Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Ankle / Foot
Abstract number: 24242
LONG-TERM FUNCTIONAL OUTCOME OF CUBOID 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)
Introduction: Cuboid fractures (CF) are rare and functional outcome remains underreported.
The purpose of this study was to evaluate functional outcome in patients
with CF. Method: A prospective analysis was undertaken on a cohort of 86 patients
diagnosed with CF between 2002 and 2007 at a Level I teaching trauma center.
Functional outcome assessment included Foot Function Index (FFI) and Short
Musculoskeletal Function Assessment (SMFA). Results: 45 patients with 47 CF
returned valid questionnaires. Age averaged 45 years (range 17-72) and BMI 29.0
(range 17.5-48.9). Three injuries were isolated and five open. AO/OTA-07
classification included 15 Type 84-A and 32 Type 84-B fracture pattern. Associated
foot injuries (AFI) included 32 metatarsal, 25 Lisfranc, 21 navicular, 17 cuneiform, 15
calcaneus, 11 talus, Survey follow-up averaged 52 months (range 13-93). FFI
averaged 35.1; SMFA indices were Daily 25.2, Emotional 35.0, Arm-Hand 7.6,
Mobility 33.6, Dysfunction 26.3, and Bother 27.5. CF performed significantly worse
compared to normative values in all functional scores except Arm-Hand (t-test,
p3) had significant worse functional status
compared to less injured feet or normative values (1-way-ANOVA, p=0.322,
p