PMID- 35097472
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220430
IS  - 2473-0114 (Electronic)
IS  - 2473-0114 (Linking)
VI  - 6
IP  - 4
DP  - 2021 Oct
TI  - Evaluating Prospective Patient-Reported Pain and Function Outcomes After Ankle 
      and Hindfoot Arthrodesis.
PG  - 24730114211040740
LID - 10.1177/24730114211040740 [doi]
LID - 24730114211040740
AB  - BACKGROUND: Hindfoot and ankle fusions are mechanically limiting procedures for 
      patients. However, patient-reported outcomes of these procedures have not been 
      well studied. This study assessed outcomes of hindfoot and ankle fusions by using 
      Patient-Reported Outcome Measurement Information System (PROMIS) Physical 
      Function (PF) and Pain Interference (PI) Computer Adaptive Tests (CATs). METHODS: 
      Between 2014 and 2018, 102 patients were prospectively enrolled after presenting 
      to a tertiary care facility for ankle and hindfoot fusions, including tibiotalar, 
      tibiotalocalcaneal, subtalar, and triple arthrodeses. Study participants 
      completed preoperative and 12-month postoperative PF and PI CATs. The differences 
      between mean 12-month postoperative and preoperative PROMIS PF and PI T scores 
      were analyzed with paired t tests. The relationship between the 12-month PF and 
      PI differences for the overall sample and patient factors was examined using 
      multiple regression modeling. RESULTS: The sample had mean age of 57.69 years; 
      48% were male, and 55% were obese. Patients who underwent ankle and hindfoot 
      arthrodesis had statistically significant improvements from preoperative to 12 
      months postoperative in mean PF (36.26+/-7.85 vs 39.38+/-6.46, P = .03) and PI 
      (61.07+/-7.75 vs 56.62+/-9.81, P = .02). Triple arthrodesis saw the greatest 
      increases in physical function (triangle upPF = 7.22+/-7.31, P = .01) and reductions in pain 
      (triangle upPI = -9.17+/-8.31, P = .01), achieving minimal clinically important difference 
      (MCID). Patients who underwent tibiotalar fusion had significant improvement in 
      physical function (triangle upPF = 4.18+/-5.68, P = .04) and pain reduction that approached 
      statistical significance (triangle upPI = -6.24+/-8.50, P = .09), achieving MCID. Older age 
      (>/=60 years ) was associated with greater improvements in PF (beta = 0.20, P = .07) 
      and PI (beta = -0.29, P = .04). Preoperative PF and PI T scores were significantly 
      associated with the 12-month change in PF and PI T scores, respectively (beta 
      = -0.74, P < .01; beta = -0.61, P < .01). CONCLUSION: Hindfoot and ankle fusions are 
      procedures with favorable patient outcomes leading to increased physical function 
      and decreased pain at 12 months postoperation relative to preoperation. LEVEL OF 
      EVIDENCE: Level II, prospective comparative study.
CI  - (c) The Author(s) 2021.
FAU - Mehta, Manish P
AU  - Mehta MP
AUID- ORCID: 0000-0002-5015-4564
AD  - Department of Orthopaedic Surgery, Feinberg School of Medicine, Northwestern 
      University, Chicago, IL, USA.
FAU - Mehta, Mitesh P
AU  - Mehta MP
AUID- ORCID: 0000-0002-2122-5650
AD  - Department of Orthopaedic Surgery, Feinberg School of Medicine, Northwestern 
      University, Chicago, IL, USA.
FAU - Sherman, Alain E
AU  - Sherman AE
AUID- ORCID: 0000-0001-8016-7000
AD  - Department of Orthopaedic Surgery, Feinberg School of Medicine, Northwestern 
      University, Chicago, IL, USA.
FAU - Mutawakkil, Muhammad Y
AU  - Mutawakkil MY
AD  - Department of Orthopaedic Surgery, Feinberg School of Medicine, Northwestern 
      University, Chicago, IL, USA.
FAU - Bell, Raheem
AU  - Bell R
AUID- ORCID: 0000-0001-6095-7881
AD  - Department of Orthopaedic Surgery, Feinberg School of Medicine, Northwestern 
      University, Chicago, IL, USA.
FAU - Patel, Milap S
AU  - Patel MS
AD  - Department of Orthopaedic Surgery, Feinberg School of Medicine, Northwestern 
      University, Chicago, IL, USA.
FAU - Kadakia, Anish R
AU  - Kadakia AR
AD  - Department of Orthopaedic Surgery, Feinberg School of Medicine, Northwestern 
      University, Chicago, IL, USA.
LA  - eng
PT  - Journal Article
DEP - 20211029
PL  - United States
TA  - Foot Ankle Orthop
JT  - Foot & ankle orthopaedics
JID - 101752333
PMC - PMC8559232
OTO - NOTNLM
OT  - PROMIS
OT  - ankle fusion
OT  - hindfoot fusion
OT  - patient-reported outcomes
COIS- Declaration of Conflicting Interests: The author(s) declared no potential 
      conflicts of interest with respect to the research, authorship, and/or 
      publication of this article. ICMJE forms for all authors are available online.
EDAT- 2022/02/01 06:00
MHDA- 2022/02/01 06:01
PMCR- 2021/10/29
CRDT- 2022/01/31 06:02
PHST- 2022/01/31 06:02 [entrez]
PHST- 2022/02/01 06:00 [pubmed]
PHST- 2022/02/01 06:01 [medline]
PHST- 2021/10/29 00:00 [pmc-release]
AID - 10.1177_24730114211040740 [pii]
AID - 10.1177/24730114211040740 [doi]
PST - epublish
SO  - Foot Ankle Orthop. 2021 Oct 29;6(4):24730114211040740. doi: 
      10.1177/24730114211040740. eCollection 2021 Oct.