Impact of Syndesmotic Screw Removal on Quality of Life, Mobility, and Daily Living Activities in Patients Post Distal Tibiofibular Diastasis Repair
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Settings
2.2. Participant Selection and Sample Collection
2.3. Data Acquisition and Surveys
2.4. Statistical Analysis
3. Results
4. Discussion
4.1. Literature Findings
4.2. Study Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variables | Screw Removal (n = 93) | Conservative Approach (n = 51) | p-Value * |
---|---|---|---|
Age, years | 32.8 ± 12.5 | 33.5 ± 14.1 | 0.759 |
Sex (men, %) | 56 (60.2%) | 23 (45.1%) | 0.081 |
Overweight (>25.0 kg/m2) | 36 (38.7%) | 24 (47.1%) | 0.331 |
Area of residence (urban) | 58 (62.4%) | 28 (54.9%) | 0.382 |
Relationship status (married) | 62 (66.7%) | 37 (72.5%) | 0.466 |
Level of income (average or higher) | 53 (57.0%) | 29 (56.9%) | 0.988 |
Level of education (higher education) | 66 (71.0%) | 31 (60.8%) | 0.212 |
Occupation (employed) | 51 (54.8%) | 32 (62.7%) | 0.358 |
Frequent alcohol consumption | 10 (10.8%) | 8 (15.7%) | 0.392 |
Frequent smoker | 25 (26.9%) | 17 (33.3%) | 0.415 |
CCI > 2 | 8 (8.6%) | 3 (5.9%) | 0.556 |
Fracture type | 0.762 | ||
Unimalleolar | 24 (25.8%) | 12 (23.5%) | |
Bimalleolar | 49 (52.7%) | 24 (47.1%) | |
Lauge–Hansen classification | 0.185 | ||
SER | 42 (45.2%) | 17 (33.3%) | |
PER | 30 (32.3%) | 14 (27.5%) | |
SA | 10 (10.8%) | 11 (21.6%) | |
PA | 11 (11.8%) | 8 (15.7%) |
Questions | Screw Removal (n = 93) | Conservative Approach (n = 51) | p-Value * |
---|---|---|---|
Q1: How satisfied are you with your overall mobility since the surgical procedure? | 7.8 ± 2.5 | 6.7 ± 2.9 | 0.018 |
Q2: To what extent do you believe the removal (or retention) of the syndesmotic screw impacted better your ability to perform daily living activities? | 8.1 ± 2.1 | 6.5 ± 3.0 | <0.001 |
Q3: How often do you experience pain or discomfort in the area of the surgical procedure? | 5.3 ± 2.7 | 6.8 ± 3.2 | 0.003 |
Q4: Would you recommend the same treatment approach to someone else with a similar condition? (1 being not likely, 10 being highly likely) | 7.6 ± 1.9 | 7.4 ± 2.6 | 0.591 |
Q5: How has this surgical procedure impacted your quality of life? (higher is better) | 6.9 ± 3.3 | 7.1 ± 2.8 | 0.714 |
Q6: How confident are you in your decision (either removal or retention of the screw)? | 8.9 ± 1.6 | 7.8 ± 2.4 | 0.013 |
Q7: Have you noticed any limitations in daily activities due to the surgical procedure? | 5.6 ± 2.9 | 6.9 ± 3.3 | 0.016 |
Q8: On a scale of 1 to 10, how would you rate the information provided to you regarding the pros and cons of screw removal versus retention? | 8.4 ± 1.8 | 8.0 ± 2.0 | 0.222 |
Scores (Mean ± SD) | Screw Removal (n = 93) | Conservative Approach (n = 51) | p-Value * |
---|---|---|---|
SF-36—Physical | 55.9 ± 6.6 | 53.3 ± 6.8 | 0.027 |
SF-36—Mental | 54.9 ± 7.2 | 53.0 ± 7.6 | 0.140 |
SF-36—Total | 56.4 ± 7.8 | 55.1 ± 8.2 | 0.349 |
WHOQOL-BREF (Mean ± SD) | Screw Removal (n = 93) | Conservative Approach (n = 51) | p-Value * |
---|---|---|---|
Physical domain | 64.8 ± 12.2 | 60.9 ± 11.6 | 0.064 |
Mental domain | 62.3 ± 13.8 | 66.4 ± 12.8 | 0.082 |
Social domain | 60.8 ± 12.9 | 65.5 ± 13.1 | 0.039 |
Environmental domain | 63.8 ± 11.6 | 62.0 ± 13.3 | 0.399 |
HADS (Mean ± SD) | Screw Removal (n = 93) | Conservative Approach (n = 51) | p-Value * |
---|---|---|---|
Anxiety | 5.8 ± 3.4 | 7.3 ± 2.5 | 0.006 |
Depression | 6.3 ± 2.3 | 6.9 ± 1.8 | 0.109 |
Total score | 12.1 ± 4.6 | 13.0 ± 4.3 | 0.252 |
Independent Variables | HR—Exp (B) | 95% CI | p-Value |
---|---|---|---|
Gender (Female vs. Male) | 0.8 | 0.6–1.1 | 0.014 |
Age (Per year increase) | 1.02 | 0.97–1.19 | 0.132 |
Overweight (>25.0 kg/m2) | 1.4 | 1.0–1.9 | 0.072 |
Area of residence (Urban vs. Rural) | 1.1 | 0.8–1.4 | 0.621 |
Relationship status (Relationship vs. Single) | 0.9 | 0.6–1.3 | 0.466 |
Level of income (Average or higher vs. Below average) | 1.2 | 0.9–2.6 | 0.201 |
Level of education (Higher vs. Below higher) | 1.1 | 0.8–1.5 | 0.499 |
Occupation (Employed vs. Unemployed) | 0.9 | 0.7–1.1 | 0.173 |
Frequent alcohol consumption (Yes vs. No) | 0.8 | 0.6–1.2 | 0.091 |
Frequent smoker (Yes vs. No) | 1.2 | 0.9–1.6 | 0.212 |
Fracture type (Unimalleolar vs. Bimalleolar) | 1.2 | 0.9–2.2 | 0.193 |
HADS—Anxiety (Per unit increase) | 1.6 | 1.2–3.1 | 0.006 |
HADS—Depression (Per unit increase) | 1.1 | 0.9–2.0 | 0.218 |
WHOQOL-BREF Physical domain | 1.8 | 1.3–2.5 | <0.001 |
WHOQOL-BREF Mental domain | 1.5 | 1.1–2.8 | 0.013 |
WHOQOL-BREF Social domain | 1.6 | 0.9–2.2 | 0.095 |
WHOQOL-BREF Environmental domain | 1.4 | 1.0–1.9 | 0.068 |
Charlson Comorbidity Index (CCI > 2) | 2.0 | 1.1–3.6 | 0.024 |
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Sanda, I.-I.; Hosin, S.; Vermesan, D.; Deleanu, B.; Pop, D.; Crisan, D.; Al-Qatawneh, M.; Mioc, M.; Prejbeanu, R.; Rosca, O. Impact of Syndesmotic Screw Removal on Quality of Life, Mobility, and Daily Living Activities in Patients Post Distal Tibiofibular Diastasis Repair. Medicina 2023, 59, 2048. https://doi.org/10.3390/medicina59122048
Sanda I-I, Hosin S, Vermesan D, Deleanu B, Pop D, Crisan D, Al-Qatawneh M, Mioc M, Prejbeanu R, Rosca O. Impact of Syndesmotic Screw Removal on Quality of Life, Mobility, and Daily Living Activities in Patients Post Distal Tibiofibular Diastasis Repair. Medicina. 2023; 59(12):2048. https://doi.org/10.3390/medicina59122048
Chicago/Turabian StyleSanda, Isabella-Ionela, Samer Hosin, Dinu Vermesan, Bogdan Deleanu, Daniel Pop, Dan Crisan, Musab Al-Qatawneh, Mihai Mioc, Radu Prejbeanu, and Ovidiu Rosca. 2023. "Impact of Syndesmotic Screw Removal on Quality of Life, Mobility, and Daily Living Activities in Patients Post Distal Tibiofibular Diastasis Repair" Medicina 59, no. 12: 2048. https://doi.org/10.3390/medicina59122048