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Current Concepts Review   |    
Lower Extremity-Specific Measures of Disability and Outcomes in Orthopaedic Surgery
Matthew V. Smith, MD1; Sandra E. Klein, MD1; John C. Clohisy, MD2; Geneva R. Baca, BA3; Robert H. Brophy, MD1; Rick W. Wright, MD2
1 Department of Orthopaedic Surgery, Washington University School of Medicine, 14532 South Outer Forty Drive, Chesterfield, MO 63017. E-mail address for M.V. Smith: smithmv@wudosis.wustl.edu
2 Department of Orthopaedic Surgery, Washington University School of Medicine, 1 Barnes Hospital Plaza, Suite 11300 West Pavilion, St. Louis, MO 63110
3 Department of Orthopaedic Surgery, Washington University School of Medicine, 660 South Euclid, Campus Box 8233, St. Louis, MO 63110
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Investigation performed at the Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2012 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2012 Mar 07;94(5):468-477. doi: 10.2106/JBJS.J.01822
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Abstract

Outcome measures may be simple questions or complex measures that assess multiple interrelated domains affecting treatment outcomes.

Outcome measures should be relevant to patients, easy to use, reliable, valid, and responsive to clinical changes.

Joint and disease-specific outcome measures have been developed for the hip, knee, and foot and ankle. Many of these measures would benefit from further research into their validity, reliability, and optimal applicability.

General health measures and activity level scores should be included in outcome assessments after treatment for orthopaedic conditions.

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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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