Fear of Reinjury Is Associated With Worse Physical Function Measured by PROMIS Following Minimally Invasive Achilles Rupture Repair.
Fear of reinjury linked to worse physical function after Achilles repair
Fear of Reinjury Is Associated With Worse Physical Function Measured by PROMIS Following Minimally Invasive Achilles Rupture Repair.
Prior literature suggests that patients suffering from fear of reinjury (FORI) following Achilles rupture may fail to return to sport and report worse Achilles Tendon Total Rupture Scores (ATRS); however, this prior study included patients who underwent both surgical and non-surgical management.
This study therefore aims to determine whether self-reported fear (srFORI) is associated with worse outcomes as measured by validated Patient-Reported Outcomes Measurement Information System (Patient-Reported Outcomes Measurement Information System) measures of physical function (physical function) and pain interference (pain interference) and ATRS following operative Achilles repair specifically.
This investigation was a retrospective review of all patients who underwent Achilles repair at a single institution (2018-2023).
fear of reinjury meant worse physical function scores
No significant differences existed in baseline characteristics ( P > .05).
SrFORI was similarly associated with significantly worse ATRS (72.6 ± 17.8 vs 88.7 ± 12.3, MD -16.18, 97.5% CI: -22.89, -9.47, P < .001).
There were no significant differences in pain interference (44.9 ± 7.0 vs 43.9 ± 6.1, MD 1.03, 97.5% CI: -2.04, 4.11, P = .48).
With the numbers available, no significant difference in overall complications could be detected between groups (7.8%, 7/90, vs 10.3%, 3/29, P = .70).
Nearly 25% of patients self-reported FORI following minimally invasive Achilles tendon repair, which may be associated with clinically and statistically significant deficits in functional outcomes as measured by Patient-Reported Outcomes Measurement Information System and ATRS following repair.
LEVEL OF EVIDENCE: Level III, retrospective cohort study.