Analysis of the factors influencing patient satisfaction after in situ arthrodesis for subtalar arthritis after calcaneal fracture
Objective:To investigate the clinical efficacy of in situ arthrodesis for subtalar arthritis after calcaneal fracture and to analyze the influencing factors of postoperative satisfaction.Methods:A total of 59 patients who underwent subtalar joint arthrodesis due to traumatic arthritis of the subtalar joint after calcaneal fracture from March 2018 to November 2020 were retrospectively enrolled,including 51 males and 8 females,aged 26-71 years,with an average age of(45.6±12.6)years.Patients were divided into low satisfaction group and high satisfaction group according to the postoperative follow-up results.Baseline data,preoperative and postoperative clinical information and radiological data were collected,including gender,age,body mass index(BMI),history of diabetes,history of occupational injury,postoperative resumption of physical activity and work,and the time to postoperative resumption of physical activity and work,the height difference between the healthy and affected sides,the difference in dorsiflexion between the healthy and affected ankles preoperatively,the angle of the affected side subtalar joint preoperatively,the tilt angle of the affected side subtalar joint preoperatively,preoperative and postoperative AOFAS scores as well as difference between preoperative and postoperative AOFAS scores,preoperative and postoperative weight-bearing VAS scores,as well as difference between preoperative and postoperative weight-bearing VAS scores,complete bony union,postoperative activity limitations,persistent postoperative numbness,postoperative pain,swelling.The impacts of these factors on patient satisfaction were evaluated.Results:Patients were followed up for a duration ranging from 6 to 48 months,with a mean duration of 18.7±7.7 months.The postoperative AOFAS score was significantly higher than the preoperative score,and the weight-bearing VAS score was significantly lower than the preoperative score(P＜0.05).There were 8 cases(13.6％)in the low satisfaction group and 51 cases(86.4％)in the high satisfaction group.Compared with the high satisfaction group,patients in the low satisfaction group exhibited lower preoperative AOFAS score,higher weight-bearing VAS score,higher postoperative weight-bearing VAS score,and a higher proportion of individuals unable to resume work and physical activity.Conclusions:Factors influencing satisfaction after in situ arthrodesis of subtalar arthritis after calcaneal fracture include preoperative AOFAS score,weight-bearing VAS score,postoperative weight-bearing VAS score,and postoperative inability to resume work and exercise.
In Situ Subtalar ArthrodesisCalcaneal FractureInfluencing FactorsPatient Satisfaction
万方数据
维普
