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Updated: Jan 8, 2026
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
A Retrospective Comparative Analysis of Demographics and Patient-Reported Outcomes in Patients With Progressive
Heidi C Ventresca1, Jack M Ayres1, Chase Gauthier1
1Department of Orthopaedic Surgery, Prisma Health-Midlands/University of South Carolina School of Medicine, Columbia, SC, USA.
Background:
Progressive collapsing flatfoot deformity (PCFD) is a complex pathophysiologic condition, with many different treatment options. The complexity of the condition and variety of treatments can greatly impact patient-reported outcomes (PROs), along with individual patient characteristics. The purpose of this study was to examine PROs in patients receiving surgical treatment for PCFD and compare those outcomes with patients with ankle instability or hindfoot arthritis.
Methods:
The Orthopaedic Foot and Ankle Outcomes Research (OFAR) Network database was queried to identify all patients with flexible PCFD, ankle instability, or hindfoot arthritis procedures from October 2017 to October 2019 with at least 12 months of follow-up. Patient satisfaction was also measured at both 6 months and 12 months. Changes in PROs and satisfaction were assessed over time and compared between those with PCFD and those with ankle instability or hindfoot arthritis using generalized logistic regression and estimating equations.
Results:
After adjusting for age, sex, body mass index, hypertension, autoimmune conditions, and type 2 diabetes, there were significant improvements in average Global Physical Health (P < .0001), Pain Interference (P < .0001), Pain Intensity (P < .0001), and Physical Function (P < .0001) for both groups following surgery. Changes in Pain Intensity scores between the baseline and 12-month visits were significantly different between the 2 groups (P = .0286), with those receiving PCFD surgery reporting greater change. The odds of surgical satisfaction was significantly lower at 12 months compared to 6 months for both groups.
Conclusion:
This study found that patients who underwent surgical management of PCFD demonstrated significant improvements in their PROs and postoperative satisfaction; however, there were lower odds of satisfaction at 12 months compared with 6 months. Additionally, PCFD patients showed greater improvement in Pain Intensity from baseline to follow-up, whereas other PROMIS domains improved similarly between groups.Level of Evidence: Level III, retrospective comparative cohort study.
