Prospective, Long-Term Functional Outcomes of Extra-Osseous Talotarsal Stabilization (EOTTS) Using HyProCure in Adult Patients with Talotarsal Joint Instability: Assessment of Physical Activity and Patient Satisfaction

The partial dislocation of the talus from the calcaneus and navicular bones is a primary factor leading to a prolonged overpronation during weightbearing. This study aimed to assess the possibility of returning to physical activity and long-term patient satisfaction after an extra-osseous talotarsal...

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Bibliographic Details
Published in:Journal of clinical medicine 2023-07, Vol.12 (14), p.4872
Main Authors: Kołodziej, Łukasz, Ciechanowicz, Dawid, Wójtowicz, Maria, Król, Marta, Szabałowska, Małgorzata, Kwiatkowski, Sebastian, Szymczak, Mateusz, Czajka, Radomir
Format: Article
Language:English
Subjects:
Ankle
Biomechanics
Clinical medicine
Evaluation
Exercise
Exercise therapy
Foot diseases
Gait
Hypermobility
Injuries
Joints
Pain
Patient outcomes
Patient satisfaction
Surgery
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Summary:The partial dislocation of the talus from the calcaneus and navicular bones is a primary factor leading to a prolonged overpronation during weightbearing. This study aimed to assess the possibility of returning to physical activity and long-term patient satisfaction after an extra-osseous talotarsal stabilization (EOTTS) procedure with a HyProCure sinus tarsi implant for partial talotarsal joint dislocation (TTJ). A total of 41 adult patients (61 feet), with an average age of 46.41, were included and treated surgically with EOTTS as a stand-alone surgery. Physical activity and functional scores were assessed pre- and post-operatively using questionnaires-the UCLA Activity Score, Symptom-Related Ankle Activity Scale (SAAS), Sports Frequency Score (SFS), Lower Extremity Functional Scale (LEFS), and VAS scale. Satisfaction was assessed on a ten-point scale. The follow-up period was on average 8.61 years (from 7.33 to 10.31). EOTTS had a positive impact on physical activity, and a high rate of patient satisfaction (8.95 ± 1.9) was noted. The treatment led to a reduction in foot pain, as well as an increase in SAAS and LEFS scores (15,6% and 19,3%, respectively,
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm12144872