Abstract：
The aim of this study is to analyze patient-reported outcomes following this procedure as well as any demographics that may confer prognostic capability. A retrospective analysis was conducted of patients who underwent Triple Arthrodesis at our facility from 2014-2021. Patients were selected if they underwent an isolated triple arthrodesis. All cases included either a gastrocnemius recession versus a percutaneous tendo-achilles lengthening depending on the patient\'s Silverskiold examination. The electronic medical record was utilized to collect basic patient demographics, previous foot and ankle surgeries, hardware failures, additional procedures, and surgical complications. To evaluate outcomes, we compared patient reported outcomes measurement information system (PROMIS) survey scores with the general population and preoperative versus postoperative visual analog scale (VAS) scores. Foot function index (FFI) scores and scores were utilized as a validation tool for our results. A total of 132 patients met the criteria for our study with a total of 50 participants completing the PROMIS and FFI surveys. The average time point at which the outcomes were collected was 5.50 y postoperatively, ranging from 1.65 to 7.57 y. The average PROMIS physical function was 38.35, pain interference was 61.52, and depression was 49.82 for this population. The mean FFI scores were 58.56 for pain, 60.07 for disability, and 48.07 for activity limitation. There was a significant decrease in preoperative and postoperative VAS scores from 5.4 to 2.55 (p < .001). Three patients experienced wound complications related to decreased sensation. Our results indicated that only PROMIS depression scores were within one standard deviation of the population mean following a triple arthrodesis procedure. PROMIS physical function and pain interference were both outside of one standard deviation for the population.
摘要：
这项研究的目的是分析此程序后患者报告的结果以及可能赋予预后能力的任何人口统计学。我们对2014-2021年在我们的机构接受三重关节固定术的患者进行了回顾性分析。如果患者接受了孤立的三重关节固定术，则选择患者。根据患者的Silverskiold检查，所有病例均包括腓肠肌后退和经皮肌腱跟腱延长。电子病历用于收集基本的患者人口统计信息，以前的脚和脚踝手术，硬件故障,额外的程序，和手术并发症。为了评估结果，我们比较了患者报告的结局测量信息系统(PROMIS)调查评分与一般人群以及术前与术后视觉模拟量表(VAS)评分.足功能指数（FFI）得分和得分被用作我们结果的验证工具。共有132名患者符合我们研究的标准，共有50名参与者完成了PROMIS和FFI调查。收集结果的平均时间点是术后5.50y，范围从1.65到7.57y。该人群的平均PROMIS身体功能为38.35，疼痛干扰为61.52，抑郁为49.82。疼痛的平均FFI评分为58.56，60.07残疾，活动限制为48.07。术前和术后的VAS评分从5.4降至2.55（p<.001）。三名患者经历了与感觉下降相关的伤口并发症。我们的结果表明，在进行三重关节固定术后，只有PROMIS抑郁评分在人群平均值的一个标准偏差之内。PROMIS的身体功能和疼痛干扰都在人群的一个标准偏差之外。
