ArticleJournal of orthopaedic surgery and research2025
Psychological impact on recovery after arthroscopic ATFL repair: a retrospective cohort study.
Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
backgroundAs a prevalent result of recurrent ankle sprains, chronic ankle instability (CAI) leads to persistent discomfort, impaired function, and mechanical instability. While ankle arthroscopic surgery effectively restores joint stability, its impact on psychological well-being remains uncertain. Patients with CAI frequently experience anxiety and depression, potentially influencing postoperative outcomes. The objective of this study was to examine improvements in anxiety and depression symptoms after arthroscopic anterior talofibular ligament (ATFL) repair and analyze the connection between preoperative mental health and surgical outcomes.
methodsThis retrospective cohort study included 60 patients who underwent arthroscopic ATFL repair for CAI. The Self-Rating Depression Scale (SDS) and Zung Self-Rating Anxiety Scale (SAS) were utilized for psychological assessments preoperatively and postoperatively. The Visual Analogue Scale (VAS) and American Orthopedic Foot and Ankle Society (AOFAS) score were employed to evaluate pain levels and functional recovery. Based on preoperative psychological status, patients were divided into two groups: Group A, comprising those with anxiety or depression, and Group B, consisting of those without. The impact of preoperative mental health on postoperative outcomes was analyzed statistically.
resultsOut of the 60 enrolled patients, 56 completed follow-up assessments. Preoperative anxiety and depression were present in 38% of patients (Group A). Both groups exhibited notable postoperative improvements in SAS, SDS, AOFAS, and VAS scores postoperatively (p < 0.05). However, Group A exhibited a less favorable prognosis, with lower improvements in pain relief, functional recovery, and psychological well-being compared to Group B. A strong association between higher preoperative pain scores and increased anxiety was observed in the correlation analysis. In contrast, lower ankle function scores were linked to higher depression levels. Preoperative anxiety showed a strong correlation with disease duration, while older individuals exhibited higher levels of preoperative depression.
conclusionArthroscopic ATFL repair significantly improved psychological well-being, functional outcomes, and pain levels in CAI patients. Nevertheless, the adverse impact of preoperative anxiety and depression on recovery emphasized the importance of incorporating mental health evaluations and psychological support into treatment strategies. Optimizing postoperative recovery in CAI patients requires a holistic, interdisciplinary strategy that incorporates both physical and psychological considerations.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.