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Patient-reported outcomes using PROMIS after tarsal tunnel release surgery
Zein S El-Zein1, Samuel A Florentino1, Mina Botros1
1University of Rochester Department of Orthopaedic Surgery, 601 Elmwood Ave, Rochester, NY 14642.
Summary
Surgical release of tarsal tunnel syndrome improves physical function and reduces pain and depression. However, many patients still experience residual pain and physical limitations post-surgery.
Area of Science:
- Orthopedics
- Neurology
- Podiatry
Background:
- Tarsal tunnel syndrome involves tibial nerve entrapment.
- Surgical release outcomes are variable.
- Validated patient-reported outcomes are lacking.
Purpose of the Study:
- To evaluate clinical response after tarsal tunnel release.
- To utilize the Patient-Reported Outcomes Measurement Information System (PROMIS).
- To assess physical function, pain interference, and depression.
Main Methods:
- Retrospective chart review of 39 patients undergoing tarsal tunnel release (CPT 28035).
- Prospective collection of PROMIS physical function, pain interference, and depression scores.
- Analysis using minimal clinically important difference (MCID) and bivariate analysis.
Main Results:
- Significant improvements observed in PROMIS scores: physical function (7.2), pain interference (-6.1), and depression (-5.93).
- 35% achieved MCID for physical function, 62% for pain interference, and 69% for depression.
- No correlation found between space-occupying lesions and patient outcomes.
Conclusions:
- Tarsal tunnel release demonstrates significant patient-reported outcome improvements.
- Post-surgical pain and physical limitations persist in a notable patient subset.
- PROMIS provides validated metrics for assessing tarsal tunnel release outcomes.
