Tyler Kelly, Julian Garcia-Acosta, Marc Bernstein, Garrett Jebeles, Gerald McGwin, Binam Shrestha, Payal Gupta, Jacob Burke, Fabio Pencle, Ashish Shah
{"title":"Brostrom-Gould治疗踝关节不稳定后心理健康、疼痛和功能的间隔变化:一项回顾性队列研究","authors":"Tyler Kelly, Julian Garcia-Acosta, Marc Bernstein, Garrett Jebeles, Gerald McGwin, Binam Shrestha, Payal Gupta, Jacob Burke, Fabio Pencle, Ashish Shah","doi":"10.1053/j.jfas.2025.06.009","DOIUrl":null,"url":null,"abstract":"<p><p>This study aims to assess interval changes in patient-reported outcomes following Brostrom-Gould (BG) surgery in patients with Chronic Ankle Instability (CAI). Our primary interest is to identify periods of significant change in patient mental health, physical function, and pain to provide a reference to appropriately counsel patients regarding postoperative expectations. This study was designed as a retrospective cohort study. Seventy-eight patients were identified via CPT codes and an extensive review of the surgical scheduling record at a single institution from July 2022 to February 2024. Inclusion criteria were restricted to patients age ≥16, a diagnosis of CAI undergoing a primary BG procedure with completed preoperative patient-reported outcome (PRO) assessments. PROs were prospectively collected preoperatively and at designated postoperative intervals. PROs included Patient Reported Outcome Information Management System (PROMIS) Physical Function (PF), Pain Interference (PI), and Global-10 Mental Health (MH). Patient sociodemographic data and past medical history were collected via retrospective chart review. Among the 40 patients included, the mean preoperative MH was 50.4 [SD = 9.04], PF was 41.0 [SD = 6.75], and PI was 61.8 [SD = 7.0]. Changes in mean PROMIS scores relative to baseline were seen in PROMIS PF (p < 0.0001), PI (p < 0.0001), and MH (p = 0.4830). The greatest improvement in PF and PI occurred between 6 weeks and 3 months. The present study suggests that patients undergoing BG can expect significant improvement in physical function and a reduction of pain within the first year of surgery, beginning as early as 6 weeks postoperatively. These findings may be used in clinical practice to appropriately counsel patients regarding post-operative expectations following surgery.</p>","PeriodicalId":50191,"journal":{"name":"Journal of Foot & Ankle Surgery","volume":" ","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Interval changes in mental health, pain, and function following Brostrom-Gould for ankle instability: A retrospective cohort study.\",\"authors\":\"Tyler Kelly, Julian Garcia-Acosta, Marc Bernstein, Garrett Jebeles, Gerald McGwin, Binam Shrestha, Payal Gupta, Jacob Burke, Fabio Pencle, Ashish Shah\",\"doi\":\"10.1053/j.jfas.2025.06.009\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>This study aims to assess interval changes in patient-reported outcomes following Brostrom-Gould (BG) surgery in patients with Chronic Ankle Instability (CAI). Our primary interest is to identify periods of significant change in patient mental health, physical function, and pain to provide a reference to appropriately counsel patients regarding postoperative expectations. This study was designed as a retrospective cohort study. Seventy-eight patients were identified via CPT codes and an extensive review of the surgical scheduling record at a single institution from July 2022 to February 2024. Inclusion criteria were restricted to patients age ≥16, a diagnosis of CAI undergoing a primary BG procedure with completed preoperative patient-reported outcome (PRO) assessments. PROs were prospectively collected preoperatively and at designated postoperative intervals. PROs included Patient Reported Outcome Information Management System (PROMIS) Physical Function (PF), Pain Interference (PI), and Global-10 Mental Health (MH). Patient sociodemographic data and past medical history were collected via retrospective chart review. Among the 40 patients included, the mean preoperative MH was 50.4 [SD = 9.04], PF was 41.0 [SD = 6.75], and PI was 61.8 [SD = 7.0]. Changes in mean PROMIS scores relative to baseline were seen in PROMIS PF (p < 0.0001), PI (p < 0.0001), and MH (p = 0.4830). The greatest improvement in PF and PI occurred between 6 weeks and 3 months. The present study suggests that patients undergoing BG can expect significant improvement in physical function and a reduction of pain within the first year of surgery, beginning as early as 6 weeks postoperatively. These findings may be used in clinical practice to appropriately counsel patients regarding post-operative expectations following surgery.</p>\",\"PeriodicalId\":50191,\"journal\":{\"name\":\"Journal of Foot & Ankle Surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2025-07-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Foot & Ankle Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1053/j.jfas.2025.06.009\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Foot & Ankle Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1053/j.jfas.2025.06.009","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
Interval changes in mental health, pain, and function following Brostrom-Gould for ankle instability: A retrospective cohort study.
This study aims to assess interval changes in patient-reported outcomes following Brostrom-Gould (BG) surgery in patients with Chronic Ankle Instability (CAI). Our primary interest is to identify periods of significant change in patient mental health, physical function, and pain to provide a reference to appropriately counsel patients regarding postoperative expectations. This study was designed as a retrospective cohort study. Seventy-eight patients were identified via CPT codes and an extensive review of the surgical scheduling record at a single institution from July 2022 to February 2024. Inclusion criteria were restricted to patients age ≥16, a diagnosis of CAI undergoing a primary BG procedure with completed preoperative patient-reported outcome (PRO) assessments. PROs were prospectively collected preoperatively and at designated postoperative intervals. PROs included Patient Reported Outcome Information Management System (PROMIS) Physical Function (PF), Pain Interference (PI), and Global-10 Mental Health (MH). Patient sociodemographic data and past medical history were collected via retrospective chart review. Among the 40 patients included, the mean preoperative MH was 50.4 [SD = 9.04], PF was 41.0 [SD = 6.75], and PI was 61.8 [SD = 7.0]. Changes in mean PROMIS scores relative to baseline were seen in PROMIS PF (p < 0.0001), PI (p < 0.0001), and MH (p = 0.4830). The greatest improvement in PF and PI occurred between 6 weeks and 3 months. The present study suggests that patients undergoing BG can expect significant improvement in physical function and a reduction of pain within the first year of surgery, beginning as early as 6 weeks postoperatively. These findings may be used in clinical practice to appropriately counsel patients regarding post-operative expectations following surgery.
期刊介绍:
The Journal of Foot & Ankle Surgery is the leading source for original, clinically-focused articles on the surgical and medical management of the foot and ankle. Each bi-monthly, peer-reviewed issue addresses relevant topics to the profession, such as: adult reconstruction of the forefoot; adult reconstruction of the hindfoot and ankle; diabetes; medicine/rheumatology; pediatrics; research; sports medicine; trauma; and tumors.