Functional and psychological evaluation of patients enrolled into total knee arthroplasty and its effect on the treatment outcome – preliminary reports

Abstract

Introduction. In knee osteoarthritis, the treatment of choice is knee arthroplasty. The primary indication to perform TKA -Total Knee Arthroplasty is pain preventing the functioning of the patient. Aim. The main aim of this study was the assessment of the effects of knee osteoarthritis treatment of patients undergoing arthroplasty and the influence of psychological and physical factors in predicting pain and knee function after treatment. Material and methods. The study involved 60 patients between the ages of 50 and 80, who were enrolled in TKA treatments due to the presence of OAOsteoarthritis. The first control test measurement was held to 8 weeks before the surgery, the second during the control visit 6-9 weeks after the surgery. Both measurements included: interview with the patient, functional assessment (KOOS -Knee Injury and Osteoarthritis Outcome Study), the fall risk assessment, walk test evaluation (TUG -Timed Up and Go), mental health questionnaire (GHQ-28 -General Health Questionnaire), pain intensity assessment (VAS -Visual Analogue Scale). Conclusions. On the basis of this analysis, it was concluded that concern for a lower level of anxiety among patients in the perioperative TKA period reduces the risk of falling and also provides successful surgical treatment of knee osteoarthritis.

Analysis of concerns among patients operated for carpal tunnel syndrome

“…Pain sensation may be influenced by pain interpretation and depression [42]. The study involving patients enrolled for total knee arthroplasty showed a correlation of lower pain level with better psychological condition postoperatively [43].…”