恢复力对首次跖趾关节融合术患者报告结果的影响

Q4 Medicine Clinical Osteology Pub Date : 2022-05-19 DOI:10.3390/osteology2020010
Nicholas A. Andrews, Sterling Tran, S. Young, Jared R. Halstrom, Jessyca L. Ray, Zachary L. Littlefield, G. McGwin, A. Agarwal, Ashish Shah
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引用次数: 0

摘要

弹性是一种动态结构,被定义为从压力中恢复的能力。没有文献研究弹性对足部和踝关节手术后结果的影响。回顾性分析2011年9月至2020年5月进行首次MTP关节融合术的患者的患者特征和愈合状况。收集PROMIS生理功能(PF)、疼痛干扰(PI)、抑郁(D)和足功能指数(FFI)。心理弹性采用简短心理弹性量表进行测量。进行了多变量线性回归分析,考察了弹性对患者报告的影响。在术后平均3.4年,恢复力被发现独立影响患者报告的所有工具的结果,除了FFI疼痛量表。在第一项研究中,我们考察了足部和踝关节手术后弹性的影响,我们发现弹性对MTP关节融合术后的整体身体功能、残疾、疼痛和心理健康有独立的积极影响。术前恢复力评分可用于预测MTP关节融合术后的术后功能结局,并指导术后康复。这些发现有助于确定早期积极的社会心理特征在矫形足和踝关节人群中的作用。
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Impact of Resilience on Patient Reported Outcome of First Metatarsophalangeal Arthrodesis
Resilience is a dynamic construct defined as the ability to recover from stress. There is no literature examining the impact of resilience on outcomes following foot and ankle surgery. Retrospective analysis of patients who underwent first MTP arthrodesis from September 2011 to May 2020 were reviewed for patient characteristics and union status. PROMIS Physical Function (PF), Pain Interference (PI), Depression (D), and Foot Function Index (FFI) were collected. Resilience was measured using the Brief Resilience Scale. A multivariable linear regression analysis examining the impact of resilience on patient reported was conducted. At an average of 3.4 years postoperatively, resilience was found to independently affect patient reported outcomes across all instruments, except the FFI pain subscale. In the first study examining the impact of resilience following foot and ankle surgery, we found that resilience has an independent positive effect on overall physical function, disability, pain, and mental health following MTP arthrodesis. Preoperative resilience scores could be used to predict postoperative functional outcomes following MTP arthrodesis and guide postoperative rehabilitation. These findings help establish the role of early positive psychosocial characteristics within orthopaedic foot and ankle population.
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Clinical Osteology
Clinical Osteology Medicine-Endocrinology, Diabetes and Metabolism
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