Patient-reported joint status and quality of life in sports-related ankle disorders and osteoarthritis
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ORIGINAL PAPER
Patient-reported joint status and quality of life in sports-related ankle disorders and osteoarthritis Matic Kolar 1 & Urban Brulc 2,3 & Klemen Stražar 1,2 & Matej Drobnič 1,2 Received: 1 July 2020 / Accepted: 21 July 2020 # SICOT aisbl 2020
Abstract Purpose To compare self-reported joint status, quality of life, level of activity and pain management in patients scheduled for surgical treatment of seven common ankle disorders: osteoarthritis (OA), primary osteochondral lesion of talus (P-OLT), recurrent osteochondral lesion of talus (R-OLT), lateral ankle instability (INST) and anterior (ANT-IMP), posterior (POSTIMP) and combined (COMB-IMP) ankle impingements. Methods The cross-sectional study design was implemented. Hospital records of 610 patients that were admitted for surgical intervention on the ankle joint over a seven year period were reviewed. Patient selection (over 18 years, no systemic musculoskeletal illnesses, only one isolated ankle pathology) resulted in 123 eligible patients for current study (OA 22, P-OLT 19, R-OLT 18, INST 15, ANT-IMP 20, POST-IMP 13, COMB-IMP 16). Foot and Ankle Outcome Score (FAOS), European quality of life in a visual analogue and in five dimensions (EQ-VAS, EQ-5D-3L), Tegner activity scale (TAS) and pain medication usage were recorded at the admission and compared across these seven groups. Results All evaluated ankle disorders induced the following: (a) subjective joint-specific dysfunction - FAOS cumulative: 42 (OA), 50 (R-OLT), 65 (P-OLT), 65 (INST), 63 (ANT-IMP), 61 (POST-IMP), 60 (COMB-IMP); (b) decreased quality of life EQ-5D-3L: 0.41 (OA), 0.44 (R-OLT), 0.56 (P-OLT), 0.62 (INST), 0.64 (ANT-IMP), 0.56 (POST-IMP), 0.60 (COMB-IMP) and (c) decreased activity level - TAS: 2.1 (OA), 2.7 (R-OLT), 3.7 (P-OLT), 4.0 (INST), 4.7 (ANT-IMP), 4.4 (POST-IMP), 5.1 (COMB-IMP). FAOS subscales, EQ-5D-3L and TAS were significantly lower in OA and R-OLT patients. Between 31% (POST-IMP) and 68% (OA and R-OLT) of patients required pain medication over one month prior to the assessment. Conclusion All analysed ankle disorders in patients amenable for surgical treatment induced a considerable decline in patients` perceived ankle function, quality of life and activity level. The worst subjective ankle status was reported equally by OA and ROLT patients, while patients with the other five disorders reported comparable values. Keywords Ankle . Talus . Osteoarthritis . Osteochondral . Lesion . Instability . Impingement syndrome . Quality of life . Activity level . Pain
Introduction Ankle injuries represent one of the most common musculoskeletal trauma, with an estimated daily incidence 1/10.000 in general population. As much as 7–10% of * Matej Drobnič [email protected] 1
Department of Orthopaedic Surgery, University Medical Centre Ljubljana, Zaloška ulica 9, SI-1000 Ljubljana, Slovenia
2
Chair of Orthopaedics, Medical Faculty, University of Ljubljana, Ljubljana, Slovenia
3
Sanatorij MD Medicina, Ljubljana, Slovenia
all admissions to hospital emergency departments m
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