CME OnDemand: 2022 AOFAS Annual Meeting-Factors Affecting Patient Reported Outcomes After Surgical Fixation for a Lisfranc Injury

Video Transcription

Hi, my name is Megan Underwood, and I'm a research fellow with the UAB Orthopedic Surgery Department, and I'll be presenting our study on factors affecting patient-reported outcomes  after surgical fixation for a lisp-ranked injury. For background on our research, lisp-ranked joint injuries are not common, making up only  about 0.2% of fractures, and they're typically caused by trauma, high falls, or athletic injuries.  Depending on various factors, these fractures can be treated either operatively or non-operatively.  Our study aims to fill a gap in previous literature by assessing patient-reported outcomes after  surgical intervention for lisp-ranked injuries, and establishing a relationship between patient-reported  outcomes measurement information system, or PROMIS, survey scores, and overall patient outcomes.  Therefore, we conducted a retrospective analysis utilizing the EMR to ascertain patient data and the PROMIS survey and foot function index scores to evaluate patient outcomes.  We also conducted resiliency surveys to stratify participants into lower-high resiliency groups. Our results showed low complication rates and a significant correlation between high  resiliency scores and better PROMIS function, pain, and depression scores, as well as FFI disability and activity limitation scale scores, compared to the low resiliency group.  Although FFI pain scores were not significantly different between resiliency groups, there was a significant decrease in post-operative pain scores compared to pre-operative pain.  Altogether, we can conclude that the preliminary results of this study suggest that operative  management for lisp-ranked injuries is a satisfactory treatment option, with overall favorable patient outcomes based on PROMIS and FFI scores.  Our study was large and generally comprehensive in follow-up length, thus future research could glean further insight by narrowing the criteria to focus on longer-term outcomes.  We would also suggest that future studies compare patient-reported outcomes based on the type of surgical intervention, hardware, and patient demographic factors, such as obesity  or smoking history, which could affect patient outcomes. Thank you for your time and for your attention.

Video Summary

In this video, Megan Underwood, a research fellow with the UAB Orthopedic Surgery Department, presents a study on patient-reported outcomes after surgical fixation for lisp-ranked joint injuries. These injuries are rare and caused by trauma or athletic activities. The study aimed to assess patient outcomes by using the PROMIS survey and foot function index scores. Resiliency surveys were also conducted, categorizing participants into lower and higher resiliency groups. The results showed low complication rates and a significant correlation between high resiliency scores and better PROMIS function, pain, and depression scores. The study suggests that surgical management for these injuries is a satisfactory treatment option, but further research is needed on longer-term outcomes and other factors like surgical interventions and patient demographics.

Asset Subtitle

Ashish Shah, MD, Sean M. Young, Zachary Littlefield, Ezan A. Kothari, Matthew Young, Kevin S. Luque-Sanchez, and Srihari R. Prahad

Keywords

patient-reported outcomes

surgical fixation

lisfranc joint injuries

resiliency surveys

surgical management