Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo (IAMSPE), Rua Pedro de Toledo, 1800- Vila Clementino, São Paulo, SP, 04039-000, Brazil.
Int Orthop. 2023 Aug;47(8):1921-1927. doi: 10.1007/s00264-023-05851-5. Epub 2023 Jun 9.
Evaluate the functional health status and quality of life of patients diagnosed with Müller-Weiss disease and, secondarily, determine the influence of factors such as gender, social status, race, body mass index, and surgical and non-surgical treatment in patient outcome.
This study included 30 affected feet (18 patients) with follow-up from 2002 to 2016. Five patients were excluded from reassessment, resulting in 20 feet (13 patients). Questionnaires for functional and quality of life assessments were administered, and statistical analysis was performed.
Patients with obesity had poor functional results and low quality of life rates. Regarding quality of life, mainly in the mental health domain, there was a significant difference (p < 0.001) that was not observed in other domains investigated, except for surgical treatment, which was superior to non-surgical treatment in terms of the physical domain (p = 0.024). Bilateral treatment was also superior to unilateral treatment in Coughlin's classification (71.4% versus 66.7%).
Müller-Weiss disease evolved with poor functional results and low quality of life rates in patients with obesity, with no method of treatment influence on patient outcome, except for the SF-12 physical domain, where surgical treatment showed better results than conservative treatment.
评估诊断为 Müller-Weiss 病患者的功能健康状况和生活质量，并次要地确定性别、社会地位、种族、体重指数以及手术和非手术治疗等因素对患者预后的影响。
本研究纳入了 2002 年至 2016 年随访的 30 只受累足（18 例患者）。5 例患者因重新评估而被排除，最终纳入 20 只足（13 例患者）。进行了功能和生活质量评估的问卷调查，并进行了统计分析。
肥胖患者的功能结果较差，生活质量较低。在生活质量方面，特别是心理健康领域，存在显著差异（p < 0.001），而在其他研究领域则没有观察到这种差异，除了手术治疗在身体领域优于非手术治疗（p = 0.024）。在 Coughlin 分类中，双侧治疗也优于单侧治疗（71.4%比 66.7%）。
Müller-Weiss 病在肥胖患者中会导致功能结果较差和生活质量较低，除了 SF-12 身体领域外，治疗方法对患者预后没有影响，手术治疗在该领域的结果优于保守治疗。
