Functional Outcome Criteria of Paley et al Following Surgical Therapy of Tibial Non-Union

 

Criteria:

(1) significant limp

(2) equinus rigidity of the ankle or other joint stiffness

(3) soft tissue sympathetic dystrophy

(4) pain

(5) inactivity

 

Features of soft tissue dystrophy:

(1) skin hypersensitivity

(2) insensitivity over the sole of the foot

(3) decubitus

 

Inactivity involved one or both of the following:

(1) unemployed because of leg injury

(2) inability to return to usual activities because of leg injury

Thus inactivity is a measure of functional disability.

 

number of criteria other than inactivity =

= SUM(number of the first 4 criteria present)

Level of Activity	Number of Other Criteria Present	Functional Outcome
active	0	excellent
active	1 or 2	good
active	3 or 4	fair
inactive	NA	poor