Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Ankle / Foot
Abstract number: 24238
LONG TERM FUNCTIONAL OUTCOME OF NAVICULAR FRACTURES
Marlon COULIBALY 1 , Clifford JONES 2 , Debra SIETSEMA 2 , James RINGLER 2 ,
Terrence ENDRES 2
1 Orthopaedic Research Fellowship, Grand Rapids Medical Education and Research
Center, Michigan State University; University Hospital Bergmannsheil GmbH,
Bochum (GERMANY), 2 Michigan State University, College of Human Medicine,
Department of Surgery, Grand Rapids (UNITED STATES)
Background: Navicular fractures (NF) are uncommon and outcome remains
undetermined. The purpose of this study was to evaluate functional outcome in NF.
Methods: A prospective analysis was undertaken on a cohort of 64 patients
diagnosed with NF between March 2002 and June 2007 at a Level I teaching trauma
center. Functional status assessment included Foot Function Index (FFI) and Short
Musculoskeletal Function Assessment (SMFA). Results: Thirty-eight patients with 40
NF returned valid questionnaires. Age averaged 44 years (17-72) and BMI 28.5
(18.7-48.9). Associated foot injuries included 21 cuboid, 16 metatarsal, 15
cuneiform, 11 Lisfranc, 10 talus, and 11 calcaneus injuries. AO/OTA 07
classifications were 27 Type-A and 13 Type-B fracture patterns. After mean survey
follow-up of 53 months (range 23-87) average functional scores were FFI 31.8, Daily
22.7, Emotional 31.9, Arm-Hand 9.4, Mobility 27.6, Dysfunction 22.6, and Bother
23.9. Functional status was significantly worse compared to normative values in all
functional scores except Arm-Hand (t-test, p3) had significantly inferior functional status compared to
less injuries or normative controls (1-Way-ANOVA, p=0.409; p