Does anxiety influence outcome measurements in ankle replacement patients?

• Published in: Foot and ankle surgery Vol. 30; no. 3; pp. 231 - 238
• Main Authors: Hermus, J.P.S., Stam, P., van Kuijk, S.M.J., Witlox, M.A., van Rhijn, L.W., Arts, J.J.C., Poeze, M.
• Format: Journal Article
• Language: English
• Published: France Elsevier Ltd 01.04.2024
• Subjects: Ankle - surgery; Ankle Joint - diagnostic imaging; Ankle Joint - surgery; Ankle replacement; Anxiety; Anxiety - etiology; Arthroplasty, Replacement, Ankle - methods; Humans; Patient satisfaction; Prospective Studies; Quality of Life; Retrospective Studies; Treatment Outcome; Anxiety; Ankle replacement; Patient satisfaction
• ISSN: 1268-7731; 1460-9584
• DOI: 10.1016/j.fas.2023.11.005

Total ankle arthroplasty (TAA) is increasingly used to treat end-stage ankle arthritis to restore ankle functional outcomes and alleviate pain. This treatment outcome may be influenced by pre-morbid patient anxiety. Twenty-five Infinity TAA implants were prospectively followed post-operatively with a mean follow-up time of 34.18 months. Demographic, clinical, and functional outcomes were assessed. Analysis was performed on the effect of anxiety, reported by the HADS, on patient-perceived postoperative pain, functioning, and quality of life. Postoperative the PROMs and Range of Motion (ROM) improved significantly. Linear regression analysis and Pearson correlation showed a significant negative effect of anxiety on the postoperative patient-reported outcome measurements (EQ-5D-5L, VAS, and MOxFQ) at the end of follow-up. Good functional, clinical, and radiographic results were observed in this prospective cohort study. Anxiety had a negative influence on the outcome of the patient-reported outcome measurements (EQ-5D-5L and MOxFQ) postoperatively. Level III, prospective cohort study