Leonard J. Goldner Award 2009. Intraoperative pedobarography leads to improved outcome scores: a Level I study.

Abstract

The purpose was to compare the clinical outcome scores after additional use of intraoperative pedobarography (IP) in comparison with patients treated without IP. Patients with arthrodesis and/or correction of the foot and/or ankle were randomized for use of IP or no IP. American Orthopaedic Foot and Ankle Society (AOFAS) score, Short-Form 36 (SF-36), and Visual Analogue Scale Foot and Ankle (VAS FA) were analyzed. One hundred patients were included. Fifty-two were randomized for the use of IP, and in 24 of those (46%), the correction was modified after IP during the same operation. At mean followup of 2 years, the average scores were higher in the group with IP than in the group without IP (IP/no IP: AOFAS 89.7/78.2; SF-36 90.3/76.3; VAS FA 90.3/76.3; t-test, all p < 0.05). The use of IP led to improved clinical outcome scores at a mean followup of 2 years.