Can patients with psychological distress achieve comparable functional outcomes and satisfaction after hallux valgus surgery? A 2-year follow-up study. Issue 6 (August 2021)

• Record Type: Journal Article
• Authors: Goh, Graham S.; Thever, Yogen; Tay, Adriel You Wei; Rikhraj, Inderjeet Singh; Koo, Kevin
• Is Part Of: Foot and ankle surgery. Volume 27:Issue 6(2021)
• Page Start: 660
• Page End: 664
• Publication Date: 2021-08
• Subjects: Hallux valgus -- Mental health -- Depression -- Anxiety -- Psychological -- Outcomes -- Function -- Satisfaction -- Quality of life; Foot -- Surgery -- Periodicals; Ankle -- Surgery -- Periodicals; Ankle -- surgery -- Periodicals; Foot -- surgery -- Periodicals; Ankle -- Surgery; Foot -- Surgery; Periodicals; Electronic journals; 617.58
• DOI: 10.1016/j.fas.2020.08.011
• Languages: English
• ISSNs: 1268-7731

Abstract

Highlights: VAS and AOFAS were poorer in the distressed group at 6 months. There was no difference in postoperative scores or change in scores at 2 years. A lower proportion of distressed patients were satisfied at 6 months (65% vs 79%). Satisfaction was equally high at 2 years (80% vs 79%). SF-36 MCS in distressed patients improved by 7.4 points. Abstract: Background: This study assessed the influence of preoperative mental health on functional outcomes and satisfaction, and the change in mental health after hallux valgus surgery. Methods: 383 patients who underwent scarf osteotomy were analyzed. Visual analogue scale (VAS), American Orthopaedic Foot & Ankle Society score (AOFAS) and SF-36 were assessed at 6 months and 2 years. The cohort was stratified into patients with and without psychological distress ( i.e. SF-36 Mental Component Summary [MCS] <50 vs ≥50). Results: After adjusting for demographics and baseline scores, VAS and AOFAS were poorer in the distressed group at 6 months. However, there was no difference in scores at 2 years and a similar proportion of patients were satisfied. SF-36 MCS in distressed patients significantly improved, but remained lower compared to non-distressed patients at follow-up. Conclusions: Patients with psychological distress undergoing hallux valgus surgery had poorer short-term outcomes, but these differences resolved at 2 years.