Hadley Steven M, Bergman Rachel, Westvold Sarah J, Kukreja Tanya, Hu Carolyn J, Filler Ryan, Mutawakkil Muhammad Y, Patel Milap, Kadakia Anish R
Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Foot Ankle Orthop. 2025 Aug 25;10(3):24730114251363915. doi: 10.1177/24730114251363915. eCollection 2025 Jul.
Fear of reinjury (FORI) can hinder recovery in several orthopaedic conditions, but its impact after augmented Broström repair is unknown. We sought to determine the prevalence of FORI and its association with functional outcomes in this setting. This study aims to determine whether patients experience FORI following augmented Broström repair and whether FORI impacts functional outcomes.
80 patients who underwent Broström repair with Brace augmentation were contacted to complete surveys containing questionnaires with Patient Reported Outcome Measurement Information System (PROMIS) measures of physical function (PF) and pain interference (PI), Cumberland Ankle Instability Tool (CAIT), and whether patients experienced current (at time of survey completion) activity limitations due to FORI.
64% (51/80) of patients reported postoperative FORI. Average follow-up was 3.9 years. Fear was associated with worse PF (49.9 ± 7.4 vs 54.9 ± 8.4, = .01) and worse CAIT (19.1 ± 8.0 vs 23.2 ± 8.1, = .04), and both differences exceeded the minimal clinically important difference (MCID). There was no significant difference in PI (49.8 ± 8.7 vs 46.5 ± 6.9, = .06). There were no significant differences in the proportion of patients who reported FORI by age, sex, or BMI.
FORI affected nearly two-thirds of patients and was linked to clinically meaningful functional deficits. Although PROMIS scores reached population means overall, addressing psychological barriers may further optimize outcomes after augmented Broström repair.
Level IV, retrospective case series study.
害怕再次受伤（FORI）会阻碍多种骨科疾病的恢复，但在改良 Broström 修复术后其影响尚不清楚。我们试图确定在这种情况下 FORI 的患病率及其与功能结果的关联。本研究旨在确定患者在改良 Broström 修复术后是否经历 FORI，以及 FORI 是否影响功能结果。
联系了 80 例行 Broström 修复并使用 Brace 增强术的患者，让他们完成包含问卷的调查，问卷中有患者报告的结局测量信息系统（PROMIS）的身体功能（PF）和疼痛干扰（PI）测量指标、坎伯兰踝关节不稳定工具（CAIT），以及患者是否因 FORI 而出现当前（在调查完成时）的活动受限。
64%（51/80）的患者报告术后有 FORI。平均随访时间为 3.9 年。恐惧与更差的 PF（49.9±7.4 对 54.9±8.4，P =.01）和更差的 CAIT（19.1±8.0 对 23.2±8.1，P =.04）相关，且这两个差异均超过了最小临床重要差异（MCID）。PI 方面无显著差异（49.8±8.7 对 46.5±6.9，P =.06）。按年龄、性别或体重指数报告 FORI 的患者比例无显著差异。
FORI 影响了近三分之二的患者，并与具有临床意义的功能缺陷相关。尽管 PROMIS 评分总体上达到了人群均值，但解决心理障碍可能会进一步优化改良 Broström 修复术后的结果。
IV 级，回顾性病例系列研究。
