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BACKGROUND: There is minimal published research on outcomes and satisfaction with foot and ankle surgery. OBJECTIVE: To investigate patient-reported outcomes and satisfaction, and investigate which factors influence satisfaction at 9 months following foot or ankle surgery. METHODS: Prospective study of 671 adult patients having foot or ankle surgery. Pre-and post-surgery, patients self-completed MOXFQ, SF-36 and EQ-5D questionnaires. Using ratings to a satisfaction item, patients who were 'very pleased' with the outcome were compared with everyone else, using multiple logistic regression, regarding their pre-, peri- and post-operative characteristics. RESULTS: Of 628 eligible patients, 491 (73%) completed pre-and post-operative questionnaires. Following adjustment, satisfaction with surgery was influenced by patients' perceptions of their foot/ankle's appearance (OR 0.12, 95% CIs 0.06-0.23, p<0.001); wearable range of shoes (OR 0.36, 95% CIs 0.17-0.79, p=0.01); continued foot/ankle pain (OR 0.06, 95% CIs 0.03-0.14, p<0.001); impairment in Social-Interaction (MOXFQ SI scale) (OR 0.98, 95% CIs 0.96-0.99, p=0.009). The final explanatory model explained 67% of the variance in patient satisfaction. CONCLUSIONS: Foot appearance, wearable shoe range, the (full) alleviation of pain and the ability/confidence to interact socially are crucial to peoples' satisfaction with their foot or ankle surgery.

Original publication




Journal article


Foot (Edinb)

Publication Date





211 - 218


Adolescent, Adult, Aged, Aged, 80 and over, Ankle, Esthetics, Female, Foot, Humans, Interpersonal Relations, Logistic Models, Male, Middle Aged, Orthopedic Procedures, Pain, Patient Satisfaction, Prospective Studies, Shoes, Surveys and Questionnaires, United Kingdom, Young Adult