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Preoperative psychological factors predict talonavicular fusion outcomes in Muller-Weiss disease

Xiaocong Liu1, Yalei Pan2, Shihang Cao1

  • 1Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, China.

Frontiers in Psychiatry
|October 16, 2025
PubMed
Abstract

Insights

Preoperative anxiety and depression negatively impact surgical outcomes for Müller-Weiss disease patients undergoing talonavicular fusion. Addressing psychological factors is crucial for better functional improvement post-surgery.

Area of Science:

  • Orthopedics
  • Podiatry
  • Psychological Medicine

Background:

  • Müller-Weiss disease (MWD) is a degenerative condition affecting the foot.
  • Surgical outcomes in MWD can be influenced by various factors, including patient psychological state.

Purpose of the Study:

  • To investigate the association between preoperative anxiety and depression and surgical outcomes in patients with Müller-Weiss disease (MWD).

Main Methods:

  • Retrospective study of 41 MWD patients undergoing talonavicular joint fusion.
  • Patients were divided into symptomatic and asymptomatic groups based on preoperative anxiety and depression.
  • Outcomes assessed using HADS, VAS for pain, and AOFAS scores.

Main Results:

  • 49% of patients had preoperative anxiety and depression.
  • Both groups improved post-surgery, but the symptomatic group had inferior outcomes.
  • A significant negative correlation was found between AOFAS score improvement and preoperative anxiety levels (r = -0.62, P < 0.05).

Conclusions:

  • Preoperative anxiety and depression are linked to poorer outcomes after talonavicular fusion for MWD.
  • Anxiety levels correlate with the degree of functional improvement.
  • Psychological factors should be considered in the treatment planning for MWD patients.
Keywords:
Muller-Weiss diseasemental staterelationshipsurgical outcomestalonavicular joint fusion

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