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Patient-reported joint status and quality of life in sports-related ankle disorders and osteoarthritis

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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 (POST-IMP) 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 R-OLT patients, while patients with the other five disorders reported comparable values.

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Data availability

Raw data (clinical, radiography) were generated at the University Medical Centre Ljubljana, Slovenia. Derived anonymized data supporting findings of this study are available from the corresponding author upon request.

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Funding

The study was funded by the University Medical Centre Ljubljana - institutional research funding grant #20190041 to MD.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, University Medical Centre Ljubljana, Zaloška ulica 9, SI-1000, Ljubljana, Slovenia

    Matic Kolar, Klemen Stražar & Matej Drobnič

  2. Chair of Orthopaedics, Medical Faculty, University of Ljubljana, Ljubljana, Slovenia

    Urban Brulc, Klemen Stražar & Matej Drobnič

  3. Sanatorij MD Medicina, Ljubljana, Slovenia

    Urban Brulc

Authors
  1. Matic Kolar
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  2. Urban Brulc
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  3. Klemen Stražar
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  4. Matej Drobnič
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Correspondence to Matej Drobnič.

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The authors declare that they have no conflict of interest.

Ethics approval

The investigational plan was approved by the National Medical Ethics Committee (No. 0120-99/2019/4). This study was part of a larger research project registered at ClinicalTrials.gov: NCT04132076.

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Written informed consent was obtained from patients for their participation in the study.

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Written informed consent was obtained from patients for their anonymized data to be published in this article.

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Kolar, M., Brulc, U., Stražar, K. et al. Patient-reported joint status and quality of life in sports-related ankle disorders and osteoarthritis. International Orthopaedics (SICOT) 45, 1049–1055 (2021). https://doi.org/10.1007/s00264-020-04747-y

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  • DOI: https://doi.org/10.1007/s00264-020-04747-y

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