FootPatient-Based Outcomes After Clubfoot SurgeryRoye, Benjamin D. M.D., M.P.H.*; Vitale, Michael G. M.D., M.P.H.*†; Gelijns, Annetine C. Ph.D.†; Roye, David P. Jr. M.D.‡Author Information Study conducted at Columbia University and the New York Presbyterian Medical Center, New York, New York, U.S.A. From *New York Orthopaedic Hospital, New York Presbyterian Medical Center; †International Center for Health Outcomes and Innovation Research, College of Physicians and Surgeons and The Joseph L. Mailman School of Public Health, Columbia University and New York Presbyterian Hospital; and ‡Division of Pediatric Orthopaedics, Department of Orthopaedic Surgery, Columbia University College of Physicians and Surgeons, New York, New York, U.S.A. Address correspondence and reprint requests to Dr. Michael G. Vitale, InCHOIR, 180 Fort Washington Avenue, HP-7, New York, NY 10032, U.S.A. E-mail: [email protected] Journal of Pediatric Orthopaedics: January 2001 - Volume 21 - Issue 1 - p 42-49 Buy Abstract Despite decades of experience in the area of clubfoot repair, considerable uncertainty remains regarding indications, surgical technique, and long-term results of treatment. Much of this uncertainty is due to the lack of a standardized and valid method for assessing postoperative outcomes of clubfoot repair. The current study used various end points to compare traditional and patient-based outcome measures and to develop a disease-specific instrument that is both meaningful to the patient and statistically valid. A cohort of 46 patients was identified, and several types of outcomes data were collected, including traditional end points of outcome (range of motion and radiographic criteria, qualitative patient-based data) and a previously validated instrument measuring pediatric functional status (FSIIr). At an average follow-up of 45 months, radiographic measures and range of motion were comparable to values published in previous studies. Postoperative functional status, as measured by the FSIIr, did not differ from that of age-matched controls. Psychometric analysis of these data allowed us to generate a 10-item disease-specific instrument (DSI), which conveyed patient-based attitudes toward outcome. © 2001 Lippincott Williams & Wilkins, Inc.