Radl Roman, Leithner Andreas, Zacherl Maximilian, Lackner Ursula, Egger Josef, Windhager Reinhard
Department of Orthopaedic Surgery, University of Graz, Auenbruggerplatz 5, A-8036 Graz, Austria.
Int Orthop. 2004 Oct;28(5):303-6. doi: 10.1007/s00264-004-0574-x. Epub 2004 Jul 6.
We studied prospectively the influence of personality traits on the subjective outcome of a chevron osteotomy in 42 patients with hallux valgus. The mean age of patients was 48.3 (20-70) years. Personality traits were evaluated by the means of the Freiburg Personality Inventory (FPI-R). Three months postoperatively 37 patients were satisfied, and five patients not satisfied with the operative procedure. The preoperative AOFAS Score improved from an average of 48.7 (30-65) points to 87.9 (50-100) points. A comparison of satisfied and dissatisfied patients revealed statistically significant differences in the personality traits aggressiveness (p=0.003), extraversion (p=0.001) and health worries (p=0.04). The postoperative hallux valgus angle was 12.2+/-7.8 degrees and 13.4+/-8.3 degrees (p=0.74) among satisfied and not satisfied patients, respectively, and the intermetatarsal angle (I-II) was 7.4+/-2.5 degrees and 7.6+/-4 degrees (p=0.89), respectively. The results suggest that the patient's subjective result after the operative correction may be influenced by some individual, personality profiles.
我们对42例拇外翻患者进行了前瞻性研究,以探讨人格特质对V形截骨术主观疗效的影响。患者的平均年龄为48.3岁(20 - 70岁)。采用弗莱堡人格问卷(FPI - R)评估人格特质。术后3个月,37例患者对手术满意,5例患者不满意。术前美国足踝外科协会(AOFAS)评分平均从48.7分(30 - 65分)提高到87.9分(50 - 100分)。对满意和不满意患者的比较显示,在攻击性(p = 0.003)、外向性(p = 0.001)和健康担忧(p = 0.04)等人格特质方面存在统计学上的显著差异。满意和不满意患者术后的拇外翻角度分别为12.2±7.8度和13.4±8.3度(p = 0.74),跖间角(I - II)分别为7.4±2.5度和7.6±4度(p = 0.89)。结果表明,手术矫正后患者的主观结果可能受某些个体人格特征的影响。