CLINICAL TRIAL article
Front. Psychiatry
Sec. Anxiety and Stress Disorders
Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1571794
This article is part of the Research TopicBidirectional Links Between Psychological Trauma and Physical Symptoms: Pathophysiology, Diagnosis, Prevention, and TreatmentView all 10 articles
Preoperative Psychological Factors Predict Talonavicular Fusion Outcomes in Muller-Weiss Disease
Provisionally accepted
- 1Xi'an Honghui Hospital, Xi'an, Shaanxi Province, China
- 2Shaanxi University of Chinese Medicine, Xianyang, China
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Objective: The aim of this study was to investigate the association between preoperative anxiety and depression and surgical outcome in patients with Müller-Weiss disease (MWD). Methods: This retrospective study included 41 patients diagnosed with MWD who underwent talonavicular joint fusion at the Foot and Ankle Surgery Department of Xi'an Honghui Hospital between April 2014 and September 2024. Patients were stratified into two groups based on preoperative anxiety and depression symptoms: Group A (symptomatic) and Group B (asymptomatic). Preoperative and final follow-up assessments included the Hospital Anxiety and Depression Scale (HADS), Visual Analogue Scale (VAS) for pain (0-100 mm), and American Orthopaedic Foot and Ankle Society (AOFAS) score. Results: Among 41 patients with complete follow-up, 20 (49%) exhibited preoperative anxiety and depression symptoms. Both groups demonstrated significant improvement in clinical outcomes following talonavicular joint fusion; however, Group A showed inferior overall outcomes compared to Group B. There is a significant negative correlation between AOFAS score improvement and preoperative anxiety levels (r = -0.62, P < 0.05). Conclusion: In patients undergoing talonavicular fusion surgery the presence of high levels of depression and anxiety is associated with inferior post-operative outcomes; moreover the level of anxiety correlates with post-operative improvement in function, emphasizing the importance of addressing psychological factors in treatment planning.
Keywords: Muller-Weiss disease, Talonavicular joint fusion, mental state, surgical outcomes, relationship
Received: 06 Feb 2025; Accepted: 11 Sep 2025.
Copyright: © 2025 Liu, Pan, Cao, Lu and Xu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Junkui Xu, 568720818@qq.com
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