Surgically treated adult acquired flatfoot deformity: Register-based study of patient characteristics, health-related quality of life and type of surgery according to severity

Ida Osbeck, Maria Cöster, Fredrik Montgomery, Isam Atroshi

Research output: Contribution to journalArticlepeer-review

Abstract

Background
Population-level data describing patient characteristics and interventions used in surgical treatment of adult acquired flatfoot deformity (AAFD) is lacking.

Methods
We analyzed baseline patient-reported data including PROMs and surgical interventions for patients with AAFD reported to the Swedish Quality Register for Foot and Ankle Surgery (Swefoot) 2014–2021.

Results
625 feet with primary AAFD surgery were registered. Median age was 60 (range 16–83) years and 64% were women. Mean preoperative EQ-5D index and Self-Reported Foot and Ankle Score (SEFAS) were low. In stage IIa (n = 319) 78% had medial displacement calcaneal osteotomy and 59% had flexor digitorium longus transfer, with some regional variations. Spring ligament reconstruction was less common. In stage IIb (n = 225), 52% had lateral column lengthening, and in stage III (n = 66), 83% had hind-foot arthrodesis.

Conclusions
Patients with AAFD have low health-related quality of life before surgery. Treatment in Sweden follows best-available evidence but regional variations exist.

Level of evidence
III
Original languageEnglish
JournalFoot and Ankle Surgery
DOIs
Publication statusPublished - 2023 Jun 1

Subject classification (UKÄ)

  • Surgery

Free keywords

  • AAFD
  • national quality register
  • PROM
  • register study
  • Surgical interventions

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