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Patient satisfaction and patient-reported outcome measures after primary ankle arthrodesis : 2-year results from the Swedish Ankle Registry

Undén, Alexandra LU ; Jehpsson, Lars LU ; Henricson, Anders ; Karlsson, Magnus LU and Rosengren, Björn LU (2026) In Acta Orthopaedica 97. p.171-176
Abstract
Background and purpose — Ankle arthrodesis (AA) and total ankle replacement are the 2 main surgical treatment options for advanced ankle arthritis but information is scarce on satisfaction and patient-reported outcome measures (PROMs) after surgery. We aimed to evaluate postoperative satisfaction, changes in PROMs from before to 2 years after AA, and factors associated with the outcome.
Methods — This is a national registry-based observational study using the Swedish Ankle Registry. We identified 1,145 patients who underwent AA between 2008 and 2020 who answered a question on satisfaction, and between 662 and 702 patients who answered pre- and 2-year postoperative PROMs (SElf reported Foot and Ankle Score [SEFAS], EQ-5D index, and... (More)
Background and purpose — Ankle arthrodesis (AA) and total ankle replacement are the 2 main surgical treatment options for advanced ankle arthritis but information is scarce on satisfaction and patient-reported outcome measures (PROMs) after surgery. We aimed to evaluate postoperative satisfaction, changes in PROMs from before to 2 years after AA, and factors associated with the outcome.
Methods — This is a national registry-based observational study using the Swedish Ankle Registry. We identified 1,145 patients who underwent AA between 2008 and 2020 who answered a question on satisfaction, and between 662 and 702 patients who answered pre- and 2-year postoperative PROMs (SElf reported Foot and Ankle Score [SEFAS], EQ-5D index, and EQ-5D VAS). We analyzed changes in scores and associations between surgical/patient factors (including preoperative PROMs) and the outcomes satisfaction/ postoperative PROM score.
Results — All mean PROM scores improved from before to 2 years postoperatively (all P < 0.001). 69% of the patients were satisfied with the procedure, 15% uncertain,
and 16% dissatisfied. Satisfaction was associated with higher preoperative SEFAS score and dissatisfaction with lower preoperative SEFAS score. Higher SEFAS score was associated with male sex and osteoarthritis (compared with rheumatoid arthritis), while higher EQ-5D index and EQ-5D VAS scores were associated with male sex, posttraumatic arthritis, osteoarthritis (compared with rheumatoid arthritis),
and higher age.
Conclusion — The majority (69%) of patients treated with AA are satisfied with the procedure and a higher preoperative SEFAS score is associated with postoperative satisfaction. We speculate that preoperative SEFAS score may be useful for predicting postoperative outcomes and will facilitate preoperative patient discussions on expected results. (Less)
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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Orthopaedica
volume
97
pages
171 - 176
publisher
Taylor & Francis
external identifiers
  • scopus:105032810554
  • pmid:41785395
ISSN
1745-3682
DOI
10.2340/17453674.2026.45374
language
English
LU publication?
yes
id
c3392e4f-51a5-4d2f-bd77-254c866c70ba
date added to LUP
2026-04-08 18:06:36
date last changed
2026-04-10 03:00:05
@article{c3392e4f-51a5-4d2f-bd77-254c866c70ba,
  abstract     = {{Background and purpose — Ankle arthrodesis (AA) and total ankle replacement are the 2 main surgical treatment options for advanced ankle arthritis but information is scarce on satisfaction and patient-reported outcome measures (PROMs) after surgery. We aimed to evaluate postoperative satisfaction, changes in PROMs from before to 2 years after AA, and factors associated with the outcome.<br/>Methods — This is a national registry-based observational study using the Swedish Ankle Registry. We identified 1,145 patients who underwent AA between 2008 and 2020 who answered a question on satisfaction, and between 662 and 702 patients who answered pre- and 2-year postoperative PROMs (SElf reported Foot and Ankle Score [SEFAS], EQ-5D index, and EQ-5D VAS). We analyzed changes in scores and associations between surgical/patient factors (including preoperative PROMs) and the outcomes satisfaction/ postoperative PROM score.<br/>Results — All mean PROM scores improved from before to 2 years postoperatively (all P &lt; 0.001). 69% of the patients were satisfied with the procedure, 15% uncertain,<br/>and 16% dissatisfied. Satisfaction was associated with higher preoperative SEFAS score and dissatisfaction with lower preoperative SEFAS score. Higher SEFAS score was associated with male sex and osteoarthritis (compared with rheumatoid arthritis), while higher EQ-5D index and EQ-5D VAS scores were associated with male sex, posttraumatic arthritis, osteoarthritis (compared with rheumatoid arthritis),<br/>and higher age.<br/>Conclusion — The majority (69%) of patients treated with AA are satisfied with the procedure and a higher preoperative SEFAS score is associated with postoperative satisfaction. We speculate that preoperative SEFAS score may be useful for predicting postoperative outcomes and will facilitate preoperative patient discussions on expected results.}},
  author       = {{Undén, Alexandra and Jehpsson, Lars and Henricson, Anders and Karlsson, Magnus and Rosengren, Björn}},
  issn         = {{1745-3682}},
  language     = {{eng}},
  month        = {{01}},
  pages        = {{171--176}},
  publisher    = {{Taylor & Francis}},
  series       = {{Acta Orthopaedica}},
  title        = {{Patient satisfaction and patient-reported outcome measures after primary ankle arthrodesis : 2-year results from the Swedish Ankle Registry}},
  url          = {{https://lup.lub.lu.se/search/files/246888885/Paper_3.pdf}},
  doi          = {{10.2340/17453674.2026.45374}},
  volume       = {{97}},
  year         = {{2026}},
}