Ankle Function Evaluation Score

Description

Kofoed developed a score for evaluating ankle function before and after arthroplasty in patients with rheumatoid arthritis or other form of arthritis. This can help determine the outcome for the procedure. The author is from Frederiksberg Hospital in Copenhagen.

Parameters:

(1) pain

(2) tip-toe walking

(3) heel walking

(4) one-leg standing

(5) use of walking support

(6) use of stabilising foot wear

(7) cadence during staircase walking

(8) flexion in degrees

(9) extension in degrees

(10) supination in degrees

(11) pronation in degrees

(12) valgus during loading in degrees

(13) varus during loading in degrees

Parameter	Finding	Points
pain	at rest or spontaneously	0
	loading pain always	15
	occasional pain	35
	pain walking levels	35
	starting pain	40
	no pain	50
tip-toe walking	unable	0
	able	3
heel walking	unable	0
	able	3
one-leg standing	unable	0
	able	6
use of walking support	used	0
	not used	6
use of stabliising foot wear	used	0
	not used	6
cadence during staircase walking	abnormal	0
	normal	6
flexion in degrees	< 15 degrees	1
	15 to 29 degrees	3
	>= 30 degrees	5
extension in degrees	< 5 degrees	1
	5 to 9 degrees	3
	>= 10 degrees	5
supination in degrees	< 15 degrees	1
	15 to 29 degrees	2
	>= 30 degrees	3
pronation in degrees	< 10 degrees	1
	10 to 19 degrees	2
	>= 20 degrees	3
valgus during loading	> 10 degrees	0
	5 to 10 degrees	1
	< 5 degrees	2
varus during loading	> 7 degrees	0
	4 to 7 degrees	1
	< 4 degrees	2

total score =

= SUM(points for all 13 parameters)

Interpretation:

• minimum score: 4

• maximum score: 100

• The higher the score the better the ankle function.

Total Score	Ankle Function
< 70	unacceptable
70 to 74	fair
75 to 84	good
85 to 100	excellent

To read more or access our algorithms and calculators, please log in or register.

Description

Specialty

Objective

ICD-10

Purpose: To evaluate a patient's ankle function using the scoring system of Kofoed.

Description

Specialty

Objective

ICD-10