The CAPE TOWN modified squat and smile test: correlation with fracture union in long bone fractures of the lower limb

The CTMSST and its individual domains did not correlate with radiological fracture union following intramedullary nailing of lower limb fractures. However, the test showed significant positive associations with patient-reported outcome measures, suggesting potential utility in assessing functional recovery. Further prospective research is needed to validate the CTMSST and to explore its role in both clinical assessment and follow-up care in resource-limited settings.

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Publication Details

Journal
European Journal of Orthopaedic Surgery & Traumatology
Published
2025-11-19
DOI
https://doi.org/10.1007/s00590-025-04532-w
Primary Topic
Bone fractures and treatments
Type
article
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article

The CAPE TOWN modified squat and smile test: correlation with fracture union in long bone fractures of the lower limb

Michael Held, Nando Ferreira, Sithombo Maqungo, Delroy Arnolds et al.
European Journal of Orthopaedic Surgery & Traumatology
Bone fractures and treatments
article

The CAPE TOWN modified squat and smile test: correlation with fracture union in long bone fractures of the lower limb

Michael Held, Nando Ferreira, Sithombo Maqungo, Delroy Arnolds, Robyn Waters, Roopam Dey, Simon Matthew Graham, Maritz Laubscher
article en

Abstract

The CTMSST and its individual domains did not correlate with radiological fracture union following intramedullary nailing of lower limb fractures. However, the test showed significant positive associations with patient-reported outcome measures, suggesting potential utility in assessing functional recovery. Further prospective research is needed to validate the CTMSST and to explore its role in both clinical assessment and follow-up care in resource-limited settings.

European Journal of Orthopaedic Surgery & TraumatologyVol. 36(1)
University of Cape Town (ZA), Stellenbosch University (ZA), University of Oxford (GB)
Openalex Percentile: Top 54%
Bone fractures and treatments
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