Trial reportClinics in orthopedic surgery2026
The Minimal Clinically Important Difference of the American Orthopaedic Foot and Ankle Society Ankle Hindfoot Scale in Patients with Unstable Ankle Fracture.
Trial report in Clinics in orthopedic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Effects of Tai Chi training on lower-limb coordination pattern and variability during walking in patients with functional ankle instability: a pilot randomized controlled trial.Scientific reports · 2026Trial
- Increasing age is associated with worse sports function but not daily living function following arthroscopic anterior talofibular ligament repair.Journal of orthopaedic surgery and research · 2026Article
- Ankle Function and Donor-Site Morbidity Following Peroneus Longus Graft Harvesting with or Without Tenodesis to Peroneus Brevis in Anterior Cruciate Ligament Reconstruction.Journal of clinical medicine · 2026Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Backgroud: The American Orthopaedic Foot and Ankle Society (AOFAS) Ankle Hindfoot Scale is frequently used as a patient-reported outcome measure (PROM) to evaluate recovery trajectories following foot and ankle injuries. This study aimed to determine the minimal clinically important difference (MCID) for the AOFAS score in patients with surgically treated unstable ankle fractures. Methods: Data were obtained from the ROutine versus on DEmand removal Of the syndesmotic stabilisation screw (RODEO) trial, a multicenter randomized controlled trial evaluating the management of syndesmotic screw fixation following ankle fracture surgery. Eligible patients completed the AOFAS scale at 3, 6, and 12 months postoperatively. The MCID was calculated using both anchor-based approaches (mean change, receiver operating characteristic [ROC] analysis) and distribution-based approaches (minimal detectable change [MDC] and 0.5 standard deviation). Results: A total of 148 patients were included, with a mean age of 47 years, and a male predominance of 63.5%. Median AOFAS scores improved significantly over time, rising from 73.0 at 3 months to 85.0 at 12 months postoperatively ( Conclusions: Despite the extended recovery period, often up to 12 months, following surgical stabilization of unstable ankle fractures with syndesmotic injury, the AOFAS remains one of the most utilized PROMs in this context. Based on these findings, a change in score between 4.1 and 7.8 points should be considered clinically relevant at the 1-year follow-up.
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