AOFAS Clinical Rating System

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					                                       AOFAS Clinical Rating System
                                    Ankle-Hindfoot Scale (100 points total)


Patient:______________________________________ Date:____/____/______
DIRECTIONS: Please circle the value that corresponds to each of the questions. If you feel
it is in between, please write the number in the subtotal box. See example below:
           CATEGORY                                           VARIABLE                            SCORE       SUBTOTAL
Walking surfaces                 No difficulty on any surface                                       5
                                 Some difficulty on uneven terrain, stairs, inclines, ladders       3
                                 Severe difficulty on uneven terrain, stairs, inclines, ladders     0
                                                                    OR
           CATEGORY                                            VARIABLE                           SCORE       SUBTOTAL
Walking surfaces                 No difficulty on any surface                                       5
                                 Some difficulty on uneven terrain, stairs, inclines, ladders       3     4, up stairs only
                                 Severe difficulty on uneven terrain, stairs, inclines, ladders     0


       CATEGORY                                      VARIABLE                                     SCORE      SUBTOTAL
Pain (40 points)                 None                                                               40
                                 Mild, occasional                                                   30
                                 Moderate, daily                                                    20
                                 Severe, almost always present                                       0
Function (50 points)
Activity limitations,            No limitations, no support
                                                                                                   10
support requirements
                                 No limitation daily activities, limitation of recreational
                                                                                                    7
                                 activities, no support
                                 Limited daily & recreational activities, care                      4
                                 Severe limitation daily & recreational activities,
                                                                                                    0
                                 walker, crutches, wheelchair, brace
Maximum walking distance,
                                 >6                                                                 5
blocks
                               4-6                                                    4
                               1-3                                                    2
                               <1                                                     0
Walking surfaces               No difficulty on any surface                           5
                               Some difficulty on uneven terrain, stairs, inclines,
                                                                                      3
                               ladders
                               Severe difficulty on uneven terrain, stairs, inclines,
                                                                                      0
                               ladders
                         THE QUESTIONS BELOW WILL BE FILLED OUT BY YOUR PHYSICIAN
Gait abnormality               None, slight                                           8
                               Obvious                                                4
                               Marked                                                 0
Sagittal motion                Normal/mild restriction (≥30°)
                                                                                      8
(flexion + extension)
                                 Moderate restriction (15-29°)                                      4
                                 Severe restriction (<15%)                                          0
Hindfoot motion                  Normal/mild restriction (75-100% normal)
                                                                                                    6
(inversion + eversion)
                                 Moderate restriction (25-74% normal)                               3
                                 Marked restriction (<25% normal)                                   0
Stability (anterior-posterior,   Stable
                                                                                                    8
varus-valgus)
                                 Definitely unstable                                                0
Alignment (10 points)            Good, plantigrade foot, ankle-hindfoot well aligned               10
                                 Fair, plantigrade foot, some degree of ankle-hindfoot
                                                                                                    5
                                 malalignment observed, no symptoms
                                 Poor, nonplantigrade foot, severe malalignment,
                                                                                                    0
                                 symptoms
TOTAL