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Surgically treated adult acquired flatfoot deformity: Register-based study of patient characteristics, health-related quality of life and type of surgery according to severity

Osbeck, Ida LU ; Cöster, Maria LU ; Montgomery, Fredrik and Atroshi, Isam LU (2023) In Foot and Ankle Surgery
Abstract
Background
Population-level data describing patient characteristics and interventions used in surgical treatment of adult acquired flatfoot deformity (AAFD) is lacking.

Methods
We analyzed baseline patient-reported data including PROMs and surgical interventions for patients with AAFD reported to the Swedish Quality Register for Foot and Ankle Surgery (Swefoot) 2014–2021.

Results
625 feet with primary AAFD surgery were registered. Median age was 60 (range 16–83) years and 64% were women. Mean preoperative EQ-5D index and Self-Reported Foot and Ankle Score (SEFAS) were low. In stage IIa (n = 319) 78% had medial displacement calcaneal osteotomy and 59% had flexor digitorium longus transfer, with some regional... (More)
Background
Population-level data describing patient characteristics and interventions used in surgical treatment of adult acquired flatfoot deformity (AAFD) is lacking.

Methods
We analyzed baseline patient-reported data including PROMs and surgical interventions for patients with AAFD reported to the Swedish Quality Register for Foot and Ankle Surgery (Swefoot) 2014–2021.

Results
625 feet with primary AAFD surgery were registered. Median age was 60 (range 16–83) years and 64% were women. Mean preoperative EQ-5D index and Self-Reported Foot and Ankle Score (SEFAS) were low. In stage IIa (n = 319) 78% had medial displacement calcaneal osteotomy and 59% had flexor digitorium longus transfer, with some regional variations. Spring ligament reconstruction was less common. In stage IIb (n = 225), 52% had lateral column lengthening, and in stage III (n = 66), 83% had hind-foot arthrodesis.

Conclusions
Patients with AAFD have low health-related quality of life before surgery. Treatment in Sweden follows best-available evidence but regional variations exist.

Level of evidence
III (Less)
Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
AAFD, national quality register, PROM, register study, Surgical interventions
in
Foot and Ankle Surgery
publisher
Elsevier
external identifiers
  • pmid:36948921
  • scopus:85151422195
ISSN
1268-7731
DOI
10.1016/j.fas.2023.03.003
language
English
LU publication?
yes
id
27cefe80-acd4-4350-a18d-20380ed8e2b6
date added to LUP
2023-05-08 14:03:26
date last changed
2023-07-05 09:00:52
@article{27cefe80-acd4-4350-a18d-20380ed8e2b6,
  abstract     = {{Background<br/>Population-level data describing patient characteristics and interventions used in surgical treatment of adult acquired flatfoot deformity (AAFD) is lacking.<br/><br/>Methods<br/>We analyzed baseline patient-reported data including PROMs and surgical interventions for patients with AAFD reported to the Swedish Quality Register for Foot and Ankle Surgery (Swefoot) 2014–2021.<br/><br/>Results<br/>625 feet with primary AAFD surgery were registered. Median age was 60 (range 16–83) years and 64% were women. Mean preoperative EQ-5D index and Self-Reported Foot and Ankle Score (SEFAS) were low. In stage IIa (n = 319) 78% had medial displacement calcaneal osteotomy and 59% had flexor digitorium longus transfer, with some regional variations. Spring ligament reconstruction was less common. In stage IIb (n = 225), 52% had lateral column lengthening, and in stage III (n = 66), 83% had hind-foot arthrodesis.<br/><br/>Conclusions<br/>Patients with AAFD have low health-related quality of life before surgery. Treatment in Sweden follows best-available evidence but regional variations exist.<br/><br/>Level of evidence<br/>III}},
  author       = {{Osbeck, Ida and Cöster, Maria and Montgomery, Fredrik and Atroshi, Isam}},
  issn         = {{1268-7731}},
  keywords     = {{AAFD; national quality register; PROM; register study; Surgical interventions}},
  language     = {{eng}},
  month        = {{06}},
  publisher    = {{Elsevier}},
  series       = {{Foot and Ankle Surgery}},
  title        = {{Surgically treated adult acquired flatfoot deformity: Register-based study of patient characteristics, health-related quality of life and type of surgery according to severity}},
  url          = {{http://dx.doi.org/10.1016/j.fas.2023.03.003}},
  doi          = {{10.1016/j.fas.2023.03.003}},
  year         = {{2023}},
}