans; D007430:Intraoperative Care / Q000295:instrumentation; D007432:Intraoperative Period; D008297:Male; D010147:Pain Measurement; D011446:Prospective Studies; D012984:Software; D013380:Subtalar Joint / Q000601:surgery*; D016896:Treatment Outcome; D016474:Weight-Bearing / Q000502:physiology