Official Journal of the Italian Society of Orthopaedics and Traumatology
Table 2 Leppilahati scoring system
From: A novel modification of Bosworth's technique to repair zone I Achilles tendon ruptures
Clinical factor | Points | No. of patients at 6 months | At 1 year |
|---|---|---|---|
Pain | |||
None | 15 | 54 | 60 |
Mild, no limitations in recreational activities | 10 | 20 | 15 |
Moderate, limitations in recreational, but not daily activities | 5 | 1 | 1 |
Severe, limitations in recreational and daily activities | 0 | 1 | 0 |
Stiffness | |||
None | 15 | 40 | 57 |
Mild, occasional, no limitations in recreational activities | 10 | 30 | 17 |
Moderate, limitations in recreational, but not daily activities | 5 | 4 | 2 |
Severe, limitations in recreational and daily activities | 0 | 2 | 0 |
Calf muscle weakness (subjective) | |||
None | 15 | 50 | 70 |
Mild, occasional, no limitations in recreational activities | 10 | 24 | 5 |
Moderate, limitations in recreational, but not daily activities | 5 | 2 | 1 |
Severe, limitations in recreational and daily activities | 0 | 0 | 0 |
Footwear restrictions | |||
None | 10 | 60 | 62 |
Mild, most shoes tolerated | 5 | 15 | 14 |
Moderate, unable to tolerate fashionable shoes, modified shoes tolerated | 0 | 1 | 0 |
Active range of motion (ROM) difference between ankles | |||
Normal (<6°) | 15 | 55 | 62 |
Mild (6°–10°) | 10 | 14 | 7 |
Moderate (11°–15°) | 5 | 6 | 5 |
Severe (>15°) | 0 | 1 | 0 |
Subjective results | |||
Very satisfied | 15 | 53 | 65 |
Satisfied with minor reservations | 10 | 21 | 10 |
Satisfied with major reservation | 5 | 2 | 1 |
Dissatisfied | 0 | 0 | 0 |
Isokinetic muscle strength (score) | |||
Excellent | 15 | 69 | 70 |
Good | 10 | 3 | 4 |
Fair | 5 | 4 | 2 |
Poor | 0 | 0 | 0 |
Leppilahti score | |||
Excellent | 90–100 | 58 | 62 |
Good | 75–89 | 10 | 8 |
Fair | 60–74 | 6 | 4 |
Poor | <60 | 2 | 2 |