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Increased Activity Level Following Total Ankle Replacement Results in Improved Patient Reported Outcomes.

Reka Kovacs1, Jun Min Leow2, Mathew Smith3

  • 1University of Edinburgh School of Medicine, Edinburgh, United Kingdom.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|September 2, 2024
PubMed
Summary
This summary is machine-generated.

Following total ankle replacement (TAR), maintaining or increasing physical activity levels significantly improves patient outcomes and satisfaction. Higher activity post-surgery correlates with better functional recovery and quality of life.

Keywords:
Ankle arthroplastyMOXFQPROMspatient satisfactionpostoperative recovery

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Area of Science:

  • Orthopedics
  • Rehabilitation Medicine
  • Biomedical Engineering

Background:

  • Evidence suggests increased physical activity levels after total ankle replacement (TAR).
  • The relationship between postoperative activity changes and patient-reported outcomes after TAR remains under-explored.

Purpose of the Study:

  • To investigate the effect of activity level changes on patient-reported outcomes following TAR.
  • To correlate postoperative activity modifications with functional improvements and patient satisfaction.

Main Methods:

  • Retrospective cohort study analyzing patient records and questionnaires from a single center.
  • Included 89 patients undergoing TAR between January 2014 and February 2023.
  • Assessed activity participation preoperatively and postoperatively (mean follow-up 44 months), correlating with Manchester-Oxford Foot Questionnaire (MOXFQ) scores.

Main Results:

  • 82% of patients maintained or increased their activity levels post-TAR.
  • All patient groups showed significant improvements in MOXFQ scores.
  • Patients who increased activity levels demonstrated significantly greater MOXFQ score improvements compared to those who decreased activity.

Conclusions:

  • Increased postoperative physical activity is associated with superior functional outcomes after total ankle replacement.
  • Promoting physical activity post-TAR is crucial for optimizing patient recovery and satisfaction.
  • Future research should focus on strategies to encourage higher activity levels in patients undergoing TAR.