PMID- 36210764
OWN - NLM
STAT- Publisher
LR  - 20240216
IS  - 1938-7636 (Electronic)
IS  - 1938-6400 (Linking)
DP  - 2022 Oct 8
TI  - Non-emergent Conditions of the Ankle, Hindfoot, and Midfoot in Elderly Patients 
      Are as Mobility Limiting as Congestive Heart Failure.
PG  - 19386400221127836
LID - 10.1177/19386400221127836 [doi]
AB  - BACKGROUND: Mobility limitations are well linked to increased morbidity and 
      mortality. Older patients with chronic pathologies of the foot and ankle can 
      suffer from significant mobility limitations; however, the magnitude of 
      limitation experienced by this cohort is not well characterized. Conversely, the 
      effects of congestive heart failure (CHF) on patient mobility are routinely 
      assessed via the New York Heart Association (NYHA) classification. New York Heart 
      Association classification is determined by a patient's physical activity 
      limitation and is strongly correlated to functional status. We hypothesized that 
      non-emergent conditions of the foot and ankle would be as mobility limiting as 
      CHF. METHODS: Life-Space Mobility Assessments (LSAs) were prospectively collected 
      from orthopaedic patients at their preoperative visits and from CHF patients at a 
      cardiology clinic. Patients over the age of 50 years were included in this study. 
      Congestive heart failure patients NYHA class II or greater were included. The 
      non-emergent foot and ankle cohort included Achilles tendonitis, ankle joint 
      cartilage defects, ankle arthritis, subtalar arthritis, and midfoot arthritis. 
      Patient demographics and LSA scores were analyzed using Mann-Whitney U and 
      chi-squared tests. RESULTS: A total of 96 elderly, non-emergent foot and ankle 
      operative patients and 45 CHF patients met inclusion criteria. All medical 
      comorbidities, except smoking status, were significantly more prevalent in the 
      CHF cohort. No statistical difference was observed between CHF and preoperative 
      foot and ankle LSA scores (56.1 vs 62.4, P = .320). Life-Space Mobility 
      Assessment scores in the foot and ankle cohort were significantly improved 
      relative to CHF patients, at 6-month and 1-year postoperative visits (P = .028, P 
      < .0001, respectively). CONCLUSION: Non-emergent ankle, hindfoot, and midfoot 
      pathology is associated with similar mobility limitation to that of NYHA class II 
      and III CHF. Older patients undergoing elective foot and ankle procedures 
      exceeded the mobility of CHF patients at 6 months post-operation, and the 
      mobility gains persisted at 1-year post-operation. LEVELS OF EVIDENCE: Level II: 
      Prospective cohort study.
FAU - Manz, Wesley J
AU  - Manz WJ
AUID- ORCID: 0000-0001-8308-9810
AD  - Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, 
      Georgia.
AD  - Emory University School of Medicine, Atlanta, Georgia.
FAU - Nash, Amalie E
AU  - Nash AE
AUID- ORCID: 0000-0003-3205-7194
AD  - Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, 
      Georgia.
AD  - Emory University School of Medicine, Atlanta, Georgia.
FAU - Novak, Jack
AU  - Novak J
AUID- ORCID: 0000-0002-6577-9778
AD  - Emory University School of Medicine, Atlanta, Georgia.
FAU - Fink, Juliet
AU  - Fink J
AUID- ORCID: 0000-0002-2242-5929
AD  - Emory University School of Medicine, Atlanta, Georgia.
FAU - Kadakia, Rishin
AU  - Kadakia R
AD  - Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, 
      Georgia.
AD  - Emory University School of Medicine, Atlanta, Georgia.
FAU - Coleman, Michelle M
AU  - Coleman MM
AD  - Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, 
      Georgia.
AD  - Emory University School of Medicine, Atlanta, Georgia.
FAU - Bariteau, Jason T
AU  - Bariteau JT
AD  - Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, 
      Georgia.
AD  - Emory University School of Medicine, Atlanta, Georgia.
LA  - eng
PT  - Journal Article
DEP - 20221008
PL  - United States
TA  - Foot Ankle Spec
JT  - Foot & ankle specialist
JID - 101473598
SB  - IM
OTO - NOTNLM
OT  - ankle
OT  - elective
OT  - hindfoot
OT  - life-space
OT  - midfoot
OT  - mobility
EDAT- 2022/10/11 06:00
MHDA- 2022/10/11 06:00
CRDT- 2022/10/10 03:23
PHST- 2022/10/10 03:23 [entrez]
PHST- 2022/10/11 06:00 [pubmed]
PHST- 2022/10/11 06:00 [medline]
AID - 10.1177/19386400221127836 [doi]
PST - aheadofprint
SO  - Foot Ankle Spec. 2022 Oct 8:19386400221127836. doi: 10.1177/19386400221127836.