Lansinger et al used a score based on subjective and clinical findings to determine the outcome of a patient with a history of tibial condylar fracture. The authors are from Goteburg, Sweden.
Outcomes:
(1) excellent
(2) good
(3) fair
(4) poor
Parameters (subjective and clinical):
(1) pain
(2) walking capacity
(3) extension
(4) total range of motion
(5) stability
|
Parameter |
Finding |
Points |
|
pain |
no pain |
6 |
|
|
occasional aches; pain with bad weather |
5 |
|
|
stabbing pain in certain position(s) |
4 |
|
|
afternoon pain; intense, constant pain around the knee after activity |
2 |
|
|
night pain at rest |
0 |
|
walking capacity |
normal for age |
6 |
|
|
able to walk outdoors for at least 1 hour |
4 |
|
|
able to have short walks outdoors (> 15 minutes) |
2 |
|
|
walking indoors only |
1 |
|
|
wheelchair bound or bed-ridden |
0 |
|
extension |
normal |
6 |
|
|
lack of extension (0 to 10°) |
4 |
|
|
lack of extension (> 10°) |
2 |
|
total range of motion |
>= 140° |
6 |
|
|
>= 120° |
5 |
|
|
>= 90° |
4 |
|
|
>= 60° |
2 |
|
|
>= 30° |
1 |
|
|
0° (< 30°) |
0 |
|
stability |
normal in extension and 20° of flexion |
6 |
|
|
abnormal in 20° of flexion |
5 |
|
|
unstable in extension (< 10°) |
4 |
|
|
unstable in extension (>= 10°) |
2 |
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 4
• maximum score: 30
• The higher the score the better the outcome.
|
Total Score |
Outcome |
|
27 - 30 |
excellent |
|
20 - 26 |
good |
|
10 - 19 |
fair |
|
< 10 |
poor |
where:
• The minimum score for a poor outcome was given as 6, but this leaves scores of 4 and 5 uncovered.
Specialty: Surgery, orthopedic
