{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T07:11:07Z","timestamp":1761808267816},"reference-count":43,"publisher":"Royal College of Surgeons of England","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>The primary aim of this study was to investigate patient-reported outcomes following talar fractures. Secondary aims were to investigate health-related quality of life and to determine whether it is influenced by functional outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>This retrospective study identified 56 talar fractures over eight years. Patients were contacted by post and the Olerud and Molander score (OMS), Manchester\u2013Oxford Foot and Ankle scores (MOXFQ) and Euroqol-5D-3L collected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age was 35.2 years (range 13\u201378 years). There were four cases (7.1%) of avascular necrosis and one (1.8%) non-union occurred. Data from patient-reported outcome measures were available for 42 patients (75.0%) with a median follow-up of 67.1 months (range 23.2\u2013111.8 months). Mean OMS was 60.0 (standard deviation \u00b1 29.51) and median MOXFQ was 30.33 (interquartile range 47.13). Median Euroqol-5D-3L index was 0.74 (interquartile range 0.213) and median Euroqol-5D-3L visual analogue score was 80 (interquartile range 21). Older age, open fractures, multiple injuries and subsequent avascular necrosis were associated with worse patient-reported outcomes (P &lt; 0.05), with older age, avascular necrosis and open fractures found to be independent predictors of poor OMS, and avascular necrosis and open fractures independently predicting MOXFQ score on regression analysis (P &lt; 0.05). Poor self-reported function, measured by OMS and MOXFQ, correlated with worse health-related quality of life as measured by the Euroqol-5D-3L index (OMS: r = 0.764, P &lt; 0.001; MOXFQ: r = 0.824, P &lt; 0.001) and visual analogue score (OMS: r = 0.450, P = 0.003; MOXFQ: r=0.559, P &lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Older age, avascular necrosis and open fractures predict poorer functional outcomes following talar fractures. Patients with worse limb-specific functional outcomes are more likely to have a worse perception of health-related quality of life.<\/jats:p><\/jats:sec>","DOI":"10.1308\/rcsann.2019.0044","type":"journal-article","created":{"date-parts":[[2019,6,3]],"date-time":"2019-06-03T10:11:00Z","timestamp":1559556660000},"page":"399-404","source":"Crossref","is-referenced-by-count":5,"title":["Patient-reported functional outcomes and health-related quality of life following fractures of the talus"],"prefix":"10.1308","volume":"101","author":[{"given":"P","family":"Stirling","sequence":"first","affiliation":[{"name":"Orthopaedic Trauma Service, Royal Infirmary of Edinburgh, Edinburgh, Scotland, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SP","family":"MacKenzie","sequence":"additional","affiliation":[{"name":"Orthopaedic Trauma Service, Royal Infirmary of Edinburgh, Edinburgh, Scotland, 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