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Preoperative Factors Associated With Higher Patient Satisfaction and Functional Outcome One Year Following Ankle Arthroscopy
ESSKA Academy. Weel H. May 11, 2018; 218059; FP32-751
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Abstract
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Objectives: Primary aim of this study is to identify factors related to a higher patient satisfaction, one year after arthroscopic ankle surgery. Secondary aim is to identify factors associated with a higher functional status or health-related quality of life.

Methods: This study was performed on a prospective cohort of patients that underwent ankle arthroscopy in the AMC between March 2014 and June 2015. Preoperative factors associated with patient satisfaction and functional outcome one year postoperative were selected using multivariate regression analysis.

Results: A total of 366 patients underwent arthroscopic treatment, of whom 55 (15%) had an additional open procedure and were therefore excluded from analysis. No factors associated with patient satisfaction could be identified. There were however factors associated with functional outcome. A higher BMI was associated with lower functional outcome scores at 1-year follow-up after ankle arthroscopy. Male gender showed to be a positive predictor having fewer symptoms. In addition, there was an association between less mental distress and better functional outcome at 1-year follow-up after ankle arthroscopy.

Conclusions: Although no predictive factors for patient satisfaction were found, this study contributes to the knowledge of which patients can be expected to have a better outcome one year after ankle arthroscopy. Several preoperative factors were identified as predictive for functional outcome one year following ankle arthroscopy. Patients with a high BMI, females, and patients with more mental distress were more likely to show lower functional outcome. Age and activity level were not associated with functional outcome.

Keywords:
predictive, ankle, arthroscopy, satisfaction
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