Akademik Veri Yönetim Sistemi
26th EFORT Annual Congress Lyon 2025, Lyon, Fransa, 11 - 13 Haziran 2025, ss.1649, (Özet Bildiri)
Background
Anxiety is one of the most common psychological impairments in patients with patellofemoral malalignment. Kinesiophobia is also a parameter that affects clinical outcomes due to anxiety. However, there are not enough studies in the literature on the relationship between kinesiophobia and clinical outcomes in patellofemoral malalignment correction patients.
Objectives
This study aimed to determine the impact of kinesiophobia and female gender on patient-reported outcome measures (PROMs) in patients following fulkerson osteotomy (FO) and medial patellofemoral ligament reconstruction (MPFLr).
Study Design & Methods
Thirty-eight patients (18 males; 24.29±9.88 years old, 20 females; 22.44±6.87 years old, p:0.56) who underwent FO and MPFLr between 2019 and 2023, with a mean follow up period of months 22.53±14.35 (males), 22.81±10.35 (females)(p:0.95) were included in the retrospective study. Following an assessment of patellar stability and alignment, kinesiophobia and resilience levels were measured. Kinesiophobia and resilience was measured using respectively the Tampa Scale of Kinesiophobia and Brief Resilience Scale (a score of 37 or more is indicative of worse health outcomes) , while the self-reported function was measured by Kujala patellofemoral score and KOOS.
Results
The patients exhibited kinesiophobia scores of 37.78±7.43 (male), 45±9.86 (female) (p:0.019) and resilience scores of 3.78±0.61 (male), 3.74±0.6 (female) (p:0.83). Female gender was associated with significantly lower total KOOS (p:0.017) and Kujala patellofemoral score (p:0.004). Additionally, it was found that female gender and kinesiophobia scores of 37 or more had a significant negative effect (respectively p:0.030, p:0.048) on total KOOS after two-way ANOVA test. Kujala patellofemoral score was also found to be significantly effected by female gender and kinesiophobia scores of 37 or more (respectively p:0.030, p:0.048).
Conclusions
A high level kinesiophobia and female gender were associated with worse PROMs. The results showed a notable prevelance of kinesiophobia after anatomically successful FO and MPFLr, even if resilience scores are normal or high. Preventing kinesiophobia in patellofemoral malalignment correction surgery may improve outcomes, especially in female patients