Does anxiety influence outcome measurements in ankle replacement patients?

Foot Ankle Surg. 2024 Apr;30(3):231-238. doi: 10.1016/j.fas.2023.11.005. Epub 2023 Nov 18.

Abstract

Background: 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.

Methods: 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.

Results: 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.

Conclusion: 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 of evidence: Level III, prospective cohort study.

Keywords: Ankle replacement; Anxiety; Patient satisfaction.

MeSH terms

  • Ankle Joint / diagnostic imaging
  • Ankle Joint / surgery
  • Ankle* / surgery
  • Anxiety / etiology
  • Arthroplasty, Replacement, Ankle* / methods
  • Humans
  • Prospective Studies
  • Quality of Life
  • Retrospective Studies
  • Treatment Outcome