Patient Reported Outcomes for Maisonneuve Fractures using PROMIS Physical Function Scores

Area of Science:

• Orthopedic Surgery
• Trauma Surgery
• Patient-Reported Outcomes

Background:

• Maisonneuve fractures are rare, with limited research on patient-reported outcomes.
• Few studies have evaluated outcomes using the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF) and Pain Intensity (PI) scores.

Purpose of the Study:

• To report patient-reported outcomes for surgically treated Maisonneuve fractures.
• To utilize PROMIS PF and PI scores to assess functional status and pain.

Main Methods:

• Retrospective cohort study of 28 Maisonneuve fracture patients with a minimum 12-month follow-up.
• Collected data on patient characteristics, injury mechanisms, operative variables, and complications.
• Administered PROMIS PF and PI tests, along with Foot and Ankle Ability Measure (FAAM) questionnaires.

Main Results:

• Mean follow-up was 59.6 months. Mean PROMIS PF score was 56.3 and mean PROMIS PI score was 40.9.
• Mean FAAM Activities of Daily Living (ADL) score was 90.4 and FAAM Sports score was 75.2.
• Plate + syndesmotic screw fixation was associated with significantly worse PROMIS PF scores compared to syndesmotic screws alone.

Conclusions:

• This is the largest cohort study using PROMIS PF and PI for surgically treated Maisonneuve fractures.
• Results indicate favorable outcomes for surgical management of Maisonneuve fractures.
• Different syndesmotic fixation methods may impact functional outcomes.